Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction
An elevated heart rate at admission or discharge is known to be associated with poor cardiovascular outcomes in patients with acute myocardial infarction (AMI). The association between post-discharge average office-visit heart rate and cardiovascular outcomes in patients with AMI has rarely been stu...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/11/3734 |
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| author | Jaeho Byeon Eun Ho Choo Ik Jun Choi Kwan Yong Lee Byung-Hee Hwang Chan Joon Kim Doo Soo Jeon Youngkeun Ahn Myung Ho Jeong Kiyuk Chang |
| author_facet | Jaeho Byeon Eun Ho Choo Ik Jun Choi Kwan Yong Lee Byung-Hee Hwang Chan Joon Kim Doo Soo Jeon Youngkeun Ahn Myung Ho Jeong Kiyuk Chang |
| author_sort | Jaeho Byeon |
| collection | DOAJ |
| description | An elevated heart rate at admission or discharge is known to be associated with poor cardiovascular outcomes in patients with acute myocardial infarction (AMI). The association between post-discharge average office-visit heart rate and cardiovascular outcomes in patients with AMI has rarely been studied. We analyzed data for 7840 patients from the COREA-AMI registry who had their heart rates measured at least three times after hospital discharge. The office-visit heart rates were averaged and categorized into four groups by quartiles (<68, 68–74, 74–80, and >80 beats per minute). The primary end point was a composite of cardiovascular death, myocardial infarction, and ischemic stroke. During a median of 5.7 years of follow-up, major adverse cardiovascular events (MACE) affected 1357 (17.3%) patients. An average heart rate higher than 80 bpm was associated with an increased incidence of MACE compared to the reference average heart rate of 68–74 bpm. When dichotomized into <74 or ≥74 bpm, a lower average heart rate was not associated with MACE in patients with LV systolic dysfunction, in contrast to those without LV systolic dysfunction. An elevated average heart rate at office visits after AMI was associated with an increased risk of cardiovascular outcomes. Heart rate monitoring at office visits after discharge provides an important predictor related to cardiovascular events. |
| first_indexed | 2024-03-11T03:03:59Z |
| format | Article |
| id | doaj.art-b513fa0e4b614ebcb9fee352119fa0cf |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T03:03:59Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b513fa0e4b614ebcb9fee352119fa0cf2023-11-18T08:05:42ZengMDPI AGJournal of Clinical Medicine2077-03832023-05-011211373410.3390/jcm12113734Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial InfarctionJaeho Byeon0Eun Ho Choo1Ik Jun Choi2Kwan Yong Lee3Byung-Hee Hwang4Chan Joon Kim5Doo Soo Jeon6Youngkeun Ahn7Myung Ho Jeong8Kiyuk Chang9Division of Cardiology, Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University School of Medicine, Gwangju 61469, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University School of Medicine, Gwangju 61469, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaAn elevated heart rate at admission or discharge is known to be associated with poor cardiovascular outcomes in patients with acute myocardial infarction (AMI). The association between post-discharge average office-visit heart rate and cardiovascular outcomes in patients with AMI has rarely been studied. We analyzed data for 7840 patients from the COREA-AMI registry who had their heart rates measured at least three times after hospital discharge. The office-visit heart rates were averaged and categorized into four groups by quartiles (<68, 68–74, 74–80, and >80 beats per minute). The primary end point was a composite of cardiovascular death, myocardial infarction, and ischemic stroke. During a median of 5.7 years of follow-up, major adverse cardiovascular events (MACE) affected 1357 (17.3%) patients. An average heart rate higher than 80 bpm was associated with an increased incidence of MACE compared to the reference average heart rate of 68–74 bpm. When dichotomized into <74 or ≥74 bpm, a lower average heart rate was not associated with MACE in patients with LV systolic dysfunction, in contrast to those without LV systolic dysfunction. An elevated average heart rate at office visits after AMI was associated with an increased risk of cardiovascular outcomes. Heart rate monitoring at office visits after discharge provides an important predictor related to cardiovascular events.https://www.mdpi.com/2077-0383/12/11/3734acute myocardial infarctionheart ratecardiovascular outcomes |
| spellingShingle | Jaeho Byeon Eun Ho Choo Ik Jun Choi Kwan Yong Lee Byung-Hee Hwang Chan Joon Kim Doo Soo Jeon Youngkeun Ahn Myung Ho Jeong Kiyuk Chang Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction Journal of Clinical Medicine acute myocardial infarction heart rate cardiovascular outcomes |
| title | Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction |
| title_full | Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction |
| title_fullStr | Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction |
| title_full_unstemmed | Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction |
| title_short | Office-Visit Heart Rate and Long-Term Cardiovascular Events in Patients with Acute Myocardial Infarction |
| title_sort | office visit heart rate and long term cardiovascular events in patients with acute myocardial infarction |
| topic | acute myocardial infarction heart rate cardiovascular outcomes |
| url | https://www.mdpi.com/2077-0383/12/11/3734 |
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