Heart Rate as a Predictor of Mortality: The MATISS Project
Open accessAbstract
Objectives. This study sought to verify the independent role of heart rate in the prediction of all-cause, cardiovascular, and noncardiovascular mortality in a low-risk male population. Methods. In an Italian population-based observational study, heart rate was measured in 2533 men, aged 40 to 69 years, between 1984 and 1993. Data on cardiovascular risk factors were collected according to standardized procedures. Vital status was updated to December 1997. Results. Of 2533 men followed up (representing 24 457 person-years), 393 men died. Age-adjusted death rates for 5 heart rate levels showed increasing trends. The adjusted hazard rate ratios for each heart rate increment were 1.52 (95% confidence interval [CI] = 1.29, 1.78) for all-cause mortality, 1.63 (95% CI = 1.26, 2.10) for cardiovascular mortality, and 1.47 (95% CI = 1.19, 1.80) for noncardiovascular mortality. Relative risks between extreme levels were more than 2-fold for all endpoints considered. Conclusions. Heart rate is an independent predictor of cardiovascular, noncardiovascular, and total mortality in this Italian middle-aged male population.
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Similar SES gradients are seen for blood pressure, total and HDL cholesterol, and C-reactive protein, with lower SES associated with a higher prevalence of high-risk values for all of these parameters.
“As shown in Figure 2, similar SES gradients are seen for a wide array of additional biological risk factors, including blood pressure, total and HDL cholesterol, and C-reactive protein (CRP) with lower SES associated with a higher prevalence of”
From Socio‐economic differentials in peripheral biology: Cumulative allostatic load (2010) · cites this paper as [76]
Cites
The Statistical Analysis of Failure Time Data.
Aitkin, M. A., Kalbfleisch, J. D., & Prentice, R. L. (1981) · Biometrics · doi:10.2307/2530581 · Cited by 9,875 · see citing works
Some Methods for Strengthening the Common χ 2 Tests
Cochran, W. G. (1954) · Biometrics · doi:10.2307/3001616 · Cited by 3,718 · see citing works
BMPD statistical software manual
Dixon, W. (1988) · University of California Press eBooks · Cited by 2,536 · see citing works
Heart Rate, Life Expectancy and the Cardiovascular System: Therapeutic Considerations
Boudoulas, K. D., BORER, J. S., & Boudoulas, H. K. (2015) · Cardiology · doi:10.1159/000435947 · Cited by 1,952 · see citing works
CORONARY HEART DISEASE IN SEVEN COUNTRIES
(1971) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1971.tb50629.x · Cited by 1,848 · see citing works
Heart rate and cardiovascular mortality: The Framingham study
Kannel, W. B., Kannel, C., Paffenbarger, R. S., & Cupples, L. A. (1987) · American Heart Journal · doi:10.1016/0002-8703(87)90666-1 · Cited by 1,292 · see citing works
Physical Fitness as a Predictor of Mortality among Healthy, Middle-Aged Norwegian Men
Sandvik, L., Erikssen, J., Thaulow, E., Erikssen, G., Mundal, R., & Rodahl, K. (1993) · New England Journal of Medicine · doi:10.1056/nejm199302253280803 · Cited by 788 · see citing works
Physical Fitness and Incidence of Hypertension in Healthy Normotensive Men and Women
Blair, S. N. (1984) · JAMA · doi:10.1001/jama.1984.03350040017014 · Cited by 696 · see citing works
Predicting Sudden Death in the Population
Jouven, X., Desnos, M., Guérot, C., & Ducimetière, P. (1999) · Circulation · doi:10.1161/01.cir.99.15.1978 · Cited by 642 · see citing works
Influence of heart rate on mortality among persons with hypertension: The Framingham Study
Gillman, M. W., Kannel, W. B., Belanger, A. J., & D’Agostino, R. B. (1993) · American Heart Journal · doi:10.1016/0002-8703(93)90128-v · Cited by 622 · see citing works
