One-minute heart rate recovery after cycloergometer exercise testing as a predictor of mortality in a large cohort of exercise test candidates: Substantial differences with the treadmill-derived parameter

Italian Heart Journal

Volumn 5, Issue 3, 2004, Pages 183-188

  Gaibazzi, Nicola ^a,b   Petrucci, Nicola ^a   Ziacchi, Virgilio ^a  

^a Civic Hospital   (Italy)

^b NONE   (Italy)

Author keywords

Electrocardiography; Exercise test; Heart rate; Mortality; Prognosis

Indexed keywords

ADULT; AGED; ARTICLE; CAUSE OF DEATH; COHORT ANALYSIS; COMPARATIVE STUDY; CONVALESCENCE; CORONARY ARTERY ATHEROSCLEROSIS; ELECTROCARDIOGRAPHY; EVALUATION; EXERCISE TEST; FEMALE; FOLLOW UP; HEART INFARCTION; HEART RATE; HUMAN; ITALY; MALE; MIDDLE AGED; MORTALITY; PATHOPHYSIOLOGY; PHYSIOLOGY; PREDICTION AND FORECASTING; STATISTICS; SURVIVAL;

ADULT; AGED; AGED, 80 AND OVER; CAUSE OF DEATH; COHORT STUDIES; CORONARY ARTERIOSCLEROSIS; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; FOLLOW-UP STUDIES; HEART RATE; HUMANS; ITALY; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; PREDICTIVE VALUE OF TESTS; RECOVERY OF FUNCTION; STATISTICS; SURVIVAL ANALYSIS;

EID: 4644228648     PISSN: 1129471X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (16)

1. Arai Y, Saul JP, Albrecht P, et al. Modulation of cardiac autonomic activity during and immediately after exercise. Am J Physiol 1989; 256 (Part 2): H132-H141.
2. Imai K, Sato H, Hori M, et al. Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 1994; 24: 1529-35.
3. Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 1999; 341: 1351-7.
4. Gottlieb SS. Dead is dead - artificial definitions are no substitute. Lancet 1997; 349: 662-3.
5. Lauer MS, Blackstone EH, Young JB, et al. Cause of death in clinical research: time for a reassessment? J Am Coll Cardiol 1999; 34: 618-20.
6. Shetler K, Marcs R, Froelicher VF, et al. Heart rate recovery: validation and methodologic issues. J Am Coll Cardiol 2001; 38: 1980-7.
7. Nishime EO, Cole CR, Blackstone EH, et al. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA 2000; 284: 1392-8.
8. Cole CR, Foody JM, Blackstone EH, Lauer MS. Heart rate recovery after submaximal exercise testing as a predictor of mortality in a cardiovascularly healthy cohort. Ann Intern Med 2000; 132: 552-5.
9. Diaz LA, Brunken RC, Blackstone EH, Snader CE, Lauer MS. Independent contribution of myocardial perfusion defects to exercise capacity and heart rate recovery for prediction of all-cause mortality in patients with known or suspected coronary artery disease. J Am Coll Cardiol 2001; 37: 1558-64.
10. Watanabe J, Thamilarasan M, Blackstone EH, Thomas JD, Lauer MS. Heart rate recovery immediately after treadmill exercise and left ventricular systolic dysfunction as predictors of mortality: the case of stress echocardiography. Circulation 2001; 104: 1911-6.
11. Gibbons RJ, Balady GJ, Bricker JT, et al. ACC/AHA 2002 guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to update the 1997 exercise testing guidelines). Circulation 2002; 106: 1883-92.
12. Gibbons RJ. Abnormal heart-rate recovery after exercise. Lancet 2002; 359: 1536-7.
13. Morgan TM, Elashoff RM. Effect of covariate measurement error in randomized clinical trials. Stat Med 1987; 6: 31-41.
14. Altman DG, Lausen B, Sauerbrei W, Schumacher M. Dangers of using "optimal" cutpoints in the evaluation of prognostic factors. J Natl Cancer Inst 1994; 86: 829-35.
15. Altman DG. Suboptimal analysis using "optimal" cutpoints. Br J Cancer 1998; 78: 556-7.
16. Vivekananthan DP, Blackstone EH, Pothier CE, Lauer MS. Heart rate recovery after exercise is a predictor of mortality, independent of the angiographic severity of coronary disease. J Am Coll Cardiol 2003; 42: 831-8.