Importance of the first two minutes of heart rate recovery after exercise treadmill testing in predicting mortality and the presence of coronary artery disease in men

Michael J Lipinski; George W Vetrovec; Victor F Froelicher

doi:10.1016/j.amjcard.2003.10.039

Importance of the first two minutes of heart rate recovery after exercise treadmill testing in predicting mortality and the presence of coronary artery disease in men

Am J Cardiol. 2004 Feb 15;93(4):445-9. doi: 10.1016/j.amjcard.2003.10.039.

Authors

Michael J Lipinski¹, George W Vetrovec, Victor F Froelicher

Affiliation

¹ Cardiology Division, Veterans Affairs Palo Alto Health Care System, Stanford University, CA 94304, USA.

PMID: 14969619
DOI: 10.1016/j.amjcard.2003.10.039

Abstract

We retrospectively analyzed exercise treadmill and coronary angiographic data of 2,193 men to compare heart rate (HR) recovery with angiographic and mortality data during a follow-up study of 7 +/- 2.7 years. Only the first 2 minutes of HR recovery predicted mortality (p <0.001), and the HR decrease during the second minute of recovery predicted the presence of coronary artery disease (p <0.05).

MeSH terms

Coronary Disease / diagnosis*
Coronary Disease / mortality*
Exercise Test*
Heart Rate / physiology*
Humans
Male
Middle Aged
Predictive Value of Tests
ROC Curve
Regression Analysis
Time Factors
United States
Veterans