Document Detail


Infants with univentricular heart have reduced heart rate and blood pressure responses to side motion and altered responses to head-up tilt.
MedLine Citation:
PMID:  15649877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular control was studied in infants with univentricular heart (UVH). Side motion tests and 45-s 45 degrees head-up tilt tests were performed in 11 control and 9 UVH infants at the age of 13 +/- 3.2 wk. In addition, heart rate (HR) reactions to spontaneous arousals and HR variability during slow-wave sleep (SWS) were determined. All UVH infants had been hypoxic for several weeks, and during the sleep study the mean arterial oxyhemoglobin saturation was 82 +/- 5%. Tests were done at night during SWS, confirmed by polysomnographic recording. Continuous beat-to-beat blood pressure (BP) was measured. In the side-motion tests, control infants consistently showed a transient increase in HR and BP. This response was markedly reduced in all of the UVH infants (P < 0.0001). In tilt tests, the UVH infants showed normal BP responses, but, although a sustained 2.0% decrease in HR was observed in the controls, the UVH infants presented with a sustained 2.6% mean HR increase (P = 0.005). The UVH infants also showed attenuated HR acceleration during spontaneous arousals (P = 0.01), but HR variability did not differ significantly from the controls. In conclusion, UVH infants with chronic hypoxia exhibit defective vestibulosympathetic pathways, as expressed by an absence of acute HR and BP reactivity to side motion. HR reactions to postural challenge and spontaneous arousal are also altered. Autonomic function abnormalities in these infants are suggested to be secondary to hypoxia.
Authors:
Turkka Kirjavainen; Suvi Viskari; Olli Pitkänen; Eero Jokinen
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  98     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-14     Completed Date:  2005-05-24     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol (1985)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  518-25     Citation Subset:  IM    
Affiliation:
Hospital for Children and Adolescents, PO Box 281, 00029 HUS, Finland. turkka.kirjavainen@hus.fi
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MeSH Terms
Descriptor/Qualifier:
Anoxia / etiology,  physiopathology*
Arousal*
Blood Pressure*
Chronic Disease
Female
Heart Rate
Heart Ventricles / abnormalities*,  physiopathology*
Homeostasis
Humans
Infant, Newborn
Male
Movement
Physical Stimulation / methods*
Posture
Tilt-Table Test / methods

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


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