Physicians' Academy for Cardiovascular Education

Heart rate elevations over time predict a higher CV risk in HFpEF

Prognostic Importance of Temporal Changes in Resting Heart Rate in Heart Failure and Preserved Ejection Fraction - From the TOPCAT Study

Literature - Vazir A, Claggett B, Pitt B, et al. - J Am Coll Cardiol HF 2017; published online ahead of print

Main results

Conclusion

In patients with HFpEF, including those with AF, a higher baseline resting HR and time-updated HR, and an increase in resting HR over time from the preceding clinic visit were independently associated with an elevated risk for CV events. However, a decline in HR over time was not associated with a lower risk for CV events. These findings support the importance of measuring resting HR in everyday clinical practice, to identify HFpEF patients at higher risk for readmission and death.

References

Show references

Find this article online at

Share this page with your colleagues and friends: