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Reproducibility of Heart Rate Recovery in Individuals with Low Heart Rate Recovery Response

Reproducibility of Heart Rate Recovery in Individuals with Low Heart Rate Recovery Response
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摘要 Objective: To examine the reproducibility of HRR in healthy individuals with slow HRR response undergoing routine annual checkups. Method: HRR data (>18 b/min;Group 1 and 18 b/min;Group 2) were analyzed using a fixed-effects regression model adjusted for age and gender, including random effects group-specific slopes on age. Results: One hundred and thirteen individuals (56.5 ± 9.2 y), underwent 573 cumulative ESTs with an average of 5.1 ± 1.6 tests per individual during a 21-year retrospective follow-up. No differences were found in anthropometric measurements and blood variables. All individuals achieved 94% ± 7.7% of age-predicted HR max at peak EST. Group 2 demonstrated 38% of inconsistent HRR. Regression analysis demonstrated a decrease of 0.5 b/min, on average across individuals, in HRR per each extra year of age. The random effects showed an inter-subject SD level of 9.91 b/min and an SD on the age slope of 0.40 b/min/year. Conclusion: HRR showed low reproducibility in nearly 40% of tests, which was not reflected by the variation of HR nor in the slope of age during a 21-year retrospective follow-up. Objective: To examine the reproducibility of HRR in healthy individuals with slow HRR response undergoing routine annual checkups. Method: HRR data (>18 b/min;Group 1 and 18 b/min;Group 2) were analyzed using a fixed-effects regression model adjusted for age and gender, including random effects group-specific slopes on age. Results: One hundred and thirteen individuals (56.5 ± 9.2 y), underwent 573 cumulative ESTs with an average of 5.1 ± 1.6 tests per individual during a 21-year retrospective follow-up. No differences were found in anthropometric measurements and blood variables. All individuals achieved 94% ± 7.7% of age-predicted HR max at peak EST. Group 2 demonstrated 38% of inconsistent HRR. Regression analysis demonstrated a decrease of 0.5 b/min, on average across individuals, in HRR per each extra year of age. The random effects showed an inter-subject SD level of 9.91 b/min and an SD on the age slope of 0.40 b/min/year. Conclusion: HRR showed low reproducibility in nearly 40% of tests, which was not reflected by the variation of HR nor in the slope of age during a 21-year retrospective follow-up.
作者 Itai Goldfarb David M. Steinberg Kobi Serr Shlomo Segev Yariv Gerber Joseph Shemesh Mickey Scheinowitz Itai Goldfarb;David M. Steinberg;Kobi Serr;Shlomo Segev;Yariv Gerber;Joseph Shemesh;Mickey Scheinowitz(School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;Department of Statistics and Operations Research, Tel Aviv University, Tel Aviv, Israel;Institutes for Medical Screening & Cardiac Rehabilitation, Sheba Medical Center, Ramat Gan, Israel;Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel)
出处 《World Journal of Cardiovascular Diseases》 2022年第5期277-285,共9页 心血管病(英文)
关键词 Retrospective Analysis Exercise Stress Test Healthy Individuals Fluctuated Heart Rate Recovery Retrospective Analysis Exercise Stress Test Healthy Individuals Fluctuated Heart Rate Recovery
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