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❤️ Rate-Pressure Product

Estimate myocardial oxygen demand with the rate-pressure product.

Rate-Pressure Product

Heart rate (bpm)
Systolic BP (mmHg)

When to use

Exercise testing and angina threshold assessment.

How it works

RPP = heart rate × systolic BP. Resting typically < 12,000; > 20,000 indicates high demand.

Key points

  • Indexes myocardial oxygen consumption.
  • Rising RPP at symptom onset marks the ischaemic threshold.
  • Used during stress testing.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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