Arrhythmias & electrophysiology

Reference ranges for ambulatory heart rate measurements in a middle-aged population

HeartPublished Cross-sectional study

Authors' conclusion

Ambulatory HR varies widely in healthy middle-aged individuals, a finding with relevance for the management of patients with a perception of tachycardia. Differences in ambulatory HR between individuals are largely independent of common clinical correlates.

Study context

Population
AF-free individuals aged 50–65 years, Swedish CArdioPulmonary Imaging Studyhealthy subset n=3942
Participants
5,809 individuals
Exposure
Men vs Women
Outcome
Reference ranges for ambulatory HR (24-hour ECG)
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Mean ambulatory HR (healthy subset)
GroupValueMinimum HR (mean±SD)Reference range (2.5th-97.5th percentile), mean HR
Menmean 73 (SD 9) bpm48±7 bpm57-90 bpm
Womenmean 76 (SD 8) bpm51±7 bpm61-92 bpm

Value

Menmean 73 (SD 9) bpm
Womenmean 76 (SD 8) bpm

Minimum HR (mean±SD)

Men48±7 bpm
Women51±7 bpm

Reference range (2.5th-97.5th percentile), mean HR

Men57-90 bpm
Women61-92 bpm

Observational data: associations, not effects.

Further findings

Clinical correlates of ambulatory HR (multivariable linear regression)

Clinical correlates explained <15% of interindividual differences in HR

Original publication

Reference ranges for ambulatory heart rate measurements in a middle-aged population. Heart. Published 5 April 2024. doi:10.1136/heartjnl-2023-323681

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