Prognostic value of home heart rate for cardiovascular mortality in the general population
Prognostic value of home heart rate for cardiovascular mortality in the general population
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DOI：
10.1016/j.amjhyper.2004.06.019
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发表时间：
2004-11-01
影响因子：
3.2
通讯作者：
Imai, Y
中科院分区：
文献类型：
--
作者：
Hozawa, A;Ohkubo, T;Imai, Y
背景：近年来，在家自行测量血压（BP）的优势已得到认可。相同的优点也可以适用于使用设计用于家庭BP测量的设备在家中评估的静息心率（HR）值。然而，还没有研究调查家庭HR值是否预测心血管疾病死亡率的风险。因此，我们调查的有用性的HR值在预测心血管疾病死亡率使用的设备，允许自我测量的BP和HR在home.Methods：家庭测量的静息HR和10年的心血管疾病死亡率的风险之间的关联进行了研究，在1780个日本人大于或等于40岁，没有显着的心律失常。A考克斯比例风险模型，调整主要危险因素used.Results：增加5次/分钟，在早晨回家的HR测量与心血管死亡的风险增加17%（95%置信区间5%至30%）。在调整家庭BP值后，这种关系也具有统计学意义。即使家庭测量的收缩压在正常范围内（
Background: Recently, the advantages of self-measurement of blood pressure (BP) at home have been recognized. The same advantages could also be applicable to resting heart rate (HR) values assessed at home using a device designed for home BP measurement. However, there have been no studies investigating whether home HR values predict the risk of cardiovascular disease mortality. We therefore investigated the usefulness of HR values in predicting cardiovascular mortality using a device that allowed self-measurement of BP and HR at home.Methods: The association between the home-measured resting HR and the 10-year risk of cardiovascular mortality was examined in 1780 Japanese individuals greater than or equal to40 years of age who had no significant arrhythmias. A Cox proportional hazards model that adjusted for major risk factors was used.Results: An increase of 5 beats/min in the morning home HR measurement was associated with a 17% increase in the risk of cardiovascular mortality (95% confidence interval 5% to 30%). This relationship was also statistically significant after adjustment for home BP values. Even when home-measured systolic BP was within the normal range (