PMID- 26629022 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151202 LR - 20201216 IS - 1940-5901 (Print) IS - 1940-5901 (Electronic) IS - 1940-5901 (Linking) VI - 8 IP - 9 DP - 2015 TI - Association between resting heart rate and cardiovascular mortality: evidence from a meta-analysis of prospective studies. PG - 15329-39 AB - The results from published studies on resting heart rate (RHR) and risk of cardiovascular mortality are not consistent. We therefore conducted a meta-analysis to quantitatively summarize the evidence from prospective studies about the association of RHR with risk cardiovascular mortality. Pertinent studies were identified by a search of Pubmed and Web of Knowledge to January 2015. The random effect model was used. Sensitivity analysis and publication bias were conducted. Dose-response relationship was assessed by restricted cubic spline and variance-weighted least squares regression analysis. Twenty prospective articles were included in this meta-analysis. Pooled results suggested that highest RHR level versus lowest levels was significantly associated with the risk of cardiovascular mortality [summary relative risk (RR) = 1.69, 95% CI = 1.42-2.00, I(2) = 87.5%]. Subjects with RHR levels of > 80 bites per minute (bpm) had a RR of 1.49 (1.24-1.79) for cardiovascular mortality. The results for subgroups analysis of geographic locations, sex and duration of follow-up are consistent with the overall results. The linear dose-response analysis indicated that an increase in RHR of 10 bpm was statistically significantly associated with a 6% increase in the risk of developing cardiovascular mortality (summary RR = 1.06, 95% CI = 1.04-1.08). Thus, we conclude that elevated RHR was significantly associated with an increased risk of cardiovascular mortality. FAU - Li, Yuechun AU - Li Y AD - Department of Cardiology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai, China. LA - eng PT - Journal Article DEP - 20150915 PL - United States TA - Int J Clin Exp Med JT - International journal of clinical and experimental medicine JID - 101471010 PMC - PMC4658911 OTO - NOTNLM OT - Resting heart rate OT - cardiovascular mortality OT - meta-analysis EDAT- 2015/12/03 06:00 MHDA- 2015/12/03 06:01 PMCR- 2015/09/15 CRDT- 2015/12/03 06:00 PHST- 2015/04/13 00:00 [received] PHST- 2015/09/06 00:00 [accepted] PHST- 2015/12/03 06:00 [entrez] PHST- 2015/12/03 06:00 [pubmed] PHST- 2015/12/03 06:01 [medline] PHST- 2015/09/15 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Med. 2015 Sep 15;8(9):15329-39. eCollection 2015.