Monday, March 9, 2015

Heart rate may be an independent predictor of CV events, mortality, and hospitalization due to worsening heart failure1

*Retrospective analysis of pooled data from the CHARM heart study program of 7,599 subjects with symptomatic HF (defined as NYHA functional class II to IV) who were followed for a median of 38 months to determine the relationship between resting HR at baseline, all-cause mortality, and fatal and nonfatal CV outcomes. These percentages are based on unadjusted hazard ratios.BPM = beats per minute; CV = cardiovascular; HF = heart failure; HR = heart rate; LVEF = left ventricular ejection fraction; NYHA = New York Heart Association.1. Castagno D, Skali H, Takeuchi M, et al. J Am Coll Cardiol. 2012;59:1785-1795. 2. Lindenfeld J, Albert NM, Boehmer JP, et al.J Card Fail. 2010;16:475-539. 3. Yancy CW, Jessup M, Bozkurt B, et al. Circulation. 2013;128:e240-e327. 
Heart rate may be an independent predictor of CV events, mortality,
and hospitalization due to worsening heart failure1
Other risk factors, such as diabetes and reduced LVEF, increase the risk of hospitalization and mortality in patients with heart failure.1
According to retrospective analyses, heart rates of ≥ 70 bpm were associated with:
≥19%
INCREASE
in the risk of all-cause mortality
in patients with left ventricular
dysfunction (LVEF ≤ 40%)1*
≥25%
INCREASE
in the risk of the composite outcome of
CV death or hospital stay for worsening
HF in patients with left ventricular
dysfunction (LVEF ≤ 40%)1*
Consider managing additional risk factors in patients with heart failure:
 Treat hypertension2,3
 Monitor heart rate2
 Prevent weight gain and obesity3
 Diagnose coronary artery disease3
 Manage dyslipidemia3
 Control diabetes3
Signs and Symptoms Tracker
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References: 
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