American Journal of Cardiology
Volume 93, Issue 1 , Pages 10-13 , 1 January 2004

Usefulness of attenuated heart rate recovery immediately after exercise to predict endothelial dysfunction in patients with suspected coronary artery disease

  • Po-Hsun Huang, MD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Hsin-Bang Leu, MD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Jaw-Wen Chen, MD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Chien-Ming Cheng, MD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Chun-Yao Huang, MD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Ta-Chuan Tuan, MD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Philip Yu-An Ding, MD, PhD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
  • ,
  • Shing-Jong Lin, MD, PhD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    • Institute of Clinical Medicine, Taipei, Taiwan
    • Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan
    • Corresponding Author InformationAddress for reprints: Shing-Jong Lin, MD, PhD, Division of Cardiology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan.

Received 8 July 2003 ,Revised 9 September 2003 ,Accepted 9 September 2003.

References 

  1. Corretti MC, Anderson TJ, Benjamin EJ, Celemajer DS, Charbonneau F, Creager MA, et al  Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery. J Am Coll Cardiol. 2002;39:257–265
  2. Cole CR, Blackstone EH, Pashkow FJ, Sander CE, Lauer MS. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med. 1999;341:1351–1357
  3. Nishime EO, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA. 2000;284:1392–1398
  4. Diaz LA, Brunken RC, Blackstone EH, Sander CE, Lauer MS. Independent contribution of myocardial perfusion defects to exercise capacity and heart rate recovery for prediction of all-cause mortality in patients with known or suspected coronary heart disease. J Am Coll Cardiol. 2001;37:1558–1564
  5. Watanabe J, Thamilarasan M, Blackstone EH. Thomas JD, Lauer MS. Heart rate recovery immediately after treadmill exercise and left ventricular systolic function as predictors of mortality (the case of stress echocardiography). Circulation. 2001;104:1911–1916
  6. Imai K, Sato H, Hori M, Kusuoka H, Ozaki H, Yokoyama H, et al. Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol. 1994;24:1529–1535
  7. Darr KC, Bassett DR, Morgan BJ, Thomas DP. Effects of age and training status on heart rate recovery after peak exercise. Am J Physiol. 1988;254:340–343
  8. Tsuji H, Venditti FJ, Manders ES, Evans JC, Larson MG, Feldman CL, et al. Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study. Circulation. 1994;90:878–883
  9. Celermajer DS, Sorensen KE, Bull C, Robinson J, Deanfield JE. Endothelium-dependent dilation in the systemic arteries of asymptomatic subjects related to coronary risk factors and their interaction. J Am Coll Cardiol. 1994;24:1468–1474
  10. Schachinger V, Britten MB, Zeiher AM. Prognostic impact of coronary vasodilator dysfunction on adverse long-term outcome of coronary heart disease. Circulation. 2000;101:1899–1906
  11. Anderson TJ, Uehata A, Gerhard MD, Meredith IT, Knab S, Delagrange D, et al. Close relation of endothelial function in the human coronary and peripheral circulation. J Am Coll Cardiol. 1995;26:1235–1241
  12. Hijmering ML, Stroes ES, Olijhoek J, Hutten BA, Blankestijn PJ, Rabelink TJ. Sympathetic activation markedly reduces endothelium-dependent, flow-mediated vasodilation. J Am Coll Cardiol. 2002;39:683–688
  13. Ghiadoni L, Donald AE, Cropley M, Mullen MJ, Oakley G, Taylor M, et al. Mental stress induces transient endothelial dysfunction in humans. Circulation. 2000;102:2473–2478
  14. Cohn JN, Levine TB, Olivari MT, Garberg V, Lura D, Francies GS, et al. Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure. N Engl J Med. 1984;311:819–823

 This study was partly supported by research grants NSC 91-2314-B-010-059 from the National Science Councils, Taipei; VGH 91-256 and VTY 91-P1-03 from Taipei Veterans General Hospital, Teipei; and CI-91-6-1 from the Yen Tjing-Ling Medical Foundation, Taipei, Taiwan.

PII: S0002-9149(03)01320-1

doi: 10.1016/j.amjcard.2003.09.004

American Journal of Cardiology
Volume 93, Issue 1 , Pages 10-13 , 1 January 2004