Heart Rate As A Risk Factor for Development of Cardiovascular DiseasesA Review

Свистунов, А. А.; Головачева, Т. В.; Скворцов, Константин Юрьевич; Вервикишко, О. С.

doi:10.18705/1607-419x-2008-14-4-324-331

Cited by 3 publications

(1 citation statement)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Высокая разрешающая способность расширен ной КИШ в стратификации пациентов на группы риска ССО может объясняться включением в нее ряда параметров, определяющих тяжесть заболевания и высокий риск развития осложнений у больного ИБС. К ним относятся: наличие ХСН, ее тяжесть и степень компенсации [8,9,18], наличие тахикардии в покое на ЭКГ [19][20][21] и суммарная соматическая отягощенность (инсульт в анамнезе, наличие ХОБЛ/бронхиальной астмы и ХПН), отрицательное влияние которых на прогноз подтверждено в многочисленных проспективных исследованиях и регистрах и большинство из которых входят в состав прогностических индексов и шкал [12,13,16].…”

Section: Discussionunclassified

Enhanced risk stratification scale for predicting death and non-fatal cardiovascular events in patients of the PROGNOZ IBS registry

Толпыгина¹,

Martsevich²,

Деев³

2021

Cardiovasc Ther Prev

View full text Add to dashboard Cite

Aim. To develop a risk stratification scale for predicting cardiovascular events (CVEs) in patients with chronic coronary artery disease (CAD) based on the data from the PROGNOZ IBS registry.Material and methods. The PROGNOZ IBS registry included 641 patients (men, 500; women, 141) living in Moscow and the Moscow Region, who were routinely admitted to the National Medical Research Center for Therapy and Preventive Medicine from January 1, 2004 to December 31, 2007 with a preliminary diagnosis of CAD. All included participants underwent coronary angiography during hospitalization. The diagnosis of CAD was verified in 84% of patients. The vital status was established in 551 (86%) patients in 2010 and 583 (92%) in 2014. The follow-up period was 7 years. A multivariate statistical analysis of the predictive value of data obtained during primary hospitalization was carried out.Results. The enhanced risk stratification scale included factors with the highest predictive value for developing CVEs. The presence of NYHA class III-IV heart failure increased the relative risk of CVEs by 5,4 times (3 points), atherosclerotic aortic stenosis by 2,8 times (2 points), stroke by 2,3 times (3 points), a confirmed diagnosis of CAD by 1,7 times (1 point), the presence of dyspnea by 1,4 times (1 point), unstable CAD course in the last 3 months by 1,4 times (1 point), taking diuretics before hospitalization by 1,9 times (1 point), left ventricular ejection fraction of 40-60% and left ventricular diastolic dysfunction according to echocardiography by 1,9 and 2 times (1 point each), respectively, an increase in the heart rate according resting electrocardiography >90 bpm by 1,7 times (1 point), the presence of chronic lung disease or renal failure by 1,5 times (1 point). Seven-year risk of fatal and nonfatal CVEs in patients with CAD in case of score of 0-3 is considered low, score of 4-5 points — moderate (increase in CVE risk by 3 times), score of ≥6 — high (increase in CVE risk by 9 times).Conclusion. The enhanced risk stratification scale allows predicting the risk of fatal and non-fatal CVC in patients with suspected and confirmed CAD and may be used for widespread use due to informative value, simplicity and availability.

show abstract

Section: Discussionunclassified

Enhanced risk stratification scale for predicting death and non-fatal cardiovascular events in patients of the PROGNOZ IBS registry

Толпыгина¹,

Martsevich²,

Деев³

2021

Cardiovasc Ther Prev

View full text Add to dashboard Cite

show abstract

Interethnic Associations of Increased Heart Rate as a Factor of Cardiovascular Risk. Part 1: Сlinical Markers

Мулерова

Ogarkov

2020

Evrazijskij kardiologičeskij žurnal

View full text Add to dashboard Cite

Цель исследования. Оценить ассоциации клинических факторов сердечно-сосудистого риска с повышенной частотой сердечных сокращений (ЧСС) у населения Горной Шории в зависимости от этнической принадлежности. Материал и методы. В исследовании приняли участие жители поселков Горной Шории в возрасте от 18 лет и старше. Включено 901 человек-представители коренной национальности (шорцы), 408 человек-некоренной национальности. По полу и возрасту группы не различались. Анализ проводился в зависимости от повышенного уровня ЧСС (свыше 80 уд/мин). В качестве маркеров анализировались факторы, используемые для стратификации общего сердечно-сосудистого риска. Результаты. У населения Горной Шории распространенность тахикардии составила 21,1%: 19,3% у шорцев и 24,2% у лиц некоренной национальности (р=0,030). Межэтнические различия увеличенной ЧСС определяли следующие факторы сердечно-сосудистого риска: мужской пол, курение, гипертриглицеридемия, низкий уровень ХС-ЛВН и высокий показатель ХС-ЛНП. Риск появления данной патологии,

show abstract

The indices of the cardiovascular system in workers with different body weights in unfavourable working conditions

Rakhmanov

Istomin

Богомолова

et al. 2023

Hygiene and Sanitation

View full text Add to dashboard Cite

Introduction. The cardiovascular system is an integral indicator of the body’s adaptive responses. Goal is a comparative analysis of the function of the cardiovascular system (CVS) in persons with different nutritional status, working on a rotational basis. Materials and methods. Two groups of healthy men were observed: those with normal nutritional status (NNS, n = 14) and those with increased body weight (IBW, n = 13). Working conditions were evaluated according to the degree of harmfulness and danger. The examination was carried out twice: before the start and after 2 months. after shift work. Systolic and diastolic blood pressure, heart rate (HR) were measured. The Robinson index, endurance coefficient, vegetative Kerdo index, and circulatory efficiency coefficient were calculated. Results. Working conditions were characterized by work at night in an open area, irregularity of shifts, unregulated breaks for rest, the influence of noise and vibration. In the initial state, body weight in NNS individuals was 74.1±1.1 kg versus 91.8±2.7 kg (p=0.001) in IBW persons; HR – 60.0±2.3 versus 73.1±2.0 (p=0.001). After shift work, body weight decreased by 22.2% and 50.0% in persons in the comparison groups. Integral indicators indicated a more negative response of the cardiovascular system to working conditions in IBW people: less resistance to stress (eurance coefficient), lower performance (efficiency ratio of blood circulation), a higher level of hemodynamic load (Robinson index), in NNS people there were dominated by parasympathetic influences, 33.3% of IBW persons had sympathetic influences. Limitations. Healthy males working on a rotational basis, with a normal nutritional status and with overweight and obesity. Conclusion. Overweight and obesity negatively affect the cardiovascular system, reducing the functional reserves of the body. Under unfavourable working conditions, the changes are also more pronounced than in the group of people with a normal nutritional status.

show abstract

Heart Rate As A Risk Factor for Development of Cardiovascular DiseasesA Review

Cited by 3 publications

References 39 publications

Enhanced risk stratification scale for predicting death and non-fatal cardiovascular events in patients of the PROGNOZ IBS registry

Enhanced risk stratification scale for predicting death and non-fatal cardiovascular events in patients of the PROGNOZ IBS registry

Interethnic Associations of Increased Heart Rate as a Factor of Cardiovascular Risk. Part 1: Сlinical Markers

The indices of the cardiovascular system in workers with different body weights in unfavourable working conditions

Contact Info

Product

Resources

About