Evidence map›Paper›PMID 39829969›Full record

ArticleGlobal heart2025

Association of Time in Target Range of Resting Heart Rate With Adverse Clinical Outcomes in Patients With Acute Coronary Syndromes After Percutaneous Coronary Intervention.

Jianmei Zheng, Cen Chen, Zhongcai Fan, Qiang Ye, Yi Zhong, Jinsong Li, Hao Huang, Jianping Deng, Jinghong Zhao, Tinglin Xiong and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Global heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Jianmei ZhengThe Affiliated Hospital of Southwest Medical University, Luzhou, China.ORCID 0009-0001-8828-302X
Cen ChenThe First People's Hospital of Chongqing Liang Jiang New Area, Chongqing, China.ORCID 0009-0007-8080-455X
Zhongcai FanThe Affiliated Hospital of Southwest Medical University, Luzhou, China.
Qiang YeThe Affiliated Hospital of Southwest Medical University, Luzhou, China.ORCID 0000-0002-9018-8224
Yi ZhongThe Affiliated Hospital of Southwest Medical University, Luzhou, China.ORCID 0009-0003-8182-1547
Jinsong LiSichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China.ORCID 0000-0002-0862-8279
Hao HuangNanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China.ORCID 0000-0003-1748-1245
Jianping DengNanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China.ORCID 0009-0006-1523-002X
Jinghong ZhaoNanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China.ORCID 0009-0006-5178-4820
Tinglin XiongNanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical College, Nanchong, China.ORCID 0000-0003-0846-4515
Wenjie TianSichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China.ORCID 0000-0002-4328-0255
Xuemei ZhangThe Affiliated Hospital of Southwest Medical University, Luzhou, China.ORCID 0009-0009-5723-029X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart rate (HR) has been proved to be associated with major adverse cardiovascular events (MACE) in Acute coronary syndrome patients. However, the threshold value and clinical significance of time in target of resting heart rate (TTR-HR) remain insufficiently elucidated. Our study aimed to evaluate the independent association between TTR-HR and cardiovascular outcomes in the follow-up study of ACS. A total of 1455 ACS patients who underwent percutaneous coronary intervention (PCI) and were admitted to 22 hospitals between 2019 and 2022 were enrolled and followed up for 12 months. MACE was defined as a composite of cardiac death, nonfatal recurrent myocardial infarction, ischemic-driven revascularization, and ischemic stroke. The association between TTR-HR and cardiovascular outcomes was assessed using Cox regression model. Compared to patients with TTR-HR 0-50% and >50%-75%, patients with TTR-HR > 75%-100% were older and less alcohol user, less likely to use diuretics and anti-diabetic drugs, these patients had less comorbidities of hyperlipidemia, diabetes, heart failure, and cardiac shock. After 12 months follow up, the incidence of MACE and composite endpoint but not mortality was higher in patients with TTR-HR 0-50% and >50%-75% than those with TTR-HR > 75%-100%. After multivariate adjustment, TTR-HR [hazard ratio = 2.11, 95% CI: 1.19-3.74, p = 0.01] was independently associated with composite endpoint. In summary, our study demonstrates that TTR-HR holds significant prognostic value, with TTR-HR > 75%-100% being independently associated with reduced composite endpoint risk in ACS patients following PCI. These findings emphasize the importance of effective heart rate control in ACS patients following PCI.

Indexed as

Acute Coronary SyndromeHeart RatePercutaneous Coronary InterventionAgedFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPrognosisRisk FactorsTime FactorsAcute Coronary Syndromesclinical outcomesheart ratepercutaneous coronary intervention

Identifiers

PMID39829969
PMCPMC11740706

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.