I have a patient with a resting pulse of 90 BPM. What should I do?

Resting heart rates above 75 BPM are considered high risk for cardiac and other mortality—these patients must be carefully and immediately evaluated, which might include a stress test and others as needed. It’s important to differentiate a very high resting HR in patients who get overly stressed when going to a doctor’s office (which could also significantly raise blood pressure), and those on medications that raise heart rate.