Heart Rate Recovery Assessed by Cardiopulmonary Exercise Testing in Patients with Cardiovascular Disease: Relationship with Prognosis

Amy Dewar, Lindsy Kass, Robert C. M. Stephens, Nicholas Tetlow, Terun Desai, Joanna Baran (Editor), Justyna Leszczak (Editor)

Research output: Contribution to journalReview articlepeer-review

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Abstract

Background: The use of exercise testing has expanded in recent decades and there is a wealth of information examining the prognostic significance of exercise variables, such as peak oxygen consumption or ventilatory measures whilst exercising. However, a paucity of research has investigated the use of recovery-derived parameters after exercise cessation. Heart rate recovery (HRR) has been considered a measure of the function of the autonomic nervous system and its dysfunction is associated with cardiovascular risk. Objectives: We aim to provide an overview of the literature surrounding HRR and its prognostic significance in patients with cardiovascular disease undertaking an exercise test. Data Sources: In December 2020, searches of PubMed, Scopus, and ScienceDirect were performed using key search terms and Boolean operators. Study Selection: Articles were manually screened and selected as per the inclusion criteria. Results: Nineteen articles met inclusion criteria and were reviewed. Disagreement exists in methodologies used for measuring and assessing HRR. However, HRR provides prognostic mortality information for use in clinical practice. Conclusions: HRR is a simple, non-invasive measure which independently predicts mortality in patients with heart failure and coronary artery disease; HRR should be routinely incorporated into clinical exercise testing.
Original languageEnglish
Article number4678
Pages (from-to)1-13
Number of pages13
JournalInternational Journal of Environmental Research and Public Health (IJERPH)
Volume20
Issue number6
Early online date7 Mar 2023
DOIs
Publication statusPublished - 7 Mar 2023

Keywords

  • Review
  • heart rate recovery
  • exercise testing
  • heart failure
  • coronary artery disease
  • prognosis
  • Exercise Test/methods
  • Cardiovascular Diseases
  • Heart Rate/physiology
  • Humans
  • Heart Failure
  • Coronary Artery Disease

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