Spectral and time-domain analyses of heart-rate variability during head-upright tilt-table testing in children with neurally mediated syncope

Pediatric Cardiology

Volumn 27, Issue 6, 2006, Pages 670-678

  Evrengul, Harun ^a,d   Tavli, Vedide ^b   Evrengul, Havva ^b   Tavli, Talat ^c   Dursunoglu, Dursun ^a  

^a PAMUKKALE UNIVERSITY   (Turkey)

^b Behcet Uz Children's Hospital   (Turkey)

^c CELAL BAYAR UNIVERSITY   (Turkey)

^d NONE   (Turkey)

Author keywords

Heart rate variability; Neurocardiac syncope; Tilt test

Indexed keywords

ADOLESCENT; ANAMNESIS; ARTICLE; AUTONOMIC NERVOUS SYSTEM FUNCTION; BODY POSTURE; CLINICAL ARTICLE; CLINICAL FEATURE; CONTROLLED STUDY; FEMALE; FOURIER ANALYSIS; FREQUENCY ANALYSIS; HEAD TILTING; HEART RATE VARIABILITY; HOLTER MONITORING; HUMAN; MALE; NEUROCARDIAC SYNCOPE; SCHOOL CHILD; SPECTROSCOPY; SYNCOPE; TIME;

ADOLESCENT; CHILD; FEMALE; HEART RATE; HUMANS; MALE; SYNCOPE, VASOVAGAL; TILT-TABLE TEST;

EID: 33845502072     PISSN: 01720643     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00246-003-0598-9     Document Type: Article

References (30)

1. Akselrod S, Gordon D, Ubel FA, et al. (1981) Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science. 213:220-222
2. Balaji S, Oslizlok PC, Allen MC, McKay CA, Gillette PC (1994) Neurocardiogenic syncope in children with a normal heart. J Am Coll Cardiol 23:779-785
3. Bekheit S, Tangella M, EI-Sakr A, et al. (1990) Use of heart rate spectral analysis to study effects of calcium channel blockers on sympathetic activity after myocardial infarction. Am Heart J 119:79-84
4. Bernardi L, Salvucci F, Leuzzi S, et al. (1996) Cardiovascular reflex changes preceding episodes of vasovagal syncope in pediatric subjects. Clin Sci 9(suppl):25-27
5. Bigger JT, Fleiss JL, Steinman RC, et al. (1992) Correlations among time and frequency domain measures of heart period variability two weeks after acute myocardial infarction. Am J Cardiol 69:891-898
6. De Jong-de Vos van Steenwijk CCE, Wieling W, Johannes JM, et al. (1995) Incidence and hemodynamic characteristics of near fainting in healthy 6- to 16-year old subjects. J Am Coll Cardiol 25:1615-1621
7. Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC (1997) Syncope in children and adolescents. J Am Coll Cardiol 29:1031-1045
8. Grubb BP, Temesy-Armos P, Moore J, Wolfe D, Hahn H, Elliot L (1992) Headupright tilt-table testing in evaluation and management of the malignant vaso-vagalsyndrome. Am J Cardiol 69:904-908
9. Heart rate variability: standards of measurement, physiological interpretation, clinical use. The Task Force of the European society of Cardiology and North American Society of Pacing and Electrophysiology (1996). Circulation 93:1043-1065
10. Kochiadakis GE, Kanoupakis EM, Igoumenidis NE, et al. (1998) Spectral analysis of heart rate variability during tilttable testing in patients with vasovagal syncope. Int J Cardiol 64:185-194
11. Kochiadakis GE, Kanoupakis EM, Rombola AT, et al. (1998) Reproducibility of tilt-table testing in patients with vasovagal syncope and its relation to variations in autonomic nervous system activity. PACE 21:1069-1076
12. Lagi A, Cipriani M, Buccheri A, Tamburini C (1999) Heart rate and blood pressure variability in orthostatic syncope. Clin Sci 9(suppl):62-64
13. Lippman N, Stein KM, Lerman B (1995) Failure to decrease parasympathetic tone during upright tin predicts a positive tilt-table test. Am J Cardiol 75:591-595
14. Lipsitz LA, Mietus J, Moody GB, et al. (