Cited by 139Heart Rate Variability and Autonomic ControlGenetics, Aging, and Longevity in Model OrganismsHeart rate and cardiovascular health

Heart rate, lifespan, and mortality risk

Zhang, Gus Q., Zhang, Weiguo·2009·Ageing Research Reviews

Abstract

An increasing body of scientific research and observational evidence indicates that resting heart rate (HR) is inversely related to the lifespan among homeothermic mammals and within individual species. In numerous human studies with patients stratified by resting HR, increased HR is universally associated with greater risk of death. The correlation between HR and maximum lifespan seems to be due to both basal metabolic rate and cardiovascular-related mortality risk. Both intrinsic and extrinsic factors are already postulated to determine how the biological clock works, through regulating and modulating the processes such as protein oxidation, free radical production, inflammation and telomere shortening. Given the remarkable correlation between HR and lifespan, resting HR should be seriously considered as another possible cap on maximum lifespan. Future research is needed to determine whether deliberate cardiac slowing, through methods like lifestyle modification, pharmacological intervention, or medical devices, can decelerate biological clock of aging, reduce cardiovascular mortality and increase maximum lifespan in humans in general.

Integrity signals

Registry

Crossref · 10.1016/j.arr.2008.10.001

Cites

103 of 103 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • High resting heart rate is associated with increased mortality risk.

    “Several studies have also found that high resting heart rate is associated with increased mortality risk (see Ref. 10 for review).”
  • The acute success rate of sinus node modification varies from 66-100% depending on the endpoint definition.

    “The acute success rate of sinus node modification varies from 66 – 100% depending on the endpoint definition.201,202,206,207,215,225–228”

    From Sinus Tachycardia: a Multidisciplinary Expert Focused Review (2022) · cites this paper as [226]

  • Complications of sinus node modification vary from 0-14%, but the true occurrence rate is limited by the small studies.

    “Complications vary from 0–14% but the true occurrence rate is limited by the small studies.201,202,206,207,215,225–228”

    From Sinus Tachycardia: a Multidisciplinary Expert Focused Review (2022) · cites this paper as [226]

  • Right phrenic nerve injury with diaphragmatic paralysis, pericarditis, SVC stenosis, and cardiac tamponade during pericardial balloon placement requiring open-chest repair have all been reported.

    “Right phrenic nerve injury with diaphragmatic paralysis206,228, pericarditis205,213,229, SVC stenosis206,226,230 and cardiac tamponade during pericardial balloon placement requiring open-chest repair212 have all been reported.”

    From Sinus Tachycardia: a Multidisciplinary Expert Focused Review (2022) · cites this paper as [226]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Zhang, G. Q., & Zhang, W.
Affiliations
The University of Texas Southwestern Medical Center (US)
Corresponding author
Zhang, Weiguo
Venue
Ageing Research Reviews
Publisher
Elsevier BV
Published
2009-01
Volume
8
Issue
1
Pages
52-60
ISSN
1568-1637 (ISSN-L)
OpenAlex
W2009328775
Cited by
139
References
103
Citations by year
2026: 6 · 2025: 12 · 2024: 9 · 2023: 13 · 2022: 11 · 2021: 11 · 2020: 3 · 2019: 13 · 2018: 4 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 7 · 2013: 9 · 2012: 8
FWCI
0.50
Type
journal article
Language
en
Open access
closed
Locations
  • Ageing Research Reviews (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
Keywords
resting heart rate, lifespan, mortality risk, maximum lifespan, basal metabolic rate, cardiovascular mortality, biological clock, aging, telomere shortening, free radicals, protein oxidation, inflammation, cardiac slowing
MeSH terms
Anti-Arrhythmia Agents, Cardiovascular Diseases, Heart Rate, Humans, Longevity, Exercise, Survival Rate, Risk Assessment

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review