(WFRF:(Wiklund Urban))
Sökning: (WFRF:(Wiklund Urban)) > Changes in Heart Ra...
- 11 av 312
- Föregående post
- Nästa post
- Till träfflistan
Changes in Heart Rate and Heart Rate Variability During Surgical Stages to Completed Fontan Circulation
-
- Alenius Dahlqvist, Jenny, 1972- (författare)
- Umeå universitet,Pediatrik
-
- Wiklund, Urban (författare)
- Umeå universitet,Radiofysik
-
- Karlsson, M. (författare)
- Umeå universitet,Radiofysik
- visa fler...
- visa färre...
- (creator_code:org_t)
- 2021-04-10
- 2021
- Engelska.
- Ingår i: Pediatric Cardiology. - : Springer Science and Business Media LLC. - 0172-0643 .- 1432-1971. ; 42:5, s. 1162-1169
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- Arrhythmia is related to heart rate variability (HRV), which reflects the autonomic nervous regulation of the heart. We hypothesized that autonomic nervous ganglia, located at the junction of the superior vena cava's entrance to the heart, may be affected during the bidirectional Glenn procedure (BDG), resulting in reduced HRV. We aimed to investigate changes in heart rate and HRV in a cohort of children with univentricular heart defects, undergoing stepwise surgery towards total cavopulmonary connection (TCPC), and compare these results with healthy controls. Twenty four hours Holter-ECG recordings were obtained before BDG (n = 47), after BDG (n = 47), and after total cavopulmonary connection (TCPC) (n = 45) in patients and in 38 healthy controls. HRV was analyzed by spectral and Poincare methods. Age-related z scores were calculated and compared using linear mixed effects modeling. Total HRV was significantly lower in patients before BDG when compared to healthy controls. The mean heart rate was significantly reduced in patients after BDG compared to before BDG. Compared to healthy controls, patients operated with BDG had significantly reduced heart rate and reduced total HRV. Patients with TCPC showed reduced heart rate and HRV compared with healthy controls. In patients after TCPC, total HRV was decreased compared to before TCPC. Heart rate was reduced after BDG procedure, and further reductions of HRV were seen post-TCPC. Our results indicate that autonomic regulation of cardiac rhythm is affected both after BDG and again after TCPC. This may be reflected as, and contribute to, postoperative arrhythmic events.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Fontan circulation
- Bidirectional Glenn procedure
- Arrhythmia
- Heart
- rate variability
- Total cavopulmonary connection
- Univentricular heart
- defect
- Cardiovascular System & Cardiology
- Pediatrics
- Fontan hjärtfrekvensvariabilitet
- kardiologi
- pediatrik
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
- 11 av 312
- Föregående post
- Nästa post
- Till träfflistan
Hitta mer i SwePub
- Av författaren/redakt...
- Alenius Dahlqvis ...
- Wiklund, Urban
- Karlsson, M.
- Hanseus, K.
- Strömvall-Larsso ...
- Ramgren, J. J.
- visa fler...
- Berggren, H.
- Rydberg, Annika
- visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
- MEDICIN OCH HÄLS ...
- och Klinisk medicin
- och Pediatrik
- Artiklar i publikationen
- Pediatric Cardio ...
- Av lärosätet
- Göteborgs universitet
- Umeå universitet
Sök utanför SwePub
- Sök vidare i:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - Nationella bibliotekssystem
- LIBRIS.kb.se
