Pulse rate, coronary heart disease, and death: The NHANES I Epidemiologic Follow-up Study

To determine whether associations of elevated resting pulse rate with CHD incidence or death in white men are independent of other risk factors and whether such associations exist for women and blacks, data were examined from the NHANES I Epidemiologic Follow-up Study. Over a follow-up period of 6 t...

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Veröffentlicht in:The American heart journal 1991-01, Vol.121 (1), p.172-177
Hauptverfasser: Gillum, Richard F., Makuc, Diane M., Feldman, Jacob J.
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container_title The American heart journal
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creator Gillum, Richard F.
Makuc, Diane M.
Feldman, Jacob J.
description To determine whether associations of elevated resting pulse rate with CHD incidence or death in white men are independent of other risk factors and whether such associations exist for women and blacks, data were examined from the NHANES I Epidemiologic Follow-up Study. Over a follow-up period of 6 to 13 years, elevated RR for CHD incidence were found for older white men with baseline pulse > 84 beats/min compared with
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Over a follow-up period of 6 to 13 years, elevated RR for CHD incidence were found for older white men with baseline pulse &gt; 84 beats/min compared with &lt;74 beats/min after controlling multiple risk factors (RR = 1.37, 95% CL 1.02, 1.84). Risks of death from all causes, cardiovascular diseases, and noncardiovascular diseases were also elevated for white men with elevated pulse rate independent of other risk factors. CHD incidence was increased in white women with elevated pulse rate. Risks of death from all causes, cardiovascular diseases, and noncardiovascular diseases, were also elevated for white men with elevated pulse rate independent of other risk factors. CHD incidence was increased in white women with elevated pulse rate. Risk of death from all causes and cardiovascular diseases was elevated in black men and women with elevated pulse rate. Risk of death from noncardiovascular disease was elevated in black men with elevated pulse rate. The association with cardiovascular death was particularly striking in black women, even after adjusting for baseline risk factors (RR 3.03, 95% CL 1.46, 6.28). Further studies are needed to assess associations of pulse rate with CHD in blacks and to elucidate mechanisms in all groups.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(91)90970-S</identifier><identifier>PMID: 1985358</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Biological and medical sciences ; Black or African American ; Black People ; Cardiology. 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Over a follow-up period of 6 to 13 years, elevated RR for CHD incidence were found for older white men with baseline pulse &gt; 84 beats/min compared with &lt;74 beats/min after controlling multiple risk factors (RR = 1.37, 95% CL 1.02, 1.84). Risks of death from all causes, cardiovascular diseases, and noncardiovascular diseases were also elevated for white men with elevated pulse rate independent of other risk factors. CHD incidence was increased in white women with elevated pulse rate. Risks of death from all causes, cardiovascular diseases, and noncardiovascular diseases, were also elevated for white men with elevated pulse rate independent of other risk factors. CHD incidence was increased in white women with elevated pulse rate. Risk of death from all causes and cardiovascular diseases was elevated in black men and women with elevated pulse rate. Risk of death from noncardiovascular disease was elevated in black men with elevated pulse rate. The association with cardiovascular death was particularly striking in black women, even after adjusting for baseline risk factors (RR 3.03, 95% CL 1.46, 6.28). Further studies are needed to assess associations of pulse rate with CHD in blacks and to elucidate mechanisms in all groups.