Document Detail


Blood pressure and heart rate patterns during sleep are altered in preterm-born infants: implications for sudden infant death syndrome.
MedLine Citation:
PMID:  19047224     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Preterm infants are at an increased risk of sudden infant death syndrome, which may result from immature autonomic control of heart rate and blood pressure. Previous studies have demonstrated that preterm infants have altered heart rate and blood pressure control at term-equivalent age; however, little information is available beyond this age. The aim of this study was to determine the effect of preterm birth on heart rate and blood pressure control over the first 6 months of life after reaching term-equivalent age, including the age at which sudden infant death syndrome risk is increased, to understand the pathogenesis of sudden infant death syndrome. METHODS: Preterm (n=25) and term (n=20) infants were studied longitudinally at 2 to 4 weeks', 2 to 3 months', and 5 to 6 months' term-corrected age by using daytime polysomnography. A photoplethysmographic cuff (Finometer) around the infant's wrist measured blood pressure during quiet and active sleep. RESULTS: Blood pressure was lower in the preterm group during both quiet and active sleep at all ages studied. In contrast, there were no differences between groups in heart rate. Within the infants in the preterm group, blood pressure averaged lower at 2 to 3 months' corrected age compared with both 2 to 4 weeks' and 5 to 6 months' corrected age and was lower in quiet sleep compared with active sleep at all ages studied. Heart rate decreased with increasing age and was lower in quiet sleep compared with active sleep at 5 to 6 months' corrected age. CONCLUSIONS: Sleep state and age affect heart rate and blood pressure patterns in prematurely born infants over the first 6 months of term-corrected age. It is notable that preterm infants had persistently lower blood pressure compared with age-matched term infants, signifying long-term alterations in cardiovascular control in infants born prematurely.
Authors:
Nicole B Witcombe; Stephanie R Yiallourou; Adrian M Walker; Rosemary S C Horne
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  122     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-02     Completed Date:  2009-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1242-8     Citation Subset:  AIM; IM    
Affiliation:
Ritchie Centre for Baby Health Research, Monash Institute of Medical Research, Monash University, Melbourne, Level 5, Monash Medical Centre, 246 Clayton Rd, Clayton, Victoria 3168, Australia.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Blood Pressure / physiology*
Blood Pressure Determination
Child Development / physiology*
Cohort Studies
Female
Follow-Up Studies
Gestational Age
Heart Rate / physiology*
Humans
Incidence
Infant, Newborn
Infant, Premature*
Male
Polysomnography
Predictive Value of Tests
Reference Values
Regression Analysis
Risk Assessment
Sleep / physiology
Sudden Infant Death / epidemiology*,  etiology
Term Birth
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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