Pulse-lowering drugs: list, rating of the best, doctor's prescription, indications and contraindications

Table of contents:

Pulse-lowering drugs: list, rating of the best, doctor's prescription, indications and contraindications
Pulse-lowering drugs: list, rating of the best, doctor's prescription, indications and contraindications

Video: Pulse-lowering drugs: list, rating of the best, doctor's prescription, indications and contraindications

Video: Pulse-lowering drugs: list, rating of the best, doctor's prescription, indications and contraindications
Video: Chickenpox | Varicella Zoster Virus | Pathogenesis, Signs and Symptoms, Diagnosis, and Treatment 2024, December
Anonim

Some drugs slow down the heartbeat. This leads to false information about how the body actually works. In other words, you can train harder and still have a low heart rate artificially reduced by medication. In this case, it is worth knowing what drugs that reduce heart rate, but do not reduce pressure, are on the market. You should also carefully study their instructions for use, so as not to harm your own he alth. In this article, you can learn in detail about drugs that reduce heart rate, but do not reduce blood pressure.

medicines that decrease heart rate but do not reduce blood pressure
medicines that decrease heart rate but do not reduce blood pressure

Beta blockers

A common example is a group of drugs called beta-blockers, given to patients with heart disease and high blood pressure.

These drugs reduce heart rate during both rest and exercise, although not always by the same rates. In some situations, a person can train much harder without raising their heart rate.contractions even in the aerobic zone. In this case, for example, 125 beats per minute after taking medication can equate to 155 without it, so if your maximum aerobic heart rate is 140, you can easily overtrain and hurt yourself at 125.

What medications slow down heart rate?
What medications slow down heart rate?

Some people can't reach their maximum aerobic heart rate otherwise than on beta-blockers. In the ranking of the most popular are:

  1. "Metoprolol". A cardioselective lipophilic blocker that does not have its own sympathomimetic or membrane stabilizing effect. "Metoprolol" interferes with the stimulating effect of the sympathetic nervous system on the heart and generates a rapid decrease in heart rate, a decrease in cardiac output and blood pressure. Reduces the latter in patients in the supine position. In the stronger sex with typical or moderate hypertension, Metoprolol reduces the mortality rate from cardiovascular pathologies.
  2. "Bisoprolol". It is prescribed by doctors for arterial hypertension (a steady rise in blood pressure), prevents angina attacks.
  3. "Nebivolol". It is prescribed for the treatment of patients with essential form of arterial hypertension. "Nebivolol" is included in the complex therapy of elderly patients suffering from stable chronic heart failure of moderate severity.

Antiarrhythmic drugs, blockerscalcium channels and other medications can sometimes lower your heart rate. If you are taking any prescription or non-drug medication, you should know if it affects your heart rate.

Diuretics

As a result of the removal of water from the body, blood pressure decreases. Diuretics interfere with the reabsorption of sodium ions, which are then excreted outside and carry away excess fluid. In addition to them, diuretics flush out potassium ions from the body, which are needed for the functioning of the cardiovascular system.

heart rate lowering drugs
heart rate lowering drugs

There are diuretics that conserve this important element. In the ranking of the best of them:

  • "Hydrochlorothiazide". Used for the treatment of patients suffering from arterial hypertension, as well as heart failure, which is accompanied by edema. Doctors also prescribe a medication for cirrhosis of the liver with ascites, to cure patients with impaired renal function, including nephrotic syndrome, chronic renal failure and acute glomerulonephritis.
  • "Indapamide". Contains an element resembling a thiazide diuretic in structure. Considered a sulfonylurea excretory. Used in the treatment of arterial hypertension. Due to the distinctive features of the mechanism of action, the drug causes a decrease in blood pressure without a significant effect on the volume of urination.
  • "Triampur". Combined medication, characterized by a pronounced diuretic and hypotensive effect. ATthe structure of the substance is entered by 2 active elements - triamterene and hydrochlorothiazide. The impact and therapeutic results of the drug are based on the pharmacological properties and compatibility of the substances that make up the composition. The drug is used to treat patients suffering from arterial hypertension, heart failure (in combination with cardiac glycosides), as well as edematous syndrome, which is caused by diseases of the kidneys, liver or heart.

