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Short term heart rate variability in healthy neonates: normative data and physiological observations
Elke Longin1, Thomas Schaible, Tamara Lenz
1University Children's Hospital, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. elke.longin@kikli.ma.uni-heidelberg.de
Background:
The measurement of heart rate variability (HRV) reveals information on the functional state of the autonomic nervous system (ANS). Moreover, several diseases are known to be accompanied by a reduction in HRV. Currently, there are no data on HRV within larger samples of healthy neonates.
Aim:
This study was initiated to establish normative data of HRV parameters and to assess physiological observations in healthy newborn infants.
Study Design:
We performed 10 min recordings of HRV in 80 healthy neonates. We computed time domain parameters. Furthermore power spectrum analysis was calculated by Fourier Transformation in 3 frequency bands. The total power as well as the peak frequencies was estimated for each band.
Results:
The normative data of each HRV parameter for healthy newborns are presented as mean, standard deviation and the 5th and 95th percentiles. Increasing postnatal age is accompanied by a significant (p<0.05) elevation of HRV parameters. Baroreceptor loop fluctuations were delayed from 0.1 Hz (adults) to 0.07 Hz in healthy newborns. A respiratory peak according to respiratory sinus arrhythmia (RSA) as it is common in adults was not detectable.
Conclusions:
Normative data of HRV allows the interpretation of clinical data in neonatal diseases affecting the ANS. Moreover, we observed physiological deviations in healthy newborns in comparison to adults.
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