Serial heart rate measurement and mortality after acute heart failure

We examined the association between HR obtained at admission at Day 4 and at discharge and long ‐term mortality in a cohort of 672 patients discharge from hospital after management of acute HF.Methods and resultsAll patients examined were in sinus rhythm. HR was derived from electrocardiogram and was defined as the first reported HR in the medical record. At 1  year follow up, 60 patients died. Median HR was 86 ± 17 b.p.m. (first tertile: 75 b.p.m., third tertile: 97 b.p.m.) at admission, 76 ± 14 b.p.m. (first tertile: 67 b.p.m., third tertile 85 b.p.m.) at Day 4, and 72 ± 11 b.p.m. (first tertile: 64 b.p.m., third tertile 80 b.p.m.) at discharge. Patients who died were significantly older (75 ± 11 vs. 71 ± 12 years;P = 0.027), had more frequently a history of ischemic cardiomyopathy (n = 34/60,P = 0.012) and of chronic obstructive pulmonary disease (n = 26/60,P = 0.027), had higher admission N terminal pro brain natriuretic peptide (14 572 ± 21 600 vs. 7647 ± 7964 pg/ml;P = 0.027), had lower systolic and diastolic blood pressures (P 85  b.p.m. at Day 4 (P   80 b.p.m. at discharge (P 
Source: ESC Heart Failure - Category: Cardiology Authors: Tags: Short Communication Source Type: research

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