Nowadays we monitor our vital signs, such as heart rateon the wrist itself thanks to smartwatches and activity bracelets that constantly tell us how many beats per minute our heart beats at rest. This information is vital, since traditionally it is believed that having an excessively high number is an indication that something bad is happening in the heart.
The middle point is the best. In medicine, both due to excess and scarcity, we can find a scenario that is pathological, and that is why, although we relate high heart rate as something very negative, we must keep in mind that having them excessively low It is not always positive.
This is the main conclusion of a pioneering research presented at the European Stroke Organization Conference, and although it has yet to undergo review, its foundations are extraordinarily solid, based on the analysis of 460,000 participants over 14 years.
Crossing data. Of all these people analyzed, the researchers were especially interested in their medical histories and the diseases they presented, highlighting the registration of a total of 12,290 cases of stroke during the decade and a half of follow-up.
But what is truly important here is when these records were crossed with the resting heart rate data of the participants, discovering a very clear pattern by showing a risk graph in the shape of a ‘U’ and not a straight line.
Its meaning. The fact that a graph with this shape has been generated tells us that the optimal heart rate level is between 60 and 69 beats per minute, since these people were the ones with the lowest risk of suffering from a stroke.
The problem is that, when the heart rate at rest exceeds 90 bpm, the risk of suffering a stroke increases by up to 45%, both ischemic and hemorrhagic. But in the case of having excessively low heart rate, the risk also increases, so we cannot be completely calm if we have 50 bpm at rest.
Atrial fibrillation. Until now, medicine was very clear that severe arrhythmias such as atrial fibrillation They were determining risk factors for suffering a stroke. But now this study adjusted the data specifically to separate people with and without atrial fibrillation, showing that resting heart rate is, on its own, an independent prognostic marker.
Because? Although this study gives us a lot of information, the reality is that previous medical literature already offered a fairly rigorous explanation as to why a low or high heart rate had implications for strokes. In this case, an excessively low frequency can alter cerebral hemodynamics, causing blood to pass too slowly through the brain, and facilitating the formation of thrombi in certain contexts, especially when there are more risk factors.
On the other side of the scale, when the frequency is chronically high, we have the layer of our blood vessels exposed to blood flow, exposed to constant mechanical stress that favors inflammation, hypertension and vascular damage, as has been shown in previous studies.
Preventive medicine. These findings are good news for patients, especially older patients, since it is a new parameter that can predict the possibility of something as serious as a stroke occurring. This allows, especially in primary care, to better control the heart rate and not miss when it goes too fast or too slow, since the consequences can be fatal.
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