Influence of heart rate on mortality among persons with hypertension: The Framingham Study

作者: Matthew W Gillman , William B Kannel , Albert Belanger , Ralph B D'Agostino

DOI: 10.1016/0002-8703(93)90128-V

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摘要: Abstract Previous studies have shown positive associations between heart rate and both all-cause cardiovascular mortality. These relationships, however, not been investigated in persons with hypertension. Using 36-year follow-up data from the Framingham Study, we evaluated 4530 subjects, aged 35 to 74, whose blood pressures were ≥140 mm Hg systolic or ≥90 diastolic who treated antihypertensive medication. We used pooled logistic regression calculate biennial mortality rates. Odds ratios 95% confidence intervals for each increment of 40 beats/min, adjusted age pressure level, were: , 2.18 (1.68, 2.83) men 2.14 (1.59, 2.88) women; 1.68 (1.19, 2.37) 1.70 (1.08, 2.67) women. Exclusion outcomes first 2 4 years after measurement did materially change results, which suggests that rapid is merely an indicator preexisting illness. Therefore may be independent risk factor death

参考文章(16)
Erik Thaulow, Jan E. Erikssen, How important is heart rate Journal of Hypertension. ,vol. 9, ,(1991) , 10.1097/00004872-199112007-00007
Jay R. Kaplan, Stephen B. Manuck, Thomas B. Clarkson, The influence of heart rate on coronary artery atherosclerosis. Journal of Cardiovascular Pharmacology. ,vol. 10, ,(1987) , 10.1097/00005344-198700102-00030
Bengt Ablad, Jan-Arne Björkman, David Gustafsson, Göran Hansson, Ann-Margret Östlund-Lindqvist, Knut Pettersson, The role of sympathetic activity in atherogenesis: Effects of β-blockade American Heart Journal. ,vol. 116, pp. 322- 327 ,(1988) , 10.1016/0002-8703(88)90109-3
Richard F. Gillum, Diane M. Makuc, Jacob J. Feldman, Pulse rate, coronary heart disease, and death: The NHANES I Epidemiologic Follow-up Study American Heart Journal. ,vol. 121, pp. 172- 177 ,(1991) , 10.1016/0002-8703(91)90970-S
Aleksander Perski, Anders Hamsten, Kaj Lindvall, Töres Theorell, Heart rate correlates with severity of coronary atherosclerosis in young postinfarction patients American Heart Journal. ,vol. 116, pp. 1369- 1373 ,(1988) , 10.1016/0002-8703(88)90469-3
J Hayano, Y Sakakibara, M Yamada, N Ohte, T Fujinami, K Yokoyama, Y Watanabe, K Takata, Decreased magnitude of heart rate spectral components in coronary artery disease. Its relation to angiographic severity. Circulation. ,vol. 81, pp. 1217- 1224 ,(1990) , 10.1161/01.CIR.81.4.1217
Torstein Gundersen, Per Grøttum, Terje Pedersen, John K. Kjekshus, Effect of timolol on mortality and reinfarction after acute myocardial infarction: Prognostic importance of heart rate at rest American Journal of Cardiology. ,vol. 58, pp. 20- 24 ,(1986) , 10.1016/0002-9149(86)90234-1
P. Beere, S Glagov, C. Zarins, Retarding effect of lowered heart rate on coronary atherosclerosis. Science. ,vol. 226, pp. 180- 182 ,(1984) , 10.1126/SCIENCE.6484569
Aleksander Perski, Gunnar Olsson, Christian Landou, Ulf de Faire, Töres Theorell, Anders Hamsten, Minimum heart rate and coronary atherosclerosis: Independent relations to global severity and rate of progression of angiographic lesions in men with myocardial infarction at a young age☆ American Heart Journal. ,vol. 123, pp. 609- 616 ,(1992) , 10.1016/0002-8703(92)90497-J