Resting heart rate and heart rate variability in the year following acute coronary syndrome : How do women fare?

Journal article

Scovelle, Anna J., Oldenburg, Brian, Taylor, C. Barr, Hare, David L., Thomas, Emma E., Toukhsati, Samia R., Oldroyd, John, Russell, Josephine D. and O’Neil, Adrienne. (2021). Resting heart rate and heart rate variability in the year following acute coronary syndrome : How do women fare? Heart, Lung and Circulation. 30(1), pp. 128-134. https://doi.org/10.1016/j.hlc.2020.06.019

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Authors	Scovelle, Anna J., Oldenburg, Brian, Taylor, C. Barr, Hare, David L., Thomas, Emma E., Toukhsati, Samia R., Oldroyd, John, Russell, Josephine D. and O’Neil, Adrienne
Abstract	Background Women experience poorer health outcomes following acute coronary syndrome (ACS). Heart rate (HR) and heart rate variability (HRV) have emerged as sensitive and cost-effective markers of autonomic function and prognostic risk factors of poor cardiac outcomes. The aim of the current study was to investigate whether sex-specific differences existed across HR and five parameters of HRV, at 1 and 12 months following ACS diagnosis. Methods Between January 2013 and June 2014, a sample of 416 ACS patients was enrolled in the Anxiety Depression & Heart Rate Variability in cardiac patients: Evaluating the impact of Negative emotions on functioning after Twenty four months (ADVENT) longitudinal cohort study. At 1 and 12 months following discharge, patient HR and HRV (root mean square of successive differences [RMSDD], standard deviation of RR intervals [SDRR], high frequency power [HF], low frequency power [LF], very low frequency power [VLF]) was measured via three-lead electrocardiogram. Results At 1 month post-ACS, sex was a significant predictor of HR and VLF power in fully- adjusted models. At 12 months post-ACS, sex was a predictor of HR, SDRR and VLF power in fully-adjusted models. Conclusion Sex-specific differences in resting HR and HRV were observed in the year following ACS, whereby women had higher HR and lower HRV, suggestive of poorer autonomic function. Further large-scale cohort studies examining autonomic function as a driver of sex-specific outcomes following ACS are required.
Keywords	sex; women; acute coronary syndrome; heart rate variability; heart rate
Year	2021
Journal	Heart, Lung and Circulation
Journal citation	30 (1), pp. 128-134
Publisher	Elsevier B.V.
ISSN	1443-9506
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.hlc.2020.06.019
Scopus EID	2-s2.0-85089732485
Research or scholarly	Research
Page range	128-134
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	28 Jul 2020
Publication process dates
Accepted	15 Jun 2020
Deposited	06 Sep 2021

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