Low blood pressure and fast heart rate generally refers to blood pressure <90/60mmHg, heart rate >100 beats/min, common myocardial ischemia, tachyarrhythmia, traumatic hemorrhage, etc. Myocardial ischemia requires implantation of stents, taking aspirin, statins and other medications; tachyarrhythmia requires electrical cardioversion, selection of amiodarone and other medications; traumatic hemorrhage needs to be hemostasis, intravenous rehydration, use of blood pressure-raising drugs.
1. Myocardial ischemia: such as angina pectoris, myocardial infarction and other causes of myocardial necrosis, cardiac excretion is reduced, the effective circulating blood volume is reduced, there is a decrease in blood pressure, the heart rate of the compensatory acceleration of the patient’s performance of chest tightness, severe chest pain, panic and other discomforts, you need to go to the hospital as soon as possible to implant a cardiac stent, follow the instructions of the medical treatment of anti-platelet aggregation such as aspirin, atorvastatin and other lipid-lowering medications.
2. Tachyarrhythmia: such as ventricular tachycardia, rapid atrial fibrillation, etc., due to the heart rate is too fast, more than 100 beats / minute, the heart diastolic blood filling obstacle, the return blood volume is reduced, the cardiac output is reduced, thus leading to a drop in blood pressure, generally need to be electrically restored, according to the type of arrhythmia to choose the treatment of drugs, such as amiodarone, verapamil, mexiletine, and so on.
3. Traumatic hemorrhage: severe insufficiency of blood volume, resulting in shock, low blood pressure, compensatory heart rate accelerated phenomenon, patients with pallor or even fainting, the need to stop bleeding, timely intravenous rehydration and expansion, the use of dopamine, norepinephrine and other pressure-raising drugs.
If the patient’s blood pressure is low and the heart rate is fast, it is recommended to go to the hospital, after clarifying the cause of the disease and actively treating it, and the drugs should be used under the guidance of the physician.