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. 2019 Apr 25;9:6556. doi: 10.1038/s41598-019-43045-5

Table 3.

Adjusted hazard ratios (HRs) for cardiovascular events by change of heart rate in men and women.

Outcomes <−5 bpm −5 to 15 bpm >15 bpm
CVD
   All
     Events/Person-years 215/5791 712/20235 163/4814
     AHR (95% CI)a 1.02 (0.87–1.20) Reference 0.91 (0.77–1.09)
   Men
     Events/Person-years 113/2775 339/8191 81/1870
     AHR (95% CI)a 0.93 (0.74–1.17) Reference 1.06 (0.83–1.36)
   Women
     Events/Person-years 102/3016 373/12044 82/2944
     AHR (95% CI)a 1.13 (0.89–1.43) Reference 0.80 (0.63–1.02)
CHD
   All
     Events/Person-years 179/5855 584/20432 135/4847
     AHR (95% CI)a 1.03 (0.86–1.23) Reference 0.92 (0.76–1.12)
   Men
     Events/Person-years 90/2812 265/8288 63/1897
     AHR (95% CI)a 0.92 (0.72–1.19) Reference 1.07 (0.81–1.41)
    Women
     Events/Person-years 89/3043 319/12144 72/2950
     AHR (95% CI)a 1.14 (0.89–1.47) Reference 0.83 (0.64–1.07)
ACS
   All
     Events/Person-years 68/5855 181/20432 43/4847
     AHR (95% CI)a 1.21 (0.90–1.63) Reference 0.93 (0.66–1.30)
   Men
     Events/Person-years 42/2812 86/8288 24/1897
     AHR (95% CI)a 1.31 (0.88–1.94) Reference 1.18 (0.75–1.88)
   Women
     Events/Person-years 26/3043 95/12144 19/2950
     AHR (95% CI)a 1.11 (0.69–1.76) Reference 0.73 (0.44–1.21)
Stroke
   All
     Events/Person-years 36/6103 128/21308 28/5068
     AHR (95% CI)a 0.96 (0.65–1.43) Reference 0.89 (0.59–1.35)
   Men
     Events/Person-years 23/2929 74/8636 18/1967
     AHR (95% CI)a 0.95 (0.58–1.56) Reference 1.05 (0.63–1.78)
   Women
     Events/Person-years 13/3174 54/12672 10/3101
     AHR (95% CI)a 0.98 (0.51–1.86) Reference 0.72 (0.36–1.42)
Ischemic stroke
   All
     Events/Person-years 29/6103 103/21308 22/5068
     AHR (95% CI)a 0.91 (0.59–1.42) Reference 0.87 (0.55–1.39)
   Men
     Events/Person-years 18/2929 58/8636 15/1967
     AHR (95% CI)a 0.91 (0.52–1.60) Reference 1.12 (0.63–1.99)
   Women
     Events/Person-years 11/3174 45/12672 7/3101
     AHR (95% CI)a 0.91 (0.45–1.86) Reference 0.60 (0.27–1.34)
Hemorrhagic stroke
   All
     Events/Person-years 7/6103 25/21308 6/5068
     AHR (95% CI)a 1.19 (0.49–2.91) Reference 0.98 (0.40–2.40)
   Men
     Events/Person-years 5/2929 16/8636 3/1967
     AHR (95% CI)a 1.11 (0.38–3.24) Reference 0.80 (0.23–2.79)
   Women
     Events/Person-years 2/3174 9/12672 3/3101
     AHR (95% CI)a 1.35 (0.27–6.75) Reference 1.30 (0.34–4.92)

Abbreviations: CVD, cardiovascular disease; CHD, coronary heart disease; ACS, acute coronary syndrome; AHR, adjusted hazard ratio.

aHazard ratios were stratified for age at risk, gender, and adjusted for baseline heart rate, BMI, smoking status, alcohol intake status, education, physical activity, hypertension, hyperlipidemia, family history of CVD, diabetes.