成都地区危险因素综合调查-心率及其与心血管病联系-附7288例分析  

Resting Heart Rate and It's Relation to Cardiovascular Disease-7288 Cases Analysis

作　　者：阮蕾[1] 张廷杰[1] 秦方[1] 张静[1] 朱轼[1] 范丽明[1] 叶意[1] 陈明[1] 周兰春[1] 文瑞莲[1] 陈尔琴[1] 谢玲[1] 王文艳[1] 张莉[1] 曾佳[1] 

机构地区：[1]成都市第一人民医院心研室,四川成都610016

出　　处：《高血压杂志》2002年第5期482-484,共3页Chinese Journal of Hypertension

摘　　要：目的　大量研究证明心率增快作为心血管病预测因子及与多种心血管事件与死亡明显相关 ,本研究观察了心率人群特征及其与危险因素联系。方法　采用整群抽样 ,对成都市区有代表性人群进行调查。结果　本组人群心率平均 74 .3次 分 ,高于以往认识的 72次 分 ,女性高于男性 ,心率随年龄增加 ,人群 6 5 %心率低于 80次 ,仅 35 %等于高于 80次 .大量心血管危险因素水平与心率增加有伴随关系 ,如血糖 ,血脂 ,血压 ,体重指数等 ,常是线性增加。多种疾病伴有更快心率。双变量与多变量相关分析表明心率与上述危险因素明显相关。结论　本研究提示心率增快与大量危险因素水平及多种病理状态或疾病尤其高血压有伴随关系 ,尚缺乏心率合适范围的共识与证据 ,值得开展大规模前瞻性研究 ,进一步探讨。Objective Epidemiological data have shown that the increasing heart rate is associated with risk of CVD. Risk is increased further more by the coexistence of related metabolic disturbance. Nevertheless, the importance of heart rate(HR) is still neglected and there was no evidence based consensus on optimal heart rate and classification. The present report is one of a series studies on CV risk factor in Chengdu focusing on the clinical significance of heart rate. Methods In this population based survey, 7288 residents of Chengdu were enrolled. Aged 18～80 years. The population statistical parameters, habits, income, history, physical and laboratory examination were investigated. Results This cohort of population, mean resting heart rate is 74.3 beats/min, or female 75.1 beats/min and male 74 0 beats/min. HR increased with age. In 35% individuals The resting heart rate was higher than 80 beat/min. Increase heart rate (≥80 beat/min) was assoeiatod with several diseases such as hypertension, diabetes, overweight, and metabolic disturbance. Conclusion The present survey supported that increasing of resting heart rate is associated with several eardivascular diseases . The clinical significance of HR should not be neglected. The optimal heart rate seema to be less than 80 beat/min. To reevaluate the optimal and classification of heart rate, and the underline mechanism is an important clinical issue.

关 键 词：成都地区 危险因素 综合调查 心率 心血管病 

分 类 号：R540.1[医药卫生—心血管疾病]