The prognostic significance of heart rate for cardiovascular disease and hypertension.
Five decades ago, hypertension was a debated risk factor for the development of cardiovascular disease. After further studies and the introduction of antihypertensive medications, few, if any, have doubted the important role hypertension plays as a cardiovascular risk factor. Today, a growing body of evidence emphasizes the relationship between heart rate and hypertension, and heart rate and cardiovascular disease, which makes the measurement of heart rate an important component of the cardiovascular risk assessment. Current European guidelines for managing arterial hypertension recommend the measurement of heart rate for risk stratification, but there still are no recommendations for treatment. This review discusses the evidence for a relationship between heart rate and cardiovascular mortality and morbidity and hypertension.
Tjugen
Trygve B
TB
Department of Cardiology, Oslo University Hospital, Ullevål, Oslo, Norway. trygve.braathen.tjugen@siv.no
Flaa
Arnljot
A
Kjeldsen
Sverre E
SE
D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D002302:Cardiac Output; D002318:Cardiovascular Diseases / Q000188:drug therapy / Q000209:etiology / Q000401:mortality; D002395:Catecholamines / Q000097:blood; D006339:Heart Rate; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000209:etiology / Q000401:mortality; D009638:Norepinephrine / Q000097:blood; D009664:Norway; D011379:Prognosis; D012307:Risk Factors; D013564:Sympathetic Nervous System
D000959:Antihypertensive Agents; D002395:Catecholamines; D009638:Norepinephrine