Sudden Infant Death SyndromeAbnormalities in Short Term Fluctuations in Heart Rate and Respiratory Activity
作者:
DAVID GORDON,
RICHARD COHEN,
DOROTHY KELLY,
SOLANGE AKSELROD,
DANIEL SHANNON,
期刊:
Pediatric Research
(OVID Available online 1984)
卷期:
Volume 18,
issue 10
页码: 921-926
ISSN:0031-3998
年代: 1984
出版商: OVID
数据来源: OVID
摘要:
SummaryIn order to test the hypothesis that a defect in cardiorespiratory regulation contributes to death of infants from sudden infant death syndrome (SIDS), we analyzed the power spectra of heart rate and respiratory activity during 256‐sec epochs of quiet sleep. Data were obtained from pneumogram recordings performed for 12 h at night on eight infants who subsequently died from SIDS and 22 age‐matched control infants. We computed the heart rate and respiratory power spectra from a single epoch on each infant using an algorithm developed for an 8085 microprocessor system dedicated to this investigation. There was no statistically significant difference between SIDS and controls based on mean respiratory and heart rates. Spectral analysis revealed enhancement of low frequency power in the 0.02 to 0.1 Hz band in the heart rate power spectrum in the SIDS group compared to control (p< 0.002) and dispersion in respiratory frequency as determined by the respiratory band width (p< 0.00001). These data suggest that a predisposition to SIDS manifests itself in an abnormal pattern of fluctuations in heart rate and respiratory activity.AbbreviationsSIDS, sudden infant death syndromeECG, electrocardiogramEEG, electroencephalogramGER, gastroesophageal refluxHR, heart rate
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