The causes of elevated blood pressure and increased heart rate may be physiologic and pathologic. When the body’s sympathetic nerves are excited, such as strenuous exercise and emotional excitement, myocardial oxygen consumption increases, resulting in elevated blood pressure and rapid heart rate. At this time, there is no need for special treatment, when the stimulus disappears, blood pressure and pulse rate can return to normal. Pathological factors are common in primary hypertension, at this time should be actively drug treatment, blood pressure control, common antihypertensive drugs are diuretics, beta-blockers, calcium channel blockers, angiotensin converting enzyme inhibitors and so on. In addition, hypertensive patients should also actively improve their lifestyles, such as low-salt, low-fat diet, appropriate exercise, avoid staying up late, avoid emotional excitement and so on. To summarize, when there is elevated blood pressure and rapid pulse rate, attention should be paid to distinguish whether it is physiological or pathological factors. Physiological factors do not require special treatment, while pathological factors such as elevated blood pressure and rapid heart rate should be treated with oral medication under the guidance of a physician to control blood pressure and heart rate to prevent accidents.