Dyer, A. R., Persky, V., Stamler, J., Paul, O., Shekelle, R. B., Berkson, D. M., Lepper, M. M., Schoenberger, J. A., & Lindberg, H. A. (1980) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113046 · Cited by 553 · see citing works
Heart rate and the cardiovascular risk
Palatini, P., & Julius, S. (1997) · Journal of Hypertension · doi:10.1097/00004872-199715010-00001 · Cited by 508 · see citing works
Pulse rate, coronary heart disease, and death: The NHANES I Epidemiologic Follow-up Study
Gillum, R. F., Makuc, D. M., & Feldman, J. J. (1991) · American Heart Journal · doi:10.1016/0002-8703(91)90970-s · Cited by 405 · see citing works
Pyörälà, K., Savolainen, E., Kaukola, S., & Haapakoski, J. (1985) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1985.tb08888.x · Cited by 362 · see citing works
Influence of Heart Rate on Mortality in a French Population: Role of Age, Gender, and Blood Pressure
Benetos, A., Rudnichi, A., Thomas, F., Safar, M., & Guize, L. (1999) · Hypertension · doi:10.1161/01.hyp.33.1.44 · Cited by 356 · see citing works
Mortality and Coronary Heart Disease Among Men Studied for 23 Years
Keys, A. B. (1971) · Archives of Internal Medicine · doi:10.1001/archinte.1971.00310200037002 · Cited by 350 · see citing works
Greenland, P., Daviglus, M. L., Dyer, A. R., Liu, K., Huang, C., Goldberger, J. J., & Stamler, J. F. (1999) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009901 · Cited by 319 · see citing works
Prognostic significance of exercise blood pressure and heart rate in middle-aged men.
Filipovský, J., Ducimetière, P., & Safar, M. E. (1992) · Hypertension · doi:10.1161/01.hyp.20.3.333 · Cited by 301 · see citing works
Heart rate variability and aerobic fitness
Meersman, R. E. D. (1993) · American Heart Journal · doi:10.1016/0002-8703(93)90164-5 · Cited by 240 · see citing works
Cunha, R. S., Pannier, B., Bénétos, A., Siche, J. P., London, G. M., Mallion, J. M., & Safar, M. E. (1997) · Journal of Hypertension · doi:10.1097/00004872-199715120-00009 · Cited by 238 · see citing works
Kannel, W. B., Wilson, P. W. F., & Blair, S. N. (1985) · American Heart Journal · doi:10.1016/0002-8703(85)90653-2 · Cited by 192 · see citing works
Physical Activity and Hypertension: An Epidemiological View
Paffenbarger, R. S., Jung, D. L., Leung, R., & Hyde, R. T. (1991) · Annals of Medicine · doi:10.3109/07853899109148067 · Cited by 185 · see citing works
The relationship between resting heart rate and all-cause, cardiovascular and cancer mortality
Mensink, G., & Hoffmeister, H. M. (1997) · European Heart Journal · doi:10.1093/oxfordjournals.eurheartj.a015465 · Cited by 179 · see citing works
Risk factors for myocardial infarction and death due to ischemic heart disease and other causes
Tibblin, G., Wilhelmsen, L., & Werkö, L. (1975) · The American Journal of Cardiology · doi:10.1016/0002-9149(75)90834-6 · Cited by 173 · see citing works
Benschop, R. J., Nieuwenhuis, E. E. S., Tromp, E., Godaert, G. L. R., BALLIEUX, R. E., & van Doornen, L. J. P. (1994) · Circulation · doi:10.1161/01.cir.89.2.762 · Cited by 169 · see citing works
Relationship of Tachycardia With High Blood Pressure and Metabolic Abnormalities
Palatini, P., Casiglia, E., Pauletto, P., Staessen, J. A., Kaciroti, N., & Julius, S. (1997) · Hypertension · doi:10.1161/01.hyp.30.5.1267 · Cited by 164 · see citing works
Gillum, R. F. (1988) · American Heart Journal · doi:10.1016/0002-8703(88)90262-1 · Cited by 129 · see citing works
Goldberg, R. J. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.156.5.505 · Cited by 125 · see citing works
Association of tachycardia with morbidity and mortality: pathophysiological considerations.
