Association between heart rate and cardiovascular death in patients with coronary heart disease: A NHANES‐based cohort study

Ma, Ruicong; Gao, Jianbo; Mao, Shiyuan; Wang, Zhirong

doi:10.1002/clc.23818

Cited by 9 publications

(8 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Outcomes were all-cause mortality and CVD death. All-cause mortality was defined as death from any cause, and CVD death was defined as death from heart diseases and cerebrovascular diseases [ 18 ]. The follow-up was terminated when the included patients died.…”

Section: Methodsmentioning

confidence: 99%

Effect of overall lifestyle on the all-cause mortality and cardiovascular disease death in dyslipidemia patients with or without lipid-lowering therapy: a cohort study

Wang,

Pang,

Wang

2023

BMC Cardiovasc Disord

View full text Add to dashboard Cite

Background Lifestyle adjustment has been reported as one of the interventions for dyslipidemia. This study aimed to explore the effect of overall lifestyle on the risk of all-cause mortality and cardiovascular disease (CVD) death in dyslipidemia patients with or without lipid-lowering therapy. Methods This was a retrospective cohort study, and data were extracted from the National Health and Nutrition Examination Survey (NHANES). Overall lifestyle was assessed based on Mediterranean diet score, physical activity, smoking status, sleep duration, and body mass index (BMI). Multivariate Cox regression model was used to explore the effect of overall lifestyle score on the risk of all-cause mortality and CVD death. Results were shown as hazard ratio (HR), with 95% confidence interval (CI). Results A total of 11,549 dyslipidemia patients were finally included in this study. The results showed that optimal overall lifestyle was associated with the decreased risk of all-cause mortality (HR = 0.47, 95%CI: 0.34–0.64) and CVD death (HR = 0.45, 95%CI: 0.22–0.94) in patients without lipid-lowering therapy. The similar results were found in patients with lipid-lowering therapy (all-cause mortality: HR = 0.45, 95%CI: 0.33–0.62; CVD death: HR = 0.38, 95%CI: 0.23–0.63). Conclusions A favorable overall lifestyle may have great benefits to improve the prognosis of dyslipidemia, highlighting the importance of overall lifestyle adjustment for dyslipidemia patients.

show abstract

Section: Methodsmentioning

confidence: 99%

Effect of overall lifestyle on the all-cause mortality and cardiovascular disease death in dyslipidemia patients with or without lipid-lowering therapy: a cohort study

Wang,

Pang,

Wang

2023

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…Based on previous NHANES research, CHD is mainly diagnosed according to a history of CHD [31]. Participants were asked "whether a doctor or other health professional has ever told you that you had CHD?…”

Section: Diagnosis Of Chdmentioning

confidence: 99%

Association between composite dietary antioxidant index and coronary heart disease among US adults: a cross-sectional analysis

Ma,

Zhou,

Zhang

et al. 2023

BMC Public Health

Self Cite

View full text Add to dashboard Cite

Background The Composite Dietary Antioxidant Index (CDAI) is a dietary antioxidant score that plays a protective role in many diseases, including depression, osteoporosis, papillomavirus infection, etc. However, the association between CDAI and coronary heart disease (CHD) is currently unclear. We aim to explore the correlations between CDAI and the risk of CHD. Methods Eligible participants were obtained from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018. All participants in this cross-sectional study are required to undergo two separate 24-h dietary recall interviews. Average daily intakes of dietary antioxidants were used to calculate CDAI. CHD status was determined through a questionnaire. Weighted multiple logistic regression models were used to evaluate the relationship between CDAI and CHD. Moreover, we also used restricted cubic spline to explore Non-linear correlations. Sensitivity analysis using unweighted logistic analysis and subgroup analysis were used to demonstrate the stability of the results. Results A total of 34,699 participants were eligible for analysis.Compared to the participants without CHD, the participants with CHD showed lower levels of CDAI. After adjusting confounding factors in the multivariate weighted logistic regression model, CDAI was inversely associated with CHD (Q4 vs. Q1, OR = 0.65 (0.51–0.82, P < 0.001). Restricted cubic spline showed that there was a negative non-linear correlation (L-shaped) between CDAI and CHD, suggesting a potential saturation effect at higher CDAI levels, with the inflection point of 0.16. Sensitivity analysis showed that the results were stable. No significant statistically interaction was showed in subgroup analysis. Conclusions There was a negative non-linear correlation between CDAI and CHD in US adults. However, further prospective studies are still needed to reveal their relationship.

