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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Excessive heart rate increase during mild mental stress in preparation for exercise predicts sudden death in the general population
European Heart Journal, Volume 30, No. 14, Year 2009
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Description
AimsThe aim of this study involves the early identification, among apparently healthy individuals, of those at high risk for sudden cardiac death. We tested the hypothesis that individuals who respond to mild mental stress in preparation for exercise test with the largest heart rate increases might be at highest risk.Methods and resultsData from 7746 civil servants participating in the Paris Prospective Study I, followed-up for 23 years, allowed to compare heart rate changes between rest and mild mental stress (preparation prior to an exercise test) between subjects who suffered sudden cardiac death (n = 81), non-sudden (n = 129) coronary death, or death from any cause (n = 1306). The mean heart rate increase during mild mental stress was 8.9 ± 10.8 b.p.m. Risk of sudden cardiac death increased progressively with heart rate increase during mental stress and the relative risk of the third vs. the first tertile was 2.09 (95 confidence interval, 1.13-3.86) after adjustment for confounders. This relationship was not observed for non-sudden coronary death.ConclusionAn important heart rate increase produced by a mild mental stress predicts long-term risk for sudden cardiac death. Heart rate changes before an exercise test may provide a simple tool for risk stratification. All rights reserved. © The Author 2009.
Authors & Co-Authors
Jouven, Xavier P.
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
France, Villejuif
Hopital Paul-brousse
Schwartz, Peter J.
Italy, Pavia
Università Degli Studi Di Pavia
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Italy, Milan
Irccs Istituto Auxologico Italiano
South Africa, Stellenbosch
Stellenbosch University
South Africa, Cape Town
University of Cape Town
Escolano, Sylvie
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
France, Villejuif
Hopital Paul-brousse
Straczek, Celine
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
France, Villejuif
Hopital Paul-brousse
Tafflet, Muriel
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
France, Villejuif
Hopital Paul-brousse
Desnos, Michel
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
Empana, Jean Philippe
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
France, Villejuif
Hopital Paul-brousse
Ducimetiére, Pierre P.
France, Paris
Hôpital Européen Georges-pompidou
France, Paris
Université Paris Cité
France, Villejuif
Hopital Paul-brousse
Statistics
Citations: 55
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1093/eurheartj/ehp160
ISSN:
0195668X
e-ISSN:
15229645
Research Areas
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study