Hypertension and heart rate has been around 90 beats / minute, long-term may appear panic, chest tightness and other uncomfortable symptoms, easy to affect the cardiovascular health, increase the risk of stroke, myocardial infarction and other incidence. Under normal circumstances, the heart rate range is 60-100 beats/min, but the heart rate control requirements of hypertensive patients should be more stringent, resting state heart rate at 60-80 beats/min is appropriate; 24-hour dynamic heart rate monitoring control at 60-75 beats/min is appropriate. When the heart rate of hypertensive patients has been around 90 beats/min, patients may experience palpitations, panic, chest tightness and other uncomfortable symptoms, long-term high blood pressure, fast heart rate state, easy to affect the cardiovascular and cerebrovascular health, increase the incidence of stroke, myocardial infarction. The higher the blood pressure, the greater the pressure on the blood vessel wall, the greater the possibility of atherosclerosis. When hypertensive patients have a chronically increased heart rate, atherosclerotic plaques become more unstable, with the risk of plaque dislodgement or rupture, increasing the probability of acute events such as stroke and myocardial infarction. The use of medications is recommended to control the rapid heart rate in hypertensive patients. Lowering the heart rate helps to control hypertension and helps to reduce target organ damage caused by hypertension.