high BP with low pulse rate

[vikasbansal1985]

How this could be possible that high BP with low pulse rate as when BP increases it means that heart is pumping at high speed, and if heart is pumping at high rate then automatically pulse rate will increase.

Kindly help me out in solving this problem

Regards

Vikas Bansal
91-99926-02363

[kenkeith]

Cindy, thanks for your generous remark :).

Q: Does it mean that low pulse rate with high BP is indicative of high ejection fraction?

>>>>Heart rate and EF are complementary factors for cardiac output to meet the system's demand for oxygenated blood with respiration and medication aside (consider a non-issue), and we know a stronger heart (i.e. athlete's heart) can pump fewer times to maintain an ample supply of oxygenated blood to the system.

Generally, when heart rate increases, blood pressure rises and pressure may be high due to "essential" (cause unknown) high BB or it may be high because the system is trying to compensate for a slow pulse. Somewhat counter intuitive for a well conditioned heart, but that is my understanding. Also, it seems "secondary" hypertension may not effect heart rate (CO) for a strong heart, and what are the specific valuations for "low"
HR and "high" BP?    

Blood pressure is created both by blood pumping into the body from the heart, and by the resistance of the body’s arteries to the flow of blood. Eposodic? There is no good correlation between pulse rate and blood pressure, as heart rate is dynamic. And, yes, a good EF certainly influences the compensitory equation.  

[nspower]

Does it mean that low pulse rate with high BP is indicative of high ejection fraction?

[cindy707]

Hey that was an awesome explanation.......i often thought about that when my pulse rate would soar into the 300's when i tached out before the ablation and my b/p dumped......now i got the answer thanks.......

[kenkeith]

When blood pressure increases the heart rate (pulse) can be fast or slow.  When there is high blood pressure that indicates the heart is pumping against the resistance of blood vessels that are constricted. If an individual, such as an athlete, the heart can pump with stronger beats and fewer beats (higher ejection fraction/heartbeat).  That would be one example.  Heart rate is a dynamic compensating mechanism with blood pressure and heart's ejection fraction (EF) (percent of blood pumped with each stroke) to maintain a balance of blood flow between the right and left side and their values change from heart cycle to cycle.

Hope this provides a perspective that be of help.  Thanks for your question.  Take care.