|Title||The association between resting heart rate, cardiovascular disease and mortality: evidence from 112,680 men and women in 12 cohorts.|
|Publication Type||Journal Article|
|Year of Publication||2014|
|Authors||Woodward, M, Webster, R, Murakami, Y, Barzi, F, Lam, T-H, Fang, X, Suh, I, Batty, GD, Huxley, R, Rodgers, A|
|Corporate Authors||from the Asia Pacific Cohort Studies Collaboration|
|Journal||Eur J Prev Cardiol|
|Date Published||2014 Jun|
|Keywords||Adult, Aged, Aged, 80 and over, Asia, Australia, Cardiovascular Diseases, Cause of Death, Cohort Studies, Female, Heart Rate, Humans, Male, Middle Aged, Proportional Hazards Models, Risk Factors, Young Adult|
BACKGROUND: Multiple studies have examined the relationship between heart rate and mortality; however, there are discrepancies in results. Our aim was to describe the relationship between resting heart rate (RHR) and both major cardiovascular (CV) outcomes, as well as all-cause mortality in the Asia-Pacific region.
DESIGN AND METHODS: Individual data from 112,680 subjects in 12 cohort studies were pooled and analysed using Cox models, stratified by study and sex, and adjusted for age and systolic blood pressure.
RESULTS: During a mean 7.4 years follow-up, 6086 deaths and 2726 fatal or nonfatal CV events were recorded. There was a continuous, increasing association between having a RHR above approximately 65 beats/min and the risk of both CV and all-cause mortality, yet there was no evidence of associations below this threshold. The hazard ratio (95% CI) comparing the extreme quarters of RHR (80+ v <65 beats/min) was 1.44 (1.29-1.60) for CV and 1.54 (1.43-1.66) for total mortality. These associations were not materially changed by adjustment for other risk factors and exclusion of the first 2 years of follow-up. Hazard ratios of a similar magnitude were found for ischemic and hemorrhagic stroke, but the hazard ratio for heart failure was higher (2.08, 95% CI 1.07-4.06) and for Coronary Heart Disease (CHD) was lower (1.11, 95% CI 0.93-1.31) than for stroke.
CONCLUSIONS: RHR of above 65 beats/min has a strong independent effect on premature mortality and stroke, but a lesser effect on CHD. Lifestyle and pharmaceutical regimens to reduce RHR may be beneficial for people with moderate to high levels of RHR.
|Alternate Journal||Eur J Prev Cardiol|