Palatini, P., & Julius, S. (1997) · PubMed · Cited by 117 · see citing works
Heart Rate, Physical Activity, and Mortality from Cancer and Other Noncardiovascular Diseases
Wannamethee, S. G., Shaper, A. G., & Macfarlane, P. W. (1993) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116734 · Cited by 104 · see citing works
Goldberg, R. J. (1995) · Archives of Internal Medicine · doi:10.1001/archinte.155.7.686 · Cited by 97 · see citing works
Intimal alterations in rat aorta induced by stressful stimuli.
Gordon, D., Guyton, & Mj, K. (1981) · PubMed · Cited by 87 · see citing works
Factors Associated With Survival to 75 Years of Age in Middle-aged Men and Women
Goldberg, R. J. (1996) · Archives of Internal Medicine · doi:10.1001/archinte.1996.00440050051006 · Cited by 82 · see citing works
Seccareccia, F., Lanti, M., Menotti, A., & Scanga, M. (1998) · Journal of Epidemiology & Community Health · doi:10.1136/jech.52.1.20 · Cited by 59 · see citing works
Self-citationWannamethee, S. G., & Shaper, A. G. (1994) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1177/174182679400100307 · Cited by 46 · see citing works
Comments -- Beta-blockers: Heart rate reduction a mechanism of benefit
Kjekshus, J. (1985) · European Heart Journal · doi:10.1093/eurheartj/6.suppl_a.29 · Cited by 41 · see citing works
Seccareccia, F., & Menotti, A. (1992) · PubMed · Cited by 39 · see citing works
Self-citationTachycardia: an important determinant of coronary risk in hypertension.
Julius, S., Palatini, P., & Nesbitt, S. D. (1998) · PubMed · Cited by 34 · see citing works
The relationship between heart rate and mood in real life
Johnston, D. W., & Anastasiades, P. (1990) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(90)90004-n · Cited by 33 · see citing works
Farchi, G., Fidanza, F., Mariotti, S., & Menotti, A. (1994) · PubMed · Cited by 27 · see citing works
Miller, S. B. (1994) · Psychophysiology · doi:10.1111/j.1469-8986.1994.tb01019.x · Cited by 22 · see citing works
Menotti, A., Mariotti, S., Seccareccia, S., et al. (1988) · European Journal of Epidemiology · doi:10.1007/bf00152694 · Cited by 16 · see citing works
Spagnolo, A., Menotti, A., Giampaoli, S., et al. (1989) · European Journal of Epidemiology · doi:10.1007/bf00144833 · Cited by 11 · see citing works
Self-citation
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Poirier, P., Giles, T. D., Bray, G. A., Hong, Y., Stern, J. S., Pi-Sunyer, F. X., & Eckel, R. H. (2006) · Circulation · doi:10.1161/circulationaha.106.171016 · Cited by 3,165 · see citing works
Aune, D., Giovannucci, E., Boffetta, P., Fadnes, L. T., Keum, N., Norat, T., Greenwood, D. C., Riboli, E., Vatten, L. J., & Tonstad, S. (2017) · International Journal of Epidemiology · doi:10.1093/ije/dyw319 · Cited by 2,419 · see citing works
Klein, S., Burke, L. E., Bray, G. A., Blair, S., Allison, D. B., Pi-Sunyer, X., Hong, Y., & Eckel, R. H. (2004) · Circulation · doi:10.1161/01.cir.0000145546.97738.1e · Cited by 934 · see citing works
Batacan, R. B., Duncan, M. J., Dalbo, V. J., Tucker, P. S., & Fenning, A. S. (2017) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095841 · Cited by 799 · see citing works
Diaz, A., Bourassa, M. G., Guertin, M.-C., & Tardif, J.-C. (2005) · European Heart Journal · doi:10.1093/eurheartj/ehi190 · Cited by 790 · see citing works
Depression, the autonomic nervous system, and coronary heart disease
Carney, R. M., Freedland, K. E., & Veith, R. C. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000162254.61556.d5 · Cited by 582 · see citing works
