Simultaneous heart rate and blood pressure variability analysis: Insight into mechanisms underlying neurally mediated cardiac syncope in children

Journal of the American College of Cardiology

Volumn 40, Issue 8, 2002, Pages 1466-1474

  Moak, Jeffrey P ^a   Bailey, James J ^b   Makhlouf, Fairouz T ^c  

^a CHILDREN'S NATIONAL MEDICAL CENTER   (United States)

^b NATIONAL INSTITUTES OF HEALTH   (United States)

^c AMERICAN UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; AUTONOMIC NERVOUS SYSTEM; BLOOD PRESSURE MEASUREMENT; CLINICAL ARTICLE; ELECTROCARDIOGRAPHY; FEMALE; HEART MUSCLE CONTRACTILITY; HEART RATE VARIABILITY; HEMODYNAMICS; HUMAN; MALE; NEURALLY MEDIATED CARDIAC SYNCOPE; PATHOGENESIS; PRIORITY JOURNAL; SCHOOL CHILD; SYMPATHETIC TONE; SYNCOPE; TILT TABLE TEST; VAGUS TONE;

ADOLESCENT; BLOOD PRESSURE; CHILD; FEMALE; HEART RATE; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; MALE; SYNCOPE, VASOVAGAL; TILT-TABLE TEST;

EID: 0037120981     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0735-1097(02)02273-8     Document Type: Article

References (34)

