Table 4.
Association of Borderline Abnormal and Abnormal SDNN and rMSSD with Incident CVD and All-Cause Mortality (N=6,332)
| Outcome | Measure | Category* | Model 1† HR (95%CI)  | 
P-value | Model 2‡ HR (95%CI)  | 
P-value | 
|---|---|---|---|---|---|---|
| Cardiovascular Disease | SDNN | Borderline Abnormal | 1.55 (1.18, 2.04) | 0.0015 | 1.37 (1.04, 1.80) | 0.025 | 
| Abnormal | 1.99 (1.39, 2.87) | 0.0002 | 1.64 (1.14, 2.37) | 0.0083 | ||
| rMSSD | Borderline Abnormal | 1.53 (1.16, 2.03) | 0.0027 | 1.34 (1.01, 1.77) | 0.043 | |
| Abnormal | 1.81 (1.20, 2.74) | 0.0049 | 1.57 (1.04, 2.39) | 0.034 | ||
| All-Cause Mortality | SDNN | Borderline Abnormal | 1.54 (1.27, 1.89) | <0.0001 | 1.48 (1.22, 1.81) | 0.0001 | 
| Abnormal | 1.89 (1.44, 2.47) | <0.0001 | 1.78 (1.35, 2.33) | <0.0001 | ||
| rMSSD | Borderline Abnormal | 1.43 (1.16, 1.77) | 0.0007 | 1.37 (1.11, 1.69) | 0.0038 | |
| Abnormal | 1.59 (1.16, 2.18) | 0.0043 | 1.53 (1.11, 2.11) | 0.0087 | 
Borderline abnormal and abnormal values defined as <5th and <2nd percentiles for the sex- and race-specific references ranges, respectively.
Adjusted for age, sex, race/ethnicity, income, and education.
Adjusted for Model 1 covariates plus systolic blood pressure, high-density lipoprotein cholesterol, total cholesterol, body mass index, smoking, diabetes, antihypertensive medications, statins, aspirin, and left ventricular hypertrophy.
CVD=cardiovascular disease; SDNN=standard deviation of all normal-to-normal R-R intervals; rMSSD=root mean square of successive differences between normal-to-normal R-R intervals.