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. 2022 Oct 25;17(10):e0276585. doi: 10.1371/journal.pone.0276585

Table 3. Cox proportional hazard ratio with 95% CI of incident hospitalized HFpEF events by quartiles of baseline RMSSD, SDNN and rHR.

Quartiles HFpEF (n = 27,606)
n Person-years Rate per 1000 person-years (95% CI) Model 1 HR (95% CI) Model 2 HR (95% CI) Model 3 HR (95% CI)
RMSSD (ms)
Q1 (1.24–10.51) 303 101,456 2.98 (2.66–3.33) 1.18 (0.99–1.40) 1.16 (0.96–1.38) 1.16 (0.97–1.39)
Q2 255 104,954 2.43 (2.14–2.74) 1.02 (0.85–1.21) 1.02 (0.85–1.23) 1.02 (0.84–1.23)
Q3 221 113,193 1.95 (1.71–2.22) 0.90 (0.75–1.08) 0.94 (0.74–1.14) 0.95 (0.78–1.16)
Q4 (ref) (25.61–361.23) 246 117,743 2.08 (1.84–2.36) 1 1 1
P-trend 0.098 0.176 0.175
SDNN (ms)
Q1 (0.91–10.19) 318 101,394 3.13 (2.80–3.49) 1.31 (1.11–1.56)* 1.22 (1.02–1.47)* 1.22 (1.02–1.47)*
Q2 254 106,634 2.38 (2.10–2.68) 1.10 (0.91–1.31) 1.06 (0.87–1.28) 1.05 (0.87–1.28)
Q3 227 113,240 2.00 (1.75–2.27) 0.98 (0.92–1.18) 0.96 (0.79–1.17) 0.96 (0.79–1.16)
Q4 (ref) (24.17–313.20) 226 116,079 1.94 (1.70–2.21) 1 1 1
P-trend 0.004 0.042 0.043
rHR (bpm)
Q1 (Ref) (33–59) 235 113,786 2.06 (1.81–2.34) 1 1 1
Q2 229 106,019 2.16 (1.89–2.45) 1.07 (0.89–1.28) 1.11 (0.91–1.35) 1.11 (0.91–1.35)
Q3 255 110,205 2.31 (2.04–2.61) 1.14 (0.95–1.36) 1.12 (0.92–1.36) 1.12 (0.92–1.36)
Q4 (73–123) 306 107,335 2.85 (2.54–3.18) 1.54 (1.30–1.82)* 1.34 (1.11–1.62)* 1.34 (1.11–1.62)*
P-trend <0.001 <0.002 0.002

Model 1: adjusted for age and race

Model 2: Model 1 + adjusted for smoking status, alcohol, education, physical activity, BMI, hyperlipidemia, hypertension, diabetes mellitus, LVH, beta-blocker use, calcium channel blocker use, hormone therapy use

Model 3: model 2 + adjusted for time-varying incident CHD

Bpm: beats per minute; HFpEF: heart failure with preserved ejection fraction; ms: millisecond; SDNN: standard deviation of normal-to-normal RR interval; RMSSD: root mean square of successive difference of RR intervals; rHR: resting heart rate

*p < 0.05