Araştırma Makalesi
BibTex RIS Kaynak Göster

Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction

Yıl 2011, Cilt: 2011 Sayı: 2, 148 - 150, 01.02.2011
https://doi.org/10.5174/tutfd.2009.03323.4

Öz

Objective: Heart rate variability (HRV) is a noninvasive index of neural activity of the heart. This study assessed the heart-rate variability response in children with severe upper airway obstruction. Material and Methods: A prospective trial was carried out in 15 children with severe adenoid and/or tonsil hypertrophy, compared to 15 age matched healthy children in order to attempt to relate such changes. Frequency domain measurements of the high and low frequency bands and the ratio low frequency/high frequency were derived from Holter electrocardiography recordings and computed by Fast Fourier analysis for five minute intervals. Time domain measurements were derived from 24 hour Holter recordings. Results: All spectral analysis of heart rate variability was altered in both preoperative and postoperative (three months after the operation) recordings compared to the control group. In both groups, time domain indices were significantly lower compared to the control group. Mean R-R values were signifi cantly reduced in pre and postoperative groups compared with control group, with the night time mean R-R values being significantly lower (p<0.05). These results indicate the increased frequency domain parameters in two groups. Conclusion: In this study, patients demonstrated altered volume loads and autonomic response. Further studies are needed to assess when such cardiac findings normalize upon relief of the upper airway obstruction.

Kaynakça

  • Lim J, McKean MC. Adenotonsillectomy for obstructive sleep ap- noea in children. Cochrane Database Syst Rev 2009;2:CD003136.
  • Duman D, Naiboglu B, Esen HS, Toros SZ, Demirtunc R. Impaired right ventricular function in adenotonsillar hypertrophy. Int J Car- diovasc Imaging 2008;24:261-7.
  • Naiboglu B, Deveci S, Duman D, Kaya KS, Toros S, Kinis V, et al. Effect of upper airway obstruction on pulmonary arterial pressure in children. Int J Pediatr Otorhinolaryngol 2008;72:1425-9.
  • Parati G, Di Rienzo M, Bonsignore MR, Insalaco G, Marrone O, Castiglioni P, et al. Autonomic cardiac regulation in obstructive sleep apnea syndrome: evidence from spontaneous barorefl ex analysis during sleep. J Hypertension 1997;15:1621-6.
  • Lucet V, Toumieux MC, Pajot N, Monod N. Paroxysmal va- gal hypertonia in infants. Apropos of 14 cases. Arch Fr Pediatr 1984;41:527-31.
  • Longin E, Dimitriadis C, Shazi S, Gerstner T, Lenz T, König S. Au- tonomic Nervous System Function in Infants and Adolescents: Impact of Autonomic Tests on Heart Rate Variability. Pediatr Car- diol 2009;30:311-24.
  • Massin M, Von Bernuth G. Normal ranges of heart rate variability during infancy and childhood. Pediatr Cardiol 1997;18:297-302.
  • Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, et al. Power spectral analysis of heart rate and arterial pressure variability as a marker of sympato-vagal interaction in man and conscious dog. Circ Res 1986;59:178-93.
  • Gordon D, Herrera VL, McAlpine L, Cohen RJ, Akselrod R, Lang P, et al. Heart rate spectral analysis: a noninvasive probe of cardiovascular regulation in critically ill children with heart dis- ease. Pediatr Cardiol 1988;9:69-77.
  • Aydin M, Altin R, Ozeren A, Kart L, Bilge M, Unalacak M. Cardiac autonomic activity in obstructive sleep apnea: time-dependent and spectral analysis of heart rate variability using 24-hour Holter electrocardiograms. Tex Heart Inst J 2004;31:132-6.
  • Yilmaz F, Gunduz H, Karaaslan K, Arinc H, Cosgun M, Sessiz N, et al. Holter analyses in children with adenotonsillar hypertrophy. Interna- tional Journal of Pediatric Otorhinolaryngology 2006;8:1443-7.

Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction

Yıl 2011, Cilt: 2011 Sayı: 2, 148 - 150, 01.02.2011
https://doi.org/10.5174/tutfd.2009.03323.4

Öz

Kaynakça

  • Lim J, McKean MC. Adenotonsillectomy for obstructive sleep ap- noea in children. Cochrane Database Syst Rev 2009;2:CD003136.
  • Duman D, Naiboglu B, Esen HS, Toros SZ, Demirtunc R. Impaired right ventricular function in adenotonsillar hypertrophy. Int J Car- diovasc Imaging 2008;24:261-7.
  • Naiboglu B, Deveci S, Duman D, Kaya KS, Toros S, Kinis V, et al. Effect of upper airway obstruction on pulmonary arterial pressure in children. Int J Pediatr Otorhinolaryngol 2008;72:1425-9.
  • Parati G, Di Rienzo M, Bonsignore MR, Insalaco G, Marrone O, Castiglioni P, et al. Autonomic cardiac regulation in obstructive sleep apnea syndrome: evidence from spontaneous barorefl ex analysis during sleep. J Hypertension 1997;15:1621-6.
  • Lucet V, Toumieux MC, Pajot N, Monod N. Paroxysmal va- gal hypertonia in infants. Apropos of 14 cases. Arch Fr Pediatr 1984;41:527-31.
  • Longin E, Dimitriadis C, Shazi S, Gerstner T, Lenz T, König S. Au- tonomic Nervous System Function in Infants and Adolescents: Impact of Autonomic Tests on Heart Rate Variability. Pediatr Car- diol 2009;30:311-24.
  • Massin M, Von Bernuth G. Normal ranges of heart rate variability during infancy and childhood. Pediatr Cardiol 1997;18:297-302.
  • Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, et al. Power spectral analysis of heart rate and arterial pressure variability as a marker of sympato-vagal interaction in man and conscious dog. Circ Res 1986;59:178-93.
  • Gordon D, Herrera VL, McAlpine L, Cohen RJ, Akselrod R, Lang P, et al. Heart rate spectral analysis: a noninvasive probe of cardiovascular regulation in critically ill children with heart dis- ease. Pediatr Cardiol 1988;9:69-77.
  • Aydin M, Altin R, Ozeren A, Kart L, Bilge M, Unalacak M. Cardiac autonomic activity in obstructive sleep apnea: time-dependent and spectral analysis of heart rate variability using 24-hour Holter electrocardiograms. Tex Heart Inst J 2004;31:132-6.
  • Yilmaz F, Gunduz H, Karaaslan K, Arinc H, Cosgun M, Sessiz N, et al. Holter analyses in children with adenotonsillar hypertrophy. Interna- tional Journal of Pediatric Otorhinolaryngology 2006;8:1443-7.
Toplam 11 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Berna Şaylan Bu kişi benim

Ayhan Çevik Bu kişi benim

Vedide Tavlı Bu kişi benim

Ayça Vitrinel Bu kişi benim

Yayımlanma Tarihi 1 Şubat 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 2011 Sayı: 2

Kaynak Göster

APA Şaylan, B., Çevik, A., Tavlı, V., Vitrinel, A. (2011). Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction. Balkan Medical Journal, 2011(2), 148-150. https://doi.org/10.5174/tutfd.2009.03323.4
AMA Şaylan B, Çevik A, Tavlı V, Vitrinel A. Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction. Balkan Medical Journal. Şubat 2011;2011(2):148-150. doi:10.5174/tutfd.2009.03323.4
Chicago Şaylan, Berna, Ayhan Çevik, Vedide Tavlı, ve Ayça Vitrinel. “Spectral and Time-Domain Analyses of Heart-Rate Variability in Children With Severe Upper Airway Obstruction”. Balkan Medical Journal 2011, sy. 2 (Şubat 2011): 148-50. https://doi.org/10.5174/tutfd.2009.03323.4.
EndNote Şaylan B, Çevik A, Tavlı V, Vitrinel A (01 Şubat 2011) Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction. Balkan Medical Journal 2011 2 148–150.
IEEE B. Şaylan, A. Çevik, V. Tavlı, ve A. Vitrinel, “Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction”, Balkan Medical Journal, c. 2011, sy. 2, ss. 148–150, 2011, doi: 10.5174/tutfd.2009.03323.4.
ISNAD Şaylan, Berna vd. “Spectral and Time-Domain Analyses of Heart-Rate Variability in Children With Severe Upper Airway Obstruction”. Balkan Medical Journal 2011/2 (Şubat 2011), 148-150. https://doi.org/10.5174/tutfd.2009.03323.4.
JAMA Şaylan B, Çevik A, Tavlı V, Vitrinel A. Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction. Balkan Medical Journal. 2011;2011:148–150.
MLA Şaylan, Berna vd. “Spectral and Time-Domain Analyses of Heart-Rate Variability in Children With Severe Upper Airway Obstruction”. Balkan Medical Journal, c. 2011, sy. 2, 2011, ss. 148-50, doi:10.5174/tutfd.2009.03323.4.
Vancouver Şaylan B, Çevik A, Tavlı V, Vitrinel A. Spectral and Time-Domain Analyses of Heart-Rate Variability in Children with Severe Upper Airway Obstruction. Balkan Medical Journal. 2011;2011(2):148-50.