| Author/Editor | Dobovišek, Jurij | |
| Title | Pospešen srčni utrip in arterijska hipertenzija | |
| Translated title | Accelerated heart rate and arterial hypertension | |
| Type | članek | |
| Source | Slov Kardiol | |
| Vol. and No. | Letnik 3, št. 1 | |
| Publication year | 2007 | |
| Volume | str. 48-50 | |
| Language | slo | |
| Abstract | Accelerated heart rate has not been ascertained as reliable predictor of hypertension in normotensive subjects, but in already existent hypertension it predicts further increase of blood pressure. Accelerated heart rate is acIcnowledged as independent risk factor for cardiovascular events and mortality in apparently healthy individuals and in patients suffering from various cardiovascular morbid conditions including hypertension. Men seem to be more jeopardized than women. The cut off value for increased risk is estimated at approximately 80/miw' to 85/ miw'. After exclusion of other possible causes including drugs the heart rate remains the reflection of the activity of autonomic nervous system. In hypertensive patient the first choice for lowering the heat rate are beta bloclcers. When of any reason their use is not possible non-dihydropyridine calcium anatgonists or centrally acting sympatholytic drugs represent the second choice. Nowadays, in these patients there are no clinical studies or experience available for the use of ivabradine. | |
| Summary | Pospešen srčni utrip ni zanesljiv napovednik razvoja arterijske hipertenzije pri osebah z normalnim krvnim tlakom, pri že obstoječi hipertenziji pa napoveduje nadaljnje zvišanje krvnega tlaka. Pospešen srčni utrip je neodvisen dejavnik tveganja za srčno-žilne zaplete in umrljivost tako pri dozdevno zdravih osebah kot pri bolnikih z različnimi srčno-žilnimi boleznimi in tudi pri bolnikih z arterijsko hipertenzijo. Zdi se, da so moški bolj ogroženi kot ženske. Meja, nad katero tveganje pomembno naraste, je približno 80-85/min. Če izključimo druge vzroke, med njimi tudi zdravila, je srčni utrip odraz aktivnosti avtonomnega živčevja. Prehiter srčni utrip lahko pri bolniku s hipertenzijo zmanjšamo v prvi vrsti z blokatorjem receptorjev beta. Če bolnik teh zdravil iz katerega koli razloga ne more jemati, so kot druga izbira na razpolago nedihidropiridinski kalcijevi antagonisti ali centralni simpatikolitiki. Za uporabo ivabradina pri bolnikih s hipertenzijo za sedaj ni kliničnih raziskav niti izkušenj. | |
| Descriptors | HYPERTENSION TACHYCARDIA |