show abstract

“…At present, traditional physiological indicators related to CHD include HR, SBP, DBP, and BMI. [40][41][42] It is well known that HR is an independent predictor of mortality in patients with cardiovascular disease, and an increase in resting HR is a modifiable risk factor for cardiovascular events and mortality in patients with CHD, so reducing HR has become a routine way to improve the prognosis of patients with CHD. [43,44] Hypertension is a major risk factor for cardiovascular disease, and intensive SBP therapy has been found to reduce the risk of cardiovascular events compared with standard care in trials of SBP intervention.…”

Section: Effects Of Tce On Physiological Indicators Outcomesmentioning

confidence: 99%

Effects of traditional Chinese exercise on physiological indicators and quality of life in patients with coronary heart disease: A systematic review and meta-analysis

et al. 2023

View full text Add to dashboard Cite

Background: The efficacy of traditional Chinese exercise (TCE)-based intervention in the improvement of physiological indicators and quality of life in patients with coronary heart disease (CHD) is controversial. Method: Five databases were systematically searched for relevant articles published from inception to February 2023. Controlled trials examining TCE intervention in patients with CHD. The treatment effects were estimated using a random-effect meta-analysis model with standardized mean differences (Hedges g). The categorical and continuous variables were used to conduct moderator analyses. Two investigators independently screened abstracts and full-text articles and graded the certainty of evidence based on the Grading of Recommendations Assessment, Development and Evaluation approach. This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (identifier CRD42023401934). Result: Ten studies involving a total of 718 participants were included in the final analysis. In the physiological indicators outcomes, the meta-analytic findings revealed large and significant improvements in systolic blood pressure (g = 0.78, 95% confidence interval [CI] = 0.51–1.05, P = .00, I 2 = 98%), diastolic blood pressure (g = 0.90, 95% CI = 0.61–1.20, P = .00, I 2 = 98%) and body mass index (g = 1.05, 95% CI = 0.75–1.34, P = .00, I 2 = 99%), small and significant improvements in heart rate (g = 0.28, 95% CI = 0.01–0.54, P = .04, I 2 = 98%) and ventilatory equivalents/carbon dioxide (g = −1.10, 95% CI = −1.47 to −0.74, P = .00, I 2 = 96%). In the quality of life outcomes, the findings revealed small and significant improvements in physical functioning (g = −3.01, 95% CI = −3.45 to −2.57, P = .00, I 2 = 96%), bodily pain (g = −2.16, 95% CI = −2.57 to −1.74, P = .00, I 2 = 98%), vitality (g = −3.67, 95% CI = −4.16 to −3.16, P = .00, I 2 = 97%) and mental health (g = −1.23, 95% CI = −1.771 to −0.692, P = .00, I 2 = 99%). The moderator shows that the effects of TCE on physiological indicators and quality of life were moderated by PEDro score, type of exercise, exercise frequency, exercise duration, and number of sessions. Conclusion: TCE intervention is a beneficial nonpharmacological approach to improving physiological indicators in patients with CHD, especially in systolic blood pressure, diastolic blood pressure, and body mass index. However, there was no significant effect on quality of life. Our findings require broader clinical trials and higher-quality study designs to strengthen the evidence.

show abstract

Association between heart rate and cardiovascular death in patients with coronary heart disease: A NHANES‐based cohort study

Cited by 9 publications

References 39 publications

Effect of overall lifestyle on the all-cause mortality and cardiovascular disease death in dyslipidemia patients with or without lipid-lowering therapy: a cohort study

Effect of overall lifestyle on the all-cause mortality and cardiovascular disease death in dyslipidemia patients with or without lipid-lowering therapy: a cohort study

Association between composite dietary antioxidant index and coronary heart disease among US adults: a cross-sectional analysis

Effects of traditional Chinese exercise on physiological indicators and quality of life in patients with coronary heart disease: A systematic review and meta-analysis

Contact Info

Product

Resources

About