{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T01:42:38Z","timestamp":1791164558140,"version":"4.1.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T00:00:00Z","timestamp":1419206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Boehringer Ingelheim, Germany"},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Intern Med"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Resting heart rate (<jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content>) is associated with cardiovascular disease outcomes in high\u2010risk patients. It is not known whether <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> is predictive of renal outcomes such as albuminuria, end\u2010stage renal disease (<jats:styled-content style=\"fixed-case\">ESRD<\/jats:styled-content>) or doubling of creatinine. We evaluated whether <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> could predict renal endpoints in patients at a high risk of cardiovascular disease. We also tested the effects of <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> at different levels of systolic blood pressure (<jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed data from 28\u00a0757 patients in the ONTARGET and TRANSCEND trials. <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> were available for a mean of 4.9\u00a0\u00b1\u00a00.4 visits (range 3\u20135) within the first 2\u00a0years of the studies. Albuminuria was determined at baseline, at 2\u00a0years and at study end.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> was predictive of incident micro\u2010albuminuria [hazard ratio (HR) for <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> \u226580 vs. &lt;60 beats\u00a0min<jats:sup>\u22121<\/jats:sup> 1.49, 95% confidence interval (CI) 1.29\u20131.71, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001], incident macro\u2010albuminuria (HR 1.84, 95% CI 1.39\u20132.42, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001), doubling of creatinine (HR 1.47, 95% CI 1.00\u20132.17, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.050) and <jats:styled-content style=\"fixed-case\">ESRD<\/jats:styled-content> (HR 1.78, 95% CI 1.00\u20133.16, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.050), and the combined renal end\u2010point (HR 1.51, 95% CI 1.32\u20131.74, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001). Associations were robust at <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content>s from &lt;120 to \u2265150\u00a0mmHg, with the lowest risk at a <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> of 130\u2013140\u00a0mmHg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Resting heart rate is a potent predictor of these renal outcomes, as well as their combination, in patients with cardiovascular disease. <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content> at all <jats:styled-content style=\"fixed-case\">SBP<\/jats:styled-content> levels should be considered as a possible renal disease risk predictor and should be investigated as a treatment target with <jats:styled-content style=\"fixed-case\">RHR<\/jats:styled-content>\u2010reducing agents<jats:bold>.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1111\/joim.12333","type":"journal-article","created":{"date-parts":[[2014,11,27]],"date-time":"2014-11-27T15:30:47Z","timestamp":1417102247000},"page":"38-49","source":"Crossref","is-referenced-by-count":45,"title":["Resting heart rate is associated with renal disease outcomes in patients with vascular disease: results of the <scp>ONTARGET<\/scp> and <scp>TRANSCEND<\/scp> studies"],"prefix":"10.1111","volume":"278","author":[{"given":"M.","family":"B\u00f6hm","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin III Universit\u00e4tsklinikum des Saarlandes Homburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Schumacher","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Ingelheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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