Abstract: Objective  To analyze the relationship between the resting heart rate(RHR) on admission and  prognosis of heart function in chronic heart failure patients with hypertension.Methods  All 250  chronic heart failure patients with hypertension were divided into three groups according to the levels of RHR on admission: RHR1 group,  RHR＜70 beats/minute(bpm);RHR2 group, 70 bpm≤RHR＜90 bpm;RHR3 group, RHR≥90 bpm. Echocardiographic parameters including left ventricular enddiastolic diameter(LVEDD) and  left ventricular ejection fraction(LVEF) were measured,  and the  prognosis of heart function on admission,  discharge,  followup were collected. The differences in all indicators and curative effects were compared between  groups.Results  With the increase of RHR on admission, LVEF showed a decreasing trend (P<0.05), while LVEDD and BNP increased gradually, and those were the highest in RHR3 group (P<0.05). The discharge effect and followup effect of RHR1 group and RHR2 group were both better than those of RHR3 group (P<0.05); RHR on admission of RHR3 group was negatively correlated with discharge effect (r=-0.251, P<0.05); the difference in RHR between admission and discharge was positively correlated with both discharge effect and followup effect in RHR2 group and RHR3 group (associated with discharge effect ［r=0.197,  0.279,  P＜0.05］, associated with followup effect ［r=0.214, 0.321, P＜0.05］).Conclusion  In the heart failure patients with hypertension，the faster of  RHR，the lower the heart function of left heart，the worse of the discharge effect and followup effect.But the positive and reasonable control of heart rate is conducive to  the prognosis of heart failure.

Key words: heart rate, heart failure, conjestive, hypertension; , prognosis