Evidence map›Paper›PMID 32952353›Full record

ArticleActa Cardiologica Sinica2020

Association of Heart Rate Trajectory Patterns with the Risk of Adverse Outcomes for Acute Heart Failure in a Heart Failure Cohort in Taiwan.

Cheng-Chun Wei, Kou-Gi Shyu, Kuo-Liong Chien

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Article in Acta Cardiologica Sinica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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  5. Heart Rate and Adverse Heart Failure Outcomes.Acta Cardiologica Sinica · 2021
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Cheng-Chun WeiInstitute of Epidemiology & Preventive Medicine, College of Public School, National Taiwan University.
Kou-Gi ShyuDivision of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho Su Memorial Hospital.
Kuo-Liong ChienInstitute of Epidemiology & Preventive Medicine, College of Public School, National Taiwan University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart rate trajectory with multiple heart rate measurements is considered to be a more sensitive predictor of outcomes than single heart rate measurements. The association of heart rate trajectory patterns with acute heart failure outcomes has not been well studied. We examined the association of heart rate trajectory patterns with post-discharge outcomes.

methodsThis prospective cohort study was based on an acute heart failure registry in Taiwan. A total of 1509 patients were enrolled in the Taiwan Society of Cardiology - Heart Failure with Reduced Ejection Fraction Registry from May 2013 to October 2015. The outcomes were post-discharge all-cause mortality and heart failure re-admission.

resultsTwo heart trajectory patterns were identified in group-based trajectory analysis. One started with a higher heart rate and had an increasing trend over 6 months then a subsequent decline (high-increasing-decreasing group; n = 352; 23.9%). The other started with a lower heart rate and had a relatively stable pattern (low-stable group; n = 1121; 76.1%). Compared with those in the low-stable group, patients in the high-increasing-decreasing group had a higher risk of events (all-cause mortality: hazard ratio 3.10 and 95% confidence interval 1.24-7.77; heart failure re-admission: hazard ratio 1.13 and 95% confidence interval 0.55-2.32).

conclusionsPatients with a high-increasing-decreasing heart rate trajectory pattern had a higher risk of all-cause mortality than those with a low-stable pattern.

Indexed as

Acute heart failureAll-cause mortalityHeart failure hospitalizationHeart rate trajectory

Identifiers

PMID32952353
PMCPMC7490605

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