Description

Benes et al correlated resting heart rate and heart rate reserve with prognosis in a patient with advanced heart failure. These can help to identify a patient who may benefit from more aggressive management or a novel intervention. The authors are from Institute of Clinical and Experimental Medicine-IKEM in Prague, the Mayo Clinic and Brigham and Women's Hospital.


Patient selection: advanced heart failure

 

maximum heart rate during exercise =

= 220 - (age)

 

heart rate reserve =

= (peak exercise heart rate) - (resting heart rate)

 

actual heart rate reserve as percent of predicted =

= (observed reserve) / (predicted reserve) * 100%

 

Resting Heart Rate

Heart Rate Reserve

Event-Free Survival at 600 Days

<= 67 bpm

> 0.38

90%

 

<= 0.38

73%

> 67 bpm

> 0.38

66%

 

<= 0.38

43%

 

Chronotropic incompetence may underly the exercise intolerance seen with heart failure.


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