Resting heart rate and the risk of heart failure in healthy adults: the rotterdam study.
Détails
ID Serval
serval:BIB_99C96E669514
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Resting heart rate and the risk of heart failure in healthy adults: the rotterdam study.
Périodique
Circulation. Heart Failure
ISSN
1941-3297 (Electronic)
ISSN-L
1941-3289
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
6
Numéro
3
Pages
403-410
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish. PDF type: Original article
Résumé
Background- An elevated resting heart rate is associated with rehospitalization for heart failure and is a modifiable risk factor in heart failure patients. We aimed to examine the association between resting heart rate and incident heart failure in a population-based cohort study of healthy adults without pre-existing overt heart disease. Methods and Results- We studied 4768 men and women aged ≥55 years from the population-based Rotterdam Study. We excluded participants with prevalent heart failure, coronary heart disease, pacemaker, atrial fibrillation, atrioventricular block, and those using β-blockers or calcium channel blockers. We used extended Cox models allowing for time-dependent variation of resting heart rate along follow-up. During a median of 14.6 years of follow-up, 656 participants developed heart failure. The risk of heart failure was higher in men with higher resting heart rate. For each increment of 10 beats per minute, the multivariable adjusted hazard ratios in men were 1.16 (95% confidence interval, 1.05-1.28; P=0.005) in the time-fixed heart rate model and 1.13 (95% confidence interval, 1.02-1.25; P=0.017) in the time-dependent heart rate model. The association could not be demonstrated in women (P for interaction=0.004). Censoring participants for incident coronary heart disease or using time-dependent models to account for the use of β-blockers or calcium channel blockers during follow-up did not alter the results. Conclusions- Baseline or persistent higher resting heart rate is an independent risk factor for the development of heart failure in healthy older men in the general population.
Pubmed
Web of science
Open Access
Oui
Création de la notice
02/05/2013 10:24
Dernière modification de la notice
20/08/2019 15:01