Resting heart rate at hospital admission and its relation to hospital outcome in patients with heart failure

Abstract

Background: Resting heart rate (HR) has been proven to influence long-term prognosis in patients with chronic heart failure (HF). (OR 1.594 [per 10 bpm]; p = 0.0248) and lower natrium concentration at admission (OR 0.767 [per 1 mmol/L]; p = 0.0162) were the only independent predictors of in-hospital mortality. Conclusions: In patients with HF, higher resting HR at hospital admission is associated with increased in-hospital mortality. (Cardiol J 2014; 21, 4: 425-433)

Clinical characteristics and predictors of one-year outcome of heart failure patients with atrial fibrillation compared to heart failure patients in sinus rhythm

“…In previous studies, both admission and discharge heart rate were proven to be associated with long-term mortality of hospitalised HF patients [22,23]. In our analysis, heart rate at hospital discharge was an independent predictor of one-year survival in both subgroups.…”

“…In our previous studies, conducted in Polish ESC-HF Pilot participants, hyponatraemia at hospital admission was associated with death during hospitalisation, death at one year, as well as death or hospital readmission at one year [22,25]. In the current analysis, lower admission sodium concentration proved to be predictive of death at one year in both studied subgroups, as well as of death or rehospitalisation for HF at one year in AF patients.…”

“…These differences in prognostic factors between the two subgroups might be partly attributable to the (although not significantly) higher in-hospital mortality observed in AF patients: as in-hospital deaths accounted for approximately one quarter of primary outcome events, risk factors for in-hospital death (including worse clinical status at hospital admission, i.e. higher heart rate and higher NYHA class at admission) might have gained significance in the analysis of predictors of the primary endpoint [22]. Furthermore, recent studies have reported differences in the impact of heart rate on prognosis between AF-HF and SR-HF patients [23,24].…”

Prognostic factors in heart failure — are they all equally important?

“…Tables 2 and 3, different predictors were proven to be significant for outcome assessment in acute and chronic HF. Variables such as HR and SBP have been included in most models for acute HF (but not in all models for chronic HF), while NYHA class and LVEF have been predominantly used in chronic HF models [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]39]. On the other hand, age, sodium concentration and indices of kidney dysfunction have been strong, independent predictors both in acute and in chronic HF patients [4-22, 37, 40].…”

In-hospital heart rate reduction and its relation to outcomes of heart failure patients with sinus rhythm: Results from the Polish part of the European Society of Cardiology Heart Failure Pilot and Long-Term Registries

“…The European Society of Cardiology (ESC) created the Heart Failure Pilot (ESC-HF-Pilot) and Heart Failure Long-Term (ESC-HF-LT) Registries to assess the clinical characteristics and outcome of HF patients in clinical practice in European countries. Recently published analyses of data from both Registries revealed several risk factors associated with 1-year outcomes in hospitalized HF patients [1,[3][4][5][6]. One of the modifiable predictors of cardiovascular mortality and morbidity is heart rate (HR), which is associated with poor prognosis in general population, patients with hypertension, coronary artery disease and HF [2,[7][8][9][10][11].…”