A4405 The survey on heart rate of young and middle-aged hypertensive patients in community health service centers in Shenzhen

Abstract

Objectives: To understand the current status of heart rate and the use of beta blockers in young and middle-aged hypertensive patients in community health service centers in Shenzhen. Methods: With cross-sectional survey method, from March to June in 2017, using convenience sampling method, a total of 2152 hypertensive patients were enrolled in, and 1639 young and middle-aged hypertensive patients were included in the analysis. Results: The control rate of blood pressure in 1639 young and middle-aged patients with hypertension was 37.2%, the average heart rate was 81.0 beats/min, lower than the national average. The systolic and diastolic blood pressure of patients increased with the increase of heart rate, and systolic (r = 0.411, P < 0.001) and diastolic (r = 0.472, P < 0.001) blood pressure were positively correlated with heart rate. The higher the heart rate, the higher the prevalence of coronary heart disease (= 20.914, P < 0.001), diabetes (= 3.884, P = 0.049) and hyperlipidemia (= 7.163, P = 0.007) in patients with blood pressure no control. Systolic blood pressure (z = −2.545, P = 0.011), diastolic blood pressure (z = −2.122, P = 0.035), and heart rate (z = 6.816, P < 0.001) were higher in patients who did not use beta blockers compared with those using beta blockers. Moreover, the higher the heart rate, the higher the prevalence of coronary heart disease (= 26.822, P < 0.001), diabetes (= 3.956, P = 0.047) and hyperlipidemia (= 7.239, P = 0.007) in patients with beta blockers. Conclusion: The young and middle-aged hypertensive patients’ heart rate too fast, in order to reduce the complication and death rate of the patients, the doctors’ awareness of heart rate management should be enhanced, strengthen the heart rate treatment indications, control range, drug selection, individualized treatment and other related diagnosis and treatment training.