Table 2.
Hazard Ratio of Elevated Heart Rate Versus Normal Heart Rate in Time to Death or Transplant
|
Outcome |
Model 1 (N=557) |
Model 2 (N=557) |
Model 3 (N=556) |
Model 4 (N=451) |
Model 5 (N=436) |
Model 6 (N=451/451/451) |
|---|---|---|---|---|---|---|
| Death | 2.27 (1.45–3.56) <0.001 | 2.28 (1.45–3.58) <0.001 | 2.01 (1.27–3.19) 0.003 | 2.26 (1.35–3.79) 0.002 | 2.32 (1.33–4.04) 0.003 | 2.60 (1.55–4.36) <0.001 |
| Transplant | 1.60 (1.15–2.22) 0.006 | 1.47 (1.06–2.06) 0.023 | 1.19 (0.84–1.68) 0.323 | 1.20 (0.82–1.77) 0.353 | 1.10 (0.73–1.63) 0.656 | 1.20 (0.82–1.77) 0.353 |
| Death or transplant | 1.81 (1.39–2.35) <0.001 | 1.71 (1.31–2.24) <0.001 | 1.44 (1.09–1.89) 0.01 | 1.50 (1.10–2.05) 0.001 | 1.41 (1.02–1.95) 0.035 | 1.50 (1.10–2.06) 0.012 |
Data presented are hazard ratios (95% CIs) and P values. Covariates were included based on statistical (bivariate association with heart rate group P<0.05) or clinical significance. Model 1 is univariate Cox regression model with heart rate (HR) variable (elevated HR vs normal HR) only. Model 2 adjusts for age at diagnosis. Model 3 further adjusts for congestive heart failure (Yes/No) in addition to covariates in Model 2. Model 4 further adjusts for left ventricular fractional shortening (LVFS) z score in addition to covariates included in Model 3. Model 5 further adjusts for medication (including anticongestive therapy, antiarrhythmic, angiotensin‐converting enzyme [ACE] inhibitor, and beta blocker) in addition to covariates included in Model 4. Model 6 is based on backwards model selection; all covariates deemed statistically or clinically significant were included in the initial model. The final model for death outcome adjusts for LVFS z score and ACE inhibitor use; the final model for heart transplant outcome adjusts for LVFS z score, age at diagnosis, and congestive heart failure; the final model for death or heart transplant outcomes adjusts for LVFS z score, age at diagnosis, congestive heart failure, and ACE inhibitor use.