1. Ruckman RK. Cardiac causes of syncope. Pediatr Rev 1987;9:101-8.
2. Van Lieshout JJ, Weiling W, Karemaker JM, Eckberg DL. The vasovagal response. Clin Sci 1991;81:575-86.
3. Scherrer U, Vissing S, Morgan BJ, Hanson P, Victor RG. Vasovagal syncope after infusion of a vasodilator in a heart transplant recipient. N Engl J Med 1990;332:602-4.
4. Vanderheyden M, Goethals M, Nellens P, Andries E, Brugada P. Different humoral responses during head-up tilt testing among patients with neurocardiogenic syncope. Am Heart J 1998;135:67-73.
5. Kikushima S, Kobayashi Y, Nakagawa H, Katagiri T. Triggering mechanism for neurally mediated syncope induced by head-up tilt test: role of catecholamines and response to propranolol. J Am Coll Cardiol 1999;33:350-7.
6. O'Marcaigh AS, MacLellan-Tobert MD, Porter CJ. Tilt-table testing and oral metoprolol therapy in young patients with unexplained syncope. Pediatrics 1994;93:278-83.
7. Pomeranz B, Macaulay RJB, Caudill MA, et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol 1985;248:H151-3.
8. Lipsitz LA, Mietus J, Moody GB, Goldberger AL. Spectral characteristics of heart rate variability before and after postural tilt: relations to aging and risk of syncope. Circulation 1990;81:1803-10.
9. Furlan R, Piazza S, Dell'Orto S, et al. Cardiac autonomic patterns preceding occasional vasovagal reactions in healthy humans. Circulation 1998:1756-61.
10. Burklow TR, Moak JP, Bailey JJ, Makhlouf FT. Neurally mediated cardiac syncope: autonomic modulation after normal saline infusion. J Am Coll Cardiol 1999;33:2059-66.
11. Bailey JJ, Pottala EW, Rasmussen KLR. Techniques for enhancement of RR interval variability power spectrum in short epochs of simian monitor ECGs. In: Murray A, Aezbaecher R, editors. Computers in Cardiology. Los Alamitos, CA: IEEEE Computer Society Press, 1994:557-60.
12. Lewis RP, Rittgers SE, Forester WF, Boudoulas H. A critical review of systolic time intervals. Circulation 1977;56:146-58.
13. Ifuku H, Taniguchi K, Matsumoto H. Non-invasive assessment of cardiac contractility by using (dP/dT)/P of carotid artery pulses during exercise. Eur J Appl Physiol 1994;69:244-9.
14. Nakamura Y, Haffty BG, Spodick DH, Paladino D, Morea K, Flessas AP. Responses of peak ear-pulse derivative to changing left ventricular function. Am J Physiol 1980;238:H355-9.
15. Akiyama K, Sugawara M, Beppu T, Harada Y, Higashidate M, Koyanagi H. Feasibility of non-invasive measurement of the left ventricular max (dp/dt) by continuous recording of the ascending aortic diameter change: principle and experimental study Frontiers Med Biol Eng 1988;1;139-52.
16. Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation 1991;84:482-92.
17. Alehan D, Celiker A, Ozme S. Head-up tilt test: a highly sensitive, specific test for children with unexplained syncope. Pediatr Cardiol 1996;17:86 Cerutti S90.
18. Bloomfied D, Maurer M, Bigger JT Jr. Effects of age on outcome of tilt-table testing. Am J Cardiol 1999;83:1055-8.
19. Huisman HW, Pretorius PJ, Van Rooyen JM, et al. Haemodynamic changes in the cardiovascular system during the early phases of orthostasis. Acta Physiol Scand 1999;166:145-9.
20. Petersen ME, Sutton R. Cardiac pacing for vasovagal syncope: a reasonable therapeutic option? Pacing Clin Electrophysiol 1997;20:824-6.
21. Wang JJ, Chan WL, Kong CW, Lee WL, Wang SP, Chang MS. Hemodynamic mechanism of vasovagal syncope. Jpn Heart J 1996;37:361-71.
22. Yamanouchi Y, Jaalouk S, Shehadeh AA, Jaeger F, Goren H, Fouad-Tarazi F. Changes in left ventricular volume during head-up tilt in patients with vasovagal syncope: an echocardiographic study. Am Heart J 1996;131:73-80.
23. Petersen ME, Williams TR, Erickson M, Sutton R. Right ventricular pressure, dP/dt, and pre-ejection interval during tilt induced vasovagal syncope. Pacing Clin Electrophysiol 1997;20:806-9.
24. Liu JE, Hahn RT, Stein KM, et al. Left ventricular geometry and function proceeding neurally mediated syncope. Circulation 2000;101:777-83.
25. Kroeker EJ, Wood EH. Comparison of simultaneously recorded central and peripheral arterial pulses during rest, exercise and tilted position in man. Circ Res 1955;3:623-32.
26. O'Rourke MF. The arterial pulse in health and disease. Am Heart J 1971;82:687-702.
27. Mason DT, Braunwald E, Ross J, Morrow AG. Diagnostic value of the first and second derivatives of the arterial pressure in aortic valve disease and in hypertrophic subaortic stenosis. Circulation 1964;30:90-100.
28. max derived from arterial pulse waveforms during 24 h blood pressure oscillometric recording. Blood Press Monit 1998;3:213-6.
29. Khan A, Spodick DH. The first derivative of the carotid displacement pulse. Am Heart J 1977;94:62-6.
30. Nakamura Y, Haffty BG, Spodick DH, Paladino D, Moreau K, Flessas AP. Responses of peak ear-pulse derivative to changing left ventricular function. Am J Physiol 1980;238:H355-9.
31. Mosqueda-Garcia R, Furlan R, Tank J, Fernandez-Violante R. The elusive pathophysiology of neurally mediated syncope. Circulation 2000;102:2898-906.
32. Cooke W, Hoag JB, Crossman AA, Kuusela TA, Tahvanainen KU, Eckberg DL. Human responses to upright tilt: a window on central autonomic integration. J Physiol 1999;517:617-28.
33. Sloan RP, DeMeersman RE, Shapiro PA, et al. Blood pressure variability responses to tilt are buffered by cardiac autonomic control. Am J Physiol 1997;272:H1427-31.
34. Pagani M, Malliani A. Interpreting oscillations of muscle sympathetic nerve activity and heart rate variability. J Hypertens 2000;18:1709-19.