A fast heart rate in hypertension is usually due to primary hypertension, and panic attacks cannot be ruled out. It can be controlled by taking medication and life adjustments. 1. Medication: The diagnostic criteria for hypertension are generally three non-same-day measurements of systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmHg. If the diagnosis is confirmed, antihypertensive drugs should be taken regularly, such as chlorosartan, captopril, furosemide, propranolol, metoprolol, atenolol, nifedipine, amlodipine, and lasixidipine. Certain blood pressure-lowering medications also work to control the heart rate. A fast heart rate is a condition in which the heart beats more than 100 times per minute. You can take metoprolol, bisoprolol, diltiazem, propafenone, amiodarone, and digoxin for a fast heart rate. If this happens suddenly with normal blood pressure, it may be a panic attack, and you can take sedative-hypnotic drugs, such as eszopiclone, alprazolam, and so on. 2. Life adjustments: you should maintain adequate sleep, avoid high salt diet, appropriate exercise, life should be optimistic, healthy mind, avoid excessive anxiety. Drugs should be used under the guidance of physicians.