Prognostic value of daytime heart rate, blood pressure, their products and quotients in chronic heart failure

Abstract

Diastolic blood pressure, SBP × HR and DBP × HR products may be useful in subsequent heart failure exacerbation risk stratification. Moreover, DBP value may predict short-term mortality in patients with CHF.

Golden ratio in congestive heart failure: A promising proportion for prognosis and decompensation

“…Beyond the prognostic implication of HR, BP and their products in patients with stable CHF, attention was paid to the value of SBP and DBP itself, in terms of the golden ratio. In the study population, Kowalczys et al [1] found mean daytime SBP and DBP of patients with stable CHF as 114 mmHg and 70 mmHg, respectively. The ratio of SBP to DBP gives 1.62, which is very close to the golden ratio as described previously by the famous mathematicians Euclid and Fibonacci [2].…”

“…The article published by Kowalczys et al [1] was read with great enthusiasm and interest. Briefly, the prognostic value of daytime heart rate (HR), systolic (SBP) and diastolic (DBP) blood pressure (BP), and their multiplication products and ratios was assessed in congestive heart failure (CHF) patients.…”

“…Briefly, the prognostic value of daytime heart rate (HR), systolic (SBP) and diastolic (DBP) blood pressure (BP), and their multiplication products and ratios was assessed in congestive heart failure (CHF) patients. Accordingly, it was found that daytime DBP and products including HR × DBP and HR × SBP may be valuable risk stratification factors for predicting death and decompensation in stable patients [1]. Beyond the prognostic implication of HR, BP and their products in patients with stable CHF, attention was paid to the value of SBP and DBP itself, in terms of the golden ratio.…”

Slow breathing improves cardiovascular reactivity to mental stress and health-related quality of life in heart failure patients with reduced ejection fraction

“…Depression is one of the most important factors determining QoL in HF patients, this also contributes to social isolation [6,7]. Depressed mood and vital exhaustion are strong predictors of low life expectancy, all-cause and cardiovascular (CV) mortality, independent of classical risk factors [8][9][10][11][12]. Acute emotional stress has been linked to a high incidence of acute CV events, arrhythmias and sudden cardiac death [13].…”

Golden ratio in congestive heart failure: A promising proportion for prognosis and decompensation. Authors’ reply

“…Finally, all patients were treated pharmacologically with drugs that affect blood pressure and heart rate, which may have had an impact on the potential prognostic value of the SBP/DBP ratio. Furthermore, the methodology of our study included only daytime multiple blood pressure measurements during hospitalization [11]. Meanwhile, Yetkin et Anna Kowalczys et al, Golden ratio in congestive heart failure al.…”