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The relationship between heart rate and mortality of patients with acute coronary syndromes in the coronary intervention era

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ABSTRACT

Background:: Most of acute coronary syndromes (ACS) were receiving intervention treatment a high overall rate of coronary angiography in the modern medical practice.

Background:: Consequently, we conduct a review to determine the heart rate (HR) on the prognosis of ACS in the coronary intervention era.

Methods:: PubMed, EMBASE, MEDLINE, and the Cochrane Library was systematically searched up to May 2016 using the search terms “heart rate,” “acute coronary syndrome,” “acute myocardial infarction,” “ST elevation myocardial infarction,” “non-ST-segment elevation.” The outcome of interest was all-cause mortality. All analyses were performed using Review Manager.

Results:: Database searches retrieved 2324 citations. Eleven studies enrolling 156,374 patients were included. In-hospital mortality was significantly higher in the elevated HR group compared to the lower HR group (pooled RR 2.04, 95%CI 1.80–2.30, P < 0.0001). Individuals with elevated admission HR had increased risk of long-term mortality (Pooled RR = 1.63, 95%CI 1.27–2.10, P = 0.008) compared to lower admission HR. The pooled results showed elevated discharge and resting HR were related to increased mortality of patients with ACS (pooled RR 1.88, 95% CI 1.02–3.47, P = 0.04; pooled RR 2.14, 95%CI 1.37–3.33, P < 0.0001, respectively).

Conclusion:: Elevated HR may increase the mortality of ACS patients in the percutaneous coronary intervention era.

No MeSH data available.


Relationship between resting heart rate and long-term mortality or MACE.
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Figure 5: Relationship between resting heart rate and long-term mortality or MACE.

Mentions: The definitions of resting HR were similar in the 2 included studies, between day 3 and 7 of the event once the patient was stable,[18] or on 72 hours after onset of ACS during hospitalization.[3] Elevated resting HR increased mortality or MACE of patients with ACS (pooled RR 2.14, 95%CI 1.37–3.33, P < 0.0001, I2 = 0%) (Fig. 5). MACE, major adverse cardiovascular events, includes a composite of cardiac death, nonfatal recurrent myocardial infarction, ischemic-driven revascularization, and ischemic stroke. The elevated heart rate of aforementioned 2 studies were similar, >76 bpm[3] and ≥70 bpm,[18] respectively. However, the events of interesting in the 2 included studies were not the same.


The relationship between heart rate and mortality of patients with acute coronary syndromes in the coronary intervention era
Relationship between resting heart rate and long-term mortality or MACE.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120926&req=5

Figure 5: Relationship between resting heart rate and long-term mortality or MACE.
Mentions: The definitions of resting HR were similar in the 2 included studies, between day 3 and 7 of the event once the patient was stable,[18] or on 72 hours after onset of ACS during hospitalization.[3] Elevated resting HR increased mortality or MACE of patients with ACS (pooled RR 2.14, 95%CI 1.37–3.33, P < 0.0001, I2 = 0%) (Fig. 5). MACE, major adverse cardiovascular events, includes a composite of cardiac death, nonfatal recurrent myocardial infarction, ischemic-driven revascularization, and ischemic stroke. The elevated heart rate of aforementioned 2 studies were similar, >76 bpm[3] and ≥70 bpm,[18] respectively. However, the events of interesting in the 2 included studies were not the same.

View Article: PubMed Central - PubMed

ABSTRACT

Background:: Most of acute coronary syndromes (ACS) were receiving intervention treatment a high overall rate of coronary angiography in the modern medical practice.

Background:: Consequently, we conduct a review to determine the heart rate (HR) on the prognosis of ACS in the coronary intervention era.

Methods:: PubMed, EMBASE, MEDLINE, and the Cochrane Library was systematically searched up to May 2016 using the search terms &ldquo;heart rate,&rdquo; &ldquo;acute coronary syndrome,&rdquo; &ldquo;acute myocardial infarction,&rdquo; &ldquo;ST elevation myocardial infarction,&rdquo; &ldquo;non-ST-segment elevation.&rdquo; The outcome of interest was all-cause mortality. All analyses were performed using Review Manager.

Results:: Database searches retrieved 2324 citations. Eleven studies enrolling 156,374 patients were included. In-hospital mortality was significantly higher in the elevated HR group compared to the lower HR group (pooled RR 2.04, 95%CI 1.80&ndash;2.30, P&#8202;&lt;&#8202;0.0001). Individuals with elevated admission HR had increased risk of long-term mortality (Pooled RR&#8202;=&#8202;1.63, 95%CI 1.27&ndash;2.10, P&#8202;=&#8202;0.008) compared to lower admission HR. The pooled results showed elevated discharge and resting HR were related to increased mortality of patients with ACS (pooled RR 1.88, 95% CI 1.02&ndash;3.47, P&#8202;=&#8202;0.04; pooled RR 2.14, 95%CI 1.37&ndash;3.33, P&#8202;&lt;&#8202;0.0001, respectively).

Conclusion:: Elevated HR may increase the mortality of ACS patients in the percutaneous coronary intervention era.

No MeSH data available.