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April 27, 2011European Journal of Preventive CardiologyOpen Access

Resting heart rate is associated with cardiovascular and all-cause mortality after adjusting for inflammatory markers: The Copenhagen City Heart Study

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Key result

A 10 beats per minute increase in resting heart rate was independently associated with increased cardiovascular (HR 1.14; 95% CI 1.07-1.22) and all-cause mortality (HR 1.09; 95% CI 1.05-1.14).

Why the study?

Is elevated resting heart rate independently associated with cardiovascular and all-cause mortality after adjusting for inflammatory markers in a healthy general population?

Population

6,518 healthy subjects from the Danish general population

Comparison

Elevated resting heart rate vs Lower resting heart rate

Design

Cohort

Follow-up

18 years

Authors

MJMagnus T. JensenPreventive CardiologyJMJacob Louis MarottPreventive CardiologyKAKristine H. AllinUniversity of Copenhagen

Discussion

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Implication

Supports resting heart rate as independent prognostic marker; extends prior associations by adjustment for inflammation but requires prospective validation.

Key Points

  • To explore the connection between resting heart rate and chronic low-grade inflammation, and its link to mortality.
  • Followed 6518 healthy subjects from the Danish population for 18 years.
  • Assessed resting heart rate, cardiovascular risk factors, hsCRP, and fibrinogen levels.
  • Used uni- and multivariate models to analyze mortality associations.
  • Each 10 beats per minute increase in resting heart rate was linked to higher cardiovascular mortality (HR 1.21, 95% CI 1.14-1.29) and all-cause mortality (HR 1.15, 95% CI 1.11-1.19).
  • Adjusted models still showed significant associations for mortality with RHR: cardiovascular (HR 1.16, 95% CI 1.09-1.24), all-cause (HR 1.10, 95% CI 1.06-1.14).
  • The association remained valid even after adjusting for inflammatory markers hsCRP and fibrinogen.

Study Design

Type

Cohort (n=6,518)

Structured PICO

Is elevated resting heart rate independently associated with cardiovascular and all-cause mortality after adjusting for inflammatory markers in a healthy general population?

P
Population
6,518 healthy subjects from the Danish general population
I
Intervention
Elevated resting heart rate (evaluated per 10 beats per minute increase)
C
Comparator
Lower resting heart rate
O
Outcome
Cardiovascular and all-cause mortalityhard clinical

Main Result

Effect estimate: HR 1.14 (CV) and HR 1.09 (all-cause) (95% CI 1.07-1.22 (CV) and 1.05-1.14 (all-cause))

Resting heart rate is an independent risk factor for cardiovascular and all-cause mortality, and not merely a marker of chronic low-grade inflammation.

Cite This Study

Jensen et al. (2011) conducted a cohort in Healthy subjects (n=6,518). Resting heart rate was evaluated on Cardiovascular and all-cause mortality (HR 1.14 (CV) and HR 1.09 (all-cause), 95% CI 1.07-1.22 (CV) and 1.05-1.14 (all-cause)). A 10 beats per minute increase in resting heart rate was independently associated with increased cardiovascular (HR 1.14; 95% CI 1.07-1.22) and all-cause mortality (HR 1.09; 95% CI 1.05-1.14).

synapsesocial.com/papers/6a08741a280cd4e998e8c074https://doi.org/10.1177/1741826710394274

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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  2. 2HEART RATE AS A PROGNOSTIC FACTOR FOR CORONARY HEART DISEASE AND MORTALITY: FINDINGS IN THREE CHICAGO EPIDEMIOLOGIC STUDIES1980 · 561 citations
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