Arrhythmias & electrophysiology

Association between nighttime heart rate and cardiovascular mortality in patients with implantable cardioverter-defibrillator: A cohort study

Heart RhythmPublished Prospective cohort study

Authors' conclusion

Continuous monitoring of NTHR may identify patients at high risk of cardiovascular mortality in a timely manner, with the potential for "preemptive" action.

Study context

Population
Patients with implantable cardioverter-defibrillator (ICD) or CRT defibrillator in sinus rhythm, enrolled 2010–2015
Participants
534 patients
Exposure
Per 1 beat/min increase in nighttime heart rate
Outcome
CV mortality
Follow-up
60.4 ± 21.8 months

Main finding

As reported in the abstract

CV mortality per 1 beat/min increase in NTHR

Increase in risk of CV mortality per 1 beat/min, total population

7.8%

Increase in risk of CV mortality per 1 beat/min, patients with HF

10.1%

Increase in risk of CV mortality per 1 beat/min, patients without HF

5.7%

Observational data: associations, not effects.

Further findings

Baseline nighttime heart rate (NTHR) · 30 to 60 days after implantation

Mean baseline NTHR
59.6 ± 8.0 beats/min

Original publication

Association between nighttime heart rate and cardiovascular mortality in patients with implantable cardioverter-defibrillator: A cohort study. Heart Rhythm. Published 9 September 2023. doi:10.1016/j.hrthm.2023.08.042

Composed by AI from the published abstract and checked against it. How Briefs are made →

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