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People</subject><subject>Cardiology. Vascular system</subject><subject>Cause of Death</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Surveys</subject><subject>Heart</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nutrition Surveys</subject><subject>Proportional Hazards Models</subject><subject>Pulse</subject><subject>Rest</subject><subject>Risk</subject><subject>United States - epidemiology</subject><subject>White People</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFFrFDEQx4NY6ln9Bgp5URS6mmw2m8QHoZSrLZQqXH3wKcwms15kb3Mmu0q_vTnvsH3yKcnMb_5MfoS84OwdZ7x9zxirK62YeGP4W8OMYtXqEVnwcqta1TSPyeIf8oQ8zflHeba1bo_JMTdaCqkX5NuXechIE0x4Sl1McYR0R9cIaaI-ZIRc6jB66hGm9Qd6u0Z6c3l2s1zRK7rcBo-bEIf4PTh6EYch_q7mLV1Ns797Ro56KNnPD-cJ-XqxvD2_rK4_f7o6P7uuXCPFVEkQbdfxsmjZR3utFPjedAZlzcEL5yV0DXDhROcAOwYdM7JTtdY19Lw14oS83uduU_w5Y57sJmSHwwAjxjlbzURbc6UK2OxBl2LOCXu7TWFTvms5szujdqfL7nRZw-1fo3ZVxl4e8udug_5-aK-w9F8d-pAdDH2C0YX8AGuFMlIW7uOewyLjV8Bksws4OvQhoZusj-H_i_wBiiqREQ</recordid><startdate>199101</startdate><enddate>199101</enddate><creator>Gillum, Richard F.</creator><creator>Makuc, Diane M.</creator><creator>Feldman, Jacob J.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199101</creationdate><title>Pulse rate, coronary heart disease, and death: The NHANES I Epidemiologic Follow-up Study</title><author>Gillum, Richard F. ; Makuc, Diane M. ; Feldman, Jacob J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-5a36bb10023588d877adf9b9e521ad3cd5ab4a13c3bcaeb0ab095b72882af1693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People</topic><topic>Cardiology. Vascular system</topic><topic>Cause of Death</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary Disease - mortality</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Surveys</topic><topic>Heart</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nutrition Surveys</topic><topic>Proportional Hazards Models</topic><topic>Pulse</topic><topic>Rest</topic><topic>Risk</topic><topic>United States - epidemiology</topic><topic>White People</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gillum, Richard F.</creatorcontrib><creatorcontrib>Makuc, Diane M.</creatorcontrib><creatorcontrib>Feldman, Jacob J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gillum, Richard F.</au><au>Makuc, Diane M.</au><au>Feldman, Jacob J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulse rate, coronary heart disease, and death: The NHANES I Epidemiologic Follow-up Study</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1991-01</date><risdate>1991</risdate><volume>121</volume><issue>1</issue><spage>172</spage><epage>177</epage><pages>172-177</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>To determine whether associations of elevated resting pulse rate with CHD incidence or death in white men are independent of other risk factors and whether such associations exist for women and blacks, data were examined from the NHANES I Epidemiologic Follow-up Study. Over a follow-up period of 6 to 13 years, elevated RR for CHD incidence were found for older white men with baseline pulse &gt; 84 beats/min compared with &lt;74 beats/min after controlling multiple risk factors (RR = 1.37, 95% CL 1.02, 1.84). Risks of death from all causes, cardiovascular diseases, and noncardiovascular diseases were also elevated for white men with elevated pulse rate independent of other risk factors. CHD incidence was increased in white women with elevated pulse rate. Risks of death from all causes, cardiovascular diseases, and noncardiovascular diseases, were also elevated for white men with elevated pulse rate independent of other risk factors. CHD incidence was increased in white women with elevated pulse rate. Risk of death from all causes and cardiovascular diseases was elevated in black men and women with elevated pulse rate. Risk of death from noncardiovascular disease was elevated in black men with elevated pulse rate. The association with cardiovascular death was particularly striking in black women, even after adjusting for baseline risk factors (RR 3.03, 95% CL 1.46, 6.28). Further studies are needed to assess associations of pulse rate with CHD in blacks and to elucidate mechanisms in all groups.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>1985358</pmid><doi>10.1016/0002-8703(91)90970-S</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Aged
Biological and medical sciences
Black or African American
Black People
Cardiology. Vascular system
Cause of Death
Coronary Disease - epidemiology
Coronary Disease - mortality
Coronary Disease - physiopathology
Coronary heart disease
Female
Follow-Up Studies
Health Surveys
Heart
Humans
Incidence
Male
Medical sciences
Middle Aged
Nutrition Surveys
Proportional Hazards Models
Pulse
Rest
Risk
United States - epidemiology
White People
title Pulse rate, coronary heart disease, and death: The NHANES I Epidemiologic Follow-up Study
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