Resting heart rate in patients with stable coronary artery disease and diabetes: a report from the Euro Heart Survey on Diabetes and the Heart

Faculty Medicine Year: 2010
Type of Publication: ZU Hosted Pages: 3040-3045
Authors:
Journal: European Heart Journal OXFORD University Press Volume: 24
Keywords : Resting heart rate , patients with stable    
Abstract:
Abstract Aims Epidemiological studies suggest that resting heart rate (RHR) is an independent predictor of cardiovascular and all-cause mortality. Still, this parameter has never been specifically assessed in patients with diabetes mellitus (DM). This study describes the association between RHR and cardiovascular events (CVE) in patients with coronary artery disease (CAD) with and without DM. Methods and results The Euro Heart Survey on Diabetes and the Heart enroled 2608 patients with stable CAD, of these 780 (30%) had known DM. Resting heart rate was registered in 2507 (96%) patients: 1756 (96%) without and 751 (96%) with DM. Patients were followed with respect to CVE (all-cause mortality, non-fatal myocardial infarction, and stroke) for 1 year. Overall, median RHR was 70 (62–78) b.p.m. The RHR quartile stratification was significantly associated with outcome in the overall population (P = 0.002 and P = 0.021 for survival and CVE, respectively), whereas it was not in patients without DM. In patients with DM, the RHR quartiles correlated with survival (P = 0.032). In an adjusted regression model performed in patients without DM, RHR associated with neither survival [hazard ratio (HR): 0.97, 95% confidence interval (CI): 0.74–1.27; P = 0.804] nor CVE (HR: 0.85, 95% CI: 0.71–1.01, P = 0.068). In contrast, a 10-b.p.m. increase in RHR was independently associated with survival (HR: 1.34, 95% CI: 1.06–1.69, P = 0.015), but not with CVE (HR: 0.99, 95% CI: 0.84–1.18; P = 0.359) in patients with DM. Conclusion The present report, based on patients with stable CAD, is the first to reveal that the association between RHR and CVE seems to subsist in those with DM, however, not in those without DM.
   
     
 
       

Author Related Publications

  • Aly Mohamed Abdelrahman Saad, "The prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe The Euro Heart Survey on diabetes and the heart", Elsevier, 2004 More
  • Aly Mohamed Abdelrahman Saad, "Treatment and Health Status in Patients with Proven Coronary Artery Disease, but Ineligible for Revascularization. A Report from the Euro Heart Survey on Revascularization", Sage, 2006 More
  • Aly Mohamed Abdelrahman Saad, "Pharmacological treatment and perceived health status during 1-year follow up in patients diagnosed with coronary artery disease, but ineligible for revascularization: Results from the Euro Heart Survey on coronary revascularization", Sage, 2006 More
  • Aly Mohamed Abdelrahman Saad, "A 1-year follow up in patients diagnosed with coronary artery disease, but ineligible for revascularization. Results from The Euro Heart Survey on Coronary Revascularization", Oxford University Press, 2006 More
  • Aly Mohamed Abdelrahman Saad, "Atrial fibrillation management: a prospective survey in ESC Member Countries", Oxford University Press, 2005 More

Department Related Publications

  • Mohammed Wafaay Moursy AboulEinein , "دراسة كتلة البطين الايسر باستخدام الفحص بالرنين المغناطيسى بالمقارنة بنتائج الفحوص الاخرى", لايوجد, 1900 More
  • Mohammed Hossam El Din Mohamed Shaer, "مجال الانبساط للبطين الايسر المتضخم تاثير المسبب ومرض الشريان التاجي على سرعات الدوبلر عبر الصمام الميترالى", مجلة جامعة الزقازيق الطبية, 1997 More
  • Mohammed Hossam El Din Mohamed Shaer, "العلاقة بين الاداء الانبساطي للبطين الايسر وقدرة تحمل القلب للمجهود ومدي اصابة الشريان التاجى الغير مرتبط بالاحتشاء", مجلة جامعة الزقازيق الطبية, 1999 More
  • Mohamed Ibrahim Mustafa AlAwadi, "مقارنة طريقة منطقة التقاء التدفق بالطرق التقليدية باستخدام الموجات الفوق صوتية للقلب مساحة الصمام الميترالى فى حالات ضيق الصمام الميترالى", مجلة جامعة الزقازيق الطبية, 2000 More
  • Tarek Abdelmoniem Abdelaziz, "Association of endothelial nitric oxide synthase gene polymorphisms with classical risk factors in development of premature coronary artery disease", 3, 2013 More
Tweet