About: Heart rate variability is depressed in the early transitional period for newborns with complex congenital heart disease

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About: Heart rate variability is depressed in the early transitional period for newborns with complex congenital heart disease Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Heart rate variability is depressed in the early transitional period for newborns with complex congenital heart disease
Creator	Christopher, · Baker, · Du Plessis, Adre Govindan, Rathinaswamy Hitchings, Laura Krishnan, Anita Larry Maxwell, · Metzler, Marina Mulkey, Sarah Org, Sbmulkey@childrensnational Swisher, B Wang, Yunfei
topic	covid:978261fb6f299705f06509141c6d444244d35b17#this
Source	PMC
abstract	PURPOSE: To compare early changes in autonomic nervous system (ANS) tone between newborns with complex congenital heart disease (CHD) and newborns without CHD. METHODS: We performed a case–control study of heart rate variability (HRV) in newborns with complex CHD [transposition of the great arteries (TGA) or hypoplastic left heart syndrome (HLHS)] and low-risk control newborns without CHD. Cases with CHD were admitted following birth to a pediatric cardiac intensive care unit and had archived continuous ECG data. Control infants were prospectively enrolled at birth. ECG data in cases and controls were analyzed for HRV in the time and frequency domains at 24 h of age. We analyzed the following HRV metrics: alpha short (α(s)), alpha long (α(L)), root mean square short and long (RMS(s) and RMS(L)), low-frequency (LF) power, normalized LF (nLF), high-frequency (HF) power, and normalized HF (nHF). We used ANOVA to compare HRV metrics between groups and to control for medication exposures. RESULTS: HRV data from 57 infants with CHD (TGA, n = 33 and HLHS, n = 24) and from 29 controls were analyzed. The HRV metrics α(S), RMS(L), LF, and nLF were significantly lower in infants with CHD than in the controls. Due to the effect of normalization, nHF was higher in CHD infants (P < 0.0001), although absolute HF was lower (P = 0.0461). After adjusting for medications, α(S) and nLF remained lower and nHF higher in newborns with CHD (P < 0.0005). CONCLUSIONS: Infants with complex CHD have depressed autonomic balance in the early postnatal period, which may complicate the fetal–neonatal transition.
has issue date	2019-06-25(xsd:dateTime)
bibo:doi	10.1007/s10286-019-00616-w
bibo:pmid	31240423
has license	no-cc
sha1sum (hex)	978261fb6f299705f06509141c6d444244d35b17
schema:url	https://doi.org/10.1007/s10286-019-00616-w
resource representing a document's title	Heart rate variability is depressed in the early transitional period for newborns with complex congenital heart disease
has PubMed Central identifier	PMC6930356
has PubMed identifier	31240423
schema:publication	Clin Auton Res
resource representing a document's body	covid:978261fb6f299705f06509141c6d444244d35b17#body_text
is http://vocab.deri.ie/void#inDataset of	https://covidontheweb.inria.fr:4443/about/id/http/ns.inria.fr/covid19/978261fb6f299705f06509141c6d444244d35b17
is schema:about of	named entity 'Cases' named entity 'normalization' named entity 'newborns' named entity 'newborns' named entity 'Heart rate variability' named entity 'depressed' named entity 'ECG DATA' named entity 'USED' covid:arg/978261fb6f299705f06509141c6d444244d35b17 named entity 'newborns' named entity 'power' named entity 'congenital heart disease' named entity 'RMS' named entity 'infants' named entity 'CHD' named entity 'CHD' named entity 'TGA' named entity 'power' named entity 'cardiac' named entity 'complex' named entity 'remained' named entity 'alpha' named entity 'CHD' named entity 'ECG' named entity 'HRV' named entity 'HRV' named entity 'heart rate variability' named entity 'ECG' named entity 'CHD' named entity 'hypoperfusion' named entity 'ANS' named entity 'CHD' named entity 'HLHS' named entity 'CHD' named entity 'HRV' named entity 'HLHS' named entity 'Declaration of Helsinki' named entity 'Mechanical ventilation' named entity 'HLHS' named entity 'hypoxemia' named entity 'CHD' named entity 'ECGs' named entity 'root mean square' named entity 'RMS' named entity 'RMS' named entity 'fetal development' named entity 'depression' named entity 'aorta' named entity 'parasympathetic' named entity 'prenatal' named entity 'CHD' named entity 'HRV' named entity 'periodogram' named entity 'CHD' named entity 'CHD' named entity 'transposition of the great arteries' named entity 'homeostasis' named entity 'cardiac intensive care' named entity 'autonomic tone' named entity 'nutrient' named entity 'depression' named entity 'HRV' named entity 'RRi' named entity 'gestational age' named entity 'hypoxemic' named entity 'clinical characteristics' named entity 'ANS' named entity 'HRV'

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