Socio‐economic differentials in peripheral biology: Cumulative allostatic load
Seeman, T., Epel, E., Gruenewald, T., Karlamangla, A., & McEwen, B. S. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05341.x · Cited by 579 · see citing works
Aune, D., Sen, A., ó'Hartaigh, B., Janszky, I., Romundstad, P. R., Tonstad, S., & Vatten, L. J. (2017) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2017.04.004 · Cited by 284 · see citing works
Quer, G., Gouda, P., Galarnyk, M., Topol, E. J., & Steinhubl, S. R. (2020) · PLOS ONE · doi:10.1371/journal.pone.0227709 · Cited by 185 · see citing works
Wearable Devices for Precision Medicine and Health State Monitoring
Jeong, I. C., Bychkov, D., & Searson, P. C. (2019) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2018.2871638 · Cited by 155 · see citing works
Zhang, D., Wang, W., & Li, F. (2016) · Canadian Medical Association Journal · doi:10.1503/cmaj.160050 · Cited by 120 · see citing works
Heart rate response during exercise test and cardiovascular mortality in middle-aged men
Savonen, K. P., Lakka, T. A., Laukkanen, J. A., Halonen, P. M., Rauramaa, T. H., Salonen, J. T., & Rauramaa, R. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehi708 · Cited by 114 · see citing works
Woodward, M., Webster, R., Murakami, Y., Barzi, F., Lam, T.-H., Fang, X., Suh, I., Batty, G. D., Huxley, R., & Rodgers, A. (2014) · European Journal of Preventive Cardiology · doi:10.1177/2047487312452501 · Cited by 117 · see citing works
Hillis, G. S., Woodward, M., Rodgers, A., Chow, C. K., Li, Q., Zoungas, S., Patel, A., Webster, R., Batty, G. D., Ninomiya, T., et al. (2012) · Diabetologia · doi:10.1007/s00125-012-2471-y · Cited by 117 · see citing works
Sharashova, E., Wilsgaard, T., Mathiesen, E. B., Løchen, M.-L., Njølstad, I., & Brenn, T. (2016) · Journal of Epidemiology and Community Health · doi:10.1136/jech-2015-206663 · Cited by 34 · see citing works
- Authors
- Seccareccia, F., Pannozzo, F., Dima, F., Minoprio, A., Menditto, A., Lo Noce, C., & Giampaoli, S.
- Affiliations
- Istituto Superiore di Sanità (IT)
- Fulvia Seccareccia, Francesco Dima, Cinzia Lo Noce, and Simona Giampaoli are with the Laboratory of Epidemiology and Biostatistics, Istituto Superiore di Sanità, Rome, Italy. Fabio Pannozzo is with Health Unit LT4, Latina, Italy. Anna Minoprio and Antonio Menditto are with the Laboratory of Clinical Biochemistry, Istituto Superiore di Sanità.
- ORCID
- Seccareccia, Fulvia
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2001-08
- Volume
- 91
- Issue
- 8
- Pages
- 1258-1263
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1446757
- OpenAlex
- W2147095760
- Cited by
- 201
- References
- 43
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 6 · 2018: 11 · 2017: 12 · 2016: 7 · 2015: 10 · 2014: 6 · 2013: 10 · 2012: 8
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Istituto Superiore di Sanità
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- heart rate, mortality prediction, all-cause mortality, cardiovascular mortality, non-cardiovascular mortality, middle-aged men, cardiovascular risk factors, Italian population
- MeSH terms
- Adult, Aged, Blood Glucose, Cardiovascular Diseases, Cause of Death, Forced Expiratory Flow Rates, Heart Rate, Humans, Hypertension, Italy, Male, Middle Aged, Mortality, Pilot Projects, Risk Factors, Smoking, Tachycardia, Body Mass Index, Proportional Hazards Models, Diabetes Complications
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