Circadian rhythm of heart rate and heart rate variability

M M Massin1, K Maeyns, N Withofs

  • 1Division of Pediatric Cardiology, CHR Citadelle (University of Liège), Boulevard du 12(è) de Ligne, 1, B-4000 Liège, Belgium. martial.massin@chrcitadelle.be

Insights

Children exhibit a daily rhythm in heart rate and heart rate variability (HRV) starting in infancy, linked to sleep maturation and autonomic nervous system development.

Area of Science:

  • Pediatric Cardiology
  • Autonomic Nervous System Physiology
  • Chronobiology

Background:

  • Heart rate variability (HRV) is a key indicator of cardiac autonomic function.
  • Understanding circadian rhythms in HRV is crucial for pediatric health assessment.

Purpose of the Study:

  • To investigate the daily variations in heart rate and HRV in children.
  • To explore the relationship between these rhythms and sleep maturation.

Main Methods:

  • Ambulatory 24-hour Holter monitoring in 57 healthy children (2 months–15 years).
  • Analysis of heart rate and HRV parameters (time and frequency domains) using chronobiological methods.
  • Inclusion of teenagers with diabetes and vagal neuropathy for comparative analysis.

Main Results:

  • Significant circadian rhythms in heart rate and HRV were observed from late infancy/early childhood.
  • Rhythms were characterized by increased variability during sleep, except for the low to high frequency ratio.
  • Circadian variations were associated with sleep maturation and normalized in diabetic patients.

Conclusions:

  • A distinct circadian rhythm of heart rate and HRV exists in children.
  • These findings support the progressive maturation of the autonomic nervous system.
  • Sleep organization and associated sympathetic withdrawal are likely drivers of these observed rhythms.
Abstract

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