Heart Rate Recovery Immediately After Treadmill Exercise and Left Ventricular Systolic Dysfunction as Predictors of Mortality: The Case of Stress Echocardiography

@article{Watanabe2001HeartRR,
  title={Heart Rate Recovery Immediately After Treadmill Exercise and Left Ventricular Systolic Dysfunction as Predictors of Mortality: The Case of Stress Echocardiography},
  author={Junko Watanabe and Maran Thamilarasan and Eugene H. Blackstone and James D. Thomas and Michael S. Lauer},
  journal={Circulation: Journal of the American Heart Association},
  year={2001},
  volume={104},
  pages={1911-1916}
}
Background—An attenuated heart rate recovery after exercise has been shown to be predictive of mortality. In prior studies, recovery heart rates were measured while patients were exercising lightly, that is, during a cool-down period. It is not known whether heart rate recovery predicts mortality when measured in the absence of a cool-down period or after accounting for left ventricular systolic function. Methods and Results—We followed 5438 consecutive patients without a history of heart… 

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References

SHOWING 1-10 OF 34 REFERENCES

Heart-rate recovery immediately after exercise as a predictor of mortality.

TLDR
A delayed decrease in the heart rate during the first minute after graded exercise, which may be a reflection of decreased vagal activity, is a powerful predictor of overall mortality, independent of workload, the presence or absence of myocardial perfusion defects, and changes inheart rate during exercise.

Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure.

Heart Rate Recovery after Submaximal Exercise Testing as a Predictor of Mortality in a Cardiovascularly Healthy Cohort

TLDR
The goal was to examine heart rate recovery as a predictor of long-term mortality in a population-based cohort of adults without evidence of cardiovascular disease who underwent submaximal exercise testing.

Modulation of cardiac autonomic activity during and immediately after exercise.

TLDR
A marked reduction of autonomic modulation of heart rate in patients with heart failure and after cardiac transplant is demonstrated and a progressive withdrawal of vagal activity during exercise with a gradual increase during recovery in normal subjects is supported.

Reduced Heart Rate Variability and Mortalit Risk in an Elderly Cohort: The Framingham Heart Study

TLDR
The estimation of heart rate variability by ambulatory monitoring offers prognostic information beyond that provided by the evaluation of traditional risk factors.

Use of exercise echocardiography for prognostic evaluation of patients with known or suspected coronary artery disease.

Complementary value of two-dimensional exercise echocardiography to routine treadmill exercise testing.

TLDR
It is concluded that exercise echocardiography is a valuable addition to routine treadmill testing and may be of special value in patients with an abnormal resting electrocardiogram or a nondiagnostic response to treadmill testing or when a false-negative treadmill test is suspected.