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Heart Rate Recovery after Submaximal Exercise Testing as a Predictor of Mortality in a Cardiovascularly Healthy Cohort
Abstract
BACKGROUND: Abnormal heart rate recovery after symptom-limited exercise predicts death. It is unknown whether this is also true among patients undergoing submaximal testing. OBJECTIVE: To test the prognostic implications of heart rate recovery in cardiovascularly healthy adults undergoing submaximal exercise testing. DESIGN: Population-based cohort study. SETTING: 10 primary care sites. PARTICIPANTS: 5234 adults without evidence of cardiovascular disease who were enrolled in the Lipid Research Clinics Prevalence Study. MEASUREMENTS: Heart rate recovery was defined as the change from peak heart rate to that measured 2 minutes later (heart rate recovery was defined as < or =42 beats/min). RESULTS: During 12 years of follow-up, 312 participants died. Abnormal heart rate recovery predicted death (relative risk, 2.58 [CI, 2.06 to 3.20]). After adjustment for standard risk factors, fitness, and resting and exercise heart rates, abnormal heart rate recovery remained predictive (adjusted relative risk, 1.55 [CI, 1.22 to 1.98]) (P<0.001). CONCLUSION: Even after submaximal exercise, abnormal heart rate recovery predicts death.
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Heart-rate Recovery Immediately After Exercise as a Predictor of Mortality
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Self-citationPhysical Fitness as a Predictor of Cardiovascular Mortality in Asymptomatic North American Men
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Metadata
- Authors
- Cole, C. R., Foody, J. M., Blackstone, E. H., & Lauer, M. S.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2000-04-04
- Volume
- 132
- Issue
- 7
- Pages
- 552-555
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W1965558627
- Cited by
- 588
- References
- 2
- FWCI
- 37.58
- Type
- journal article
- Language
- en
- Open access
- closed
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