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Heart rate as a predictor of cardiovascular risk

Gino Seravalle1, Fosca Quarti Trevano2, Guido Grassi2

  • 1Department of Cardiology, Italian Auxological Institute S. Luca Hospital, Milan, Italy - g_seravalle@yahoo.com.

Minerva Medica
|June 10, 2020
PubMed

Insights

Resting heart rate is an easily measured indicator. Elevated resting heart rate is linked to increased cardiovascular disease risk, informing treatment strategies.

Area of Science:

  • Cardiology
  • Clinical Physiology

Background:

  • Resting heart rate (RHR) is a readily measurable physiological parameter.
  • Evidence links elevated RHR to adverse cardiovascular outcomes in prospective studies and meta-analyses.
  • Understanding RHR control and dysfunction is crucial for risk assessment.

Purpose of the Study:

  • To review the role of resting heart rate as a predictor of cardiovascular risk.
  • To provide insights into non-pharmacological and pharmacological treatments for cardiovascular risk reduction.

Main Methods:

  • Literature review of prospective studies and meta-analyses.
  • Analysis of physiological and pathophysiological mechanisms of heart rate control.
  • Identification of normal cut-off values for RHR.

Main Results:

  • Elevated resting heart rate is associated with increased cardiovascular disease and mortality.
  • Knowledge of RHR mechanisms aids in defining normal ranges.
  • RHR serves as a valuable prognostic indicator.

Conclusions:

  • Resting heart rate is a significant, easily assessed predictor of cardiovascular risk.
  • Management strategies can target RHR to mitigate cardiovascular risk in various populations.
  • Further research into RHR modulation is warranted.

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