Neurotropics

If hypertension is caused by prolonged stress, then substances that affect the central nervous system (relaxants, tranquilizers, sleeping pills) are used.

Neurotropic substances of the main effect have a great influence on the vasomotor center in the brain, reducing its activity. Top ranked neurotropics are:

"Moxonidine". The active ingredient exhibits an antihypertensive effect. This effect is realized due to the impact on the mechanisms of regulation of blood pressure associated with the central nervous system. Moxonidine binds selectively to imidazole sensors. As a result, the stimulation of the receptor apparatus of neurons in the solitary tract is traced. The decrease in heart rate is gradual

moxonidine tablets
moxonidine tablets
  • "Rilmenidine". The drug functions by reducing sympathomimetic activity to various nerve centers, and because of this, blood pressure drops. Depending on the dose, the upper and lower pressure decreases at rest andactivity. If the patient has low hypertension, 2 mg of the substance per day is enough for him. The remedy works for a day after use, tolerance is not traced even with continuous cure.
  • "Methyldopa". It is considered a hypotensive agent of central action. Its active metabolites in the central nervous system contribute to a decrease in heart rate through stimulation of inhibitory receptors, a decrease in renin activity in the blood plasma. Used in monotherapy or in combination with other antihypertensive agents. When taken orally, the hypotensive effect is expressed after 2 hours and lasts for 6–8 hours.

What increases heart rate?

Some drugs increase the heart rate. These include thyroid medications, Ritalin and other amphetamines, and even caffeine found in some drinks, pain relievers, and, of course, coffee, tea, and some colas. Athletes often use their properties.

what drug lowers heart rate without lowering blood pressure
what drug lowers heart rate without lowering blood pressure

These drugs cause higher heart rates by causing the person to slow down to maintain their maximum aerobic heart rate. This means that in order to follow your heart rate, you may need to reduce the intensity of your workouts. But don't increase your maximum aerobic heart rate because of this: there is another very important factor to consider.

Although people often think that many prescription drugsare completely safe, or that the he alth problems associated with their consumption are completely harmless, this is not at all the case. Therefore, being more restrained during exercise is important to prevent problems of excessive stress or fatigue from training.

For athletes, progress may be a little slower, but it will still be faster with the same heart rate than with racing, which will improve their performance.

What should be careful with drugs that reduce the pulse at normal pressure?

Despite the fact that many drugs do not directly affect the heart rate, their he alth effects can negatively affect muscles, metabolism and other body systems. These include some cholesterol-lowering drugs called statins, such as Mevacor, Lipator, and Altocor.

They can affect muscle function, sometimes resulting in exercise-related injury. By making a 10-bit heart rate adjustment, the risk of muscle problems and potential injury can be reduced.

Another example is Aspirin and other NSAIDs that can interfere with proper post-workout recovery. By exercising at a lower heart rate, the effect of stress on the physical body will decrease.

what drug can lower the heart rate
what drug can lower the heart rate

For example, for a woman taking birth control pills or hormone replacement therapy, drugs that lower the pulse at normal pressure create potentiallyside effects that may adversely affect her exercise performance. Also, levels of some B vitamins can decrease, affecting liver function, energy systems, lactate production, and other important female body functions for optimal he alth.

For those who train at a higher intensity, not taking these medications may be associated with possible complications. It is believed that increased physical stress is a risk factor that can cause a heart attack. Whereas training at a lower heart rate usually does not and actually protects the athlete from a heart attack or stroke.

Heart Rate Supplements

An integrative strategy against hypertension includes the adoption of a non-inflammatory diet and moderate exercise regimen, he althy stress management and possible pharmaceutical treatment (among other behavioral modifications), and nutritional supplements. Targeted nutritional supplements not only provide our bodies with the nutrients they need to protect and repair the cardiovascular system, they promote energy production in the heart and the rest of the body.

drugs that reduce heart rate at normal pressure
drugs that reduce heart rate at normal pressure

Maintaining and improving the structural integrity of the motor and blood vessels with nutritional support is critical to blood pressure management.

