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High Blood Pressure

Low pulse with high pressure



I would treat high pressure with low pulse ex. 164/100 pulse 42


The value for the normal heart rate varies somewhat with age, but a heart rate of 42 in a person not taking any medication is low.  The only exception is in people who are highly trained athletes.  Athletes can have a low resting heart rate.

In your case, you are also hypertensive.  Your blood pressure should be 130/80 or lower.  Some antihypertensive medications (diltiazem, verapamil and beta blockers) can lower the heart rate further and would be contraindicated in a person with low resting heart rate.

In any case, you need a careful examination by a primary care physician or a specialist in internal medicine.

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Response by:

Max C Reif, MD Max C Reif, MD
Professor of Medicine
Director of Hypertension Section
College of Medicine
University of Cincinnati