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- Title
Admission Heart Rate Is Associated With Coronary Artery Disease Severity and Complexity in Patients With Acute Coronary Syndrome.
- Authors
Ma, Xiaoteng; Wang, Zhijian; Wang, Jianlong; Liu, Fang; Zhang, Dai; Yang, Lixia; Liu, Xiaoli; Zhou, Yujie
- Abstract
We evaluated the relationship between admission heart rate (HR) and coronary artery disease severity and complexity in patients with acute coronary syndrome (ACS). A total of 884 patients (mean age 59 [11] years, 24.7% female) who underwent coronary angiography for ACS and were treated with primary or selective percutaneous coronary intervention were included in this cross-sectional study. The measurement of admission HR was based on the first available resting electrocardiogram after admission. The SYNTAX score (SS) was calculated. Patients with an SS ≤ 22 (n = 538) were classified as the low SS group and those with an SS > 22 (n = 346) were classified as the intermediate-to-high SS group. Admission HR was greater in the intermediate-to-high SS group compared with the low SS group (75 [10] bpm vs 67 [8] bpm, P <.001). Admission HR was positively and significantly correlated with the SS (r = 0.475, P <.001). After multivariate analysis, admission HR (per 1 standard deviation, ie, 10 bpm) remained an independent predictor of intermediate-to-high SS (odds ratio: 3.135, 95% confidence interval: 2.538-3.873, P <.001). Admission HR is independently and positively associated with the SS. Thus, elevated admission HR may be useful to identify patients with ACS with a high coronary atherosclerotic plaque burden.
- Subjects
CORONARY heart disease risk factors; CONFIDENCE intervals; ELECTROCARDIOGRAPHY; HEART rate monitoring; HOSPITAL admission &; discharge; MULTIVARIATE analysis; PATIENTS; RISK assessment; CROSS-sectional method; SEVERITY of illness index; ACUTE coronary syndrome; DESCRIPTIVE statistics; CORONARY angiography; ODDS ratio; PERCUTANEOUS coronary intervention; DISEASE complications
- Publication
Angiology, 2019, Vol 70, Issue 8, p774
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319719832376