Ranking of the best supplements and medicines

What drug can lower the pulse? Below israting of the most popular ones:

  1. Coenzyme Q10 (CoQ10) - 100 mg twice daily.
  2. Nattokinase 50 mg twice daily.
  3. Omega-3 (Fish Oil) - 2 to 3 g per day.
  4. Magnesium - 400 to 800 mg daily.
  5. Garlic - 1000 mg daily.
  6. Hawthorne - 1000 to 1500 mg daily.
  7. Vitamin D - 1000 to 2000 units daily.
  8. Quercetin 500mg twice daily
  9. "Folate" - 800 mg per day.
  10. Vitamin C - 1000 mg daily.
  11. "Argenin "- 2 g per day.
  12. Crushed flaxseed - 1 - 2 tablespoons daily.
  13. Grape seed extract 150 mg daily.

While some nutraceuticals may provide a reduction in heart rate, the above listed agents may not be suitable for everyone. Based on clinical experience with them, the following are the optimally safe supplement options:

  • For patients with congestive heart failure, it is proposed to increase the consumption of drugs that slow down the pulse, but do not reduce blood pressure. These include CoQ10 up to 100 mg (3 to 4 times a day).
  • Supplement 2000 to 3000 mg of L-carnitine to it.
  • 15g Ribose divided into daily doses.

Patients taking medications that slow heart rate but do not lower blood pressure should always discuss any potential changes in their blood pressure lowering scores, including supplements and/or other lifestyle changes, with their physicians.

Drugs used to treat cardiac arrhythmias

In general, there are two reasons why a doctor may prescribe treatment for cardiac arrhythmias. First, it can give you symptoms, such as palpitations or dizziness, and treatment may be important to relieve them. Second, the arrhythmia can harm or threaten to do so.

drugs that reduce heart rate but do not reduce blood pressure
drugs that reduce heart rate but do not reduce blood pressure

If you have an arrhythmia requiring medical treatment, there are three general classes of medications that may be helpful, depending on the type of condition. What medications lower heart rate without lowering blood pressure?

The first group consists of antiarrhythmic drugs specifically aimed at suppressing abnormal heart rhythms.

The second consists of drugs that affect the AV node and are mainly used for supraventricular tachycardias (SVT).

The third group consists of various drugs that have been shown to reduce the risk of sudden death from cardiac arrhythmias.

Antiarrhythmic drugs

These are drugs that change the electrical properties of heart tissue and the way the heart's signal travels. Since tachycardias (arrhythmias that cause a fast heart rate) are usually associated with electrical signal disturbances, drugs that alter it can often improve these conditions. Antiarrhythmic drugs are often effective in treating most types of tachycardias.

Unfortunately, they can also cause intoxication of one kind or another, and as a result, they are difficult to take. This problem occurs in almost allantiarrhythmic drugs: sometimes they make the arrhythmia worse, not better.

The top pulse-lowering antiarrhythmics include: Amiodarone (Cordarone, Pacerone), Sotalol (Betapace), Propafenone (Rhythmol) and Dronedarone (Multaq).

Amiodarone is the most effective antiarrhythmic drug and the most commonly prescribed by doctors, although only when the arrhythmia causes significant symptoms or threatens the cardiovascular system.

Which drugs still lower heart rate?

Known as blockers: AV, beta, calcium channel blockers and Digoxin slow the heart's electrical signal as it travels through the AV node on its way from the atria to the ventricles. This makes AV blocking drugs useful in the treatment of SVT.

In SVT, known as atrial fibrillation, heart rate-lowering drugs do not stop the arrhythmia, but they do slow the heart rate to help relieve symptoms. In fact, controlling your heart rate with AV blocking drugs is often the best way to deal with atrial fibrillation.

What reduces the risk of sudden death?

Some drugs are thought to reduce the risk of sudden death, possibly by reducing ventricular tachycardia or ventricular fibrillation, arrhythmias that cause cardiac arrest. To do this, take drugs that reduce the pulse with increased pressure.

Studies show that beta-blockers reducerisk of sudden death by preventing the action of adrenaline on the heart muscle, thereby reducing the likelihood of developing fatal arrhythmias. All patients who have had a heart attack or have heart failure should take beta-blockers.

Another option is to reduce sudden death in patients taking statins or omega-3 fatty acids, but the drugs listed above that reduce high heart rate are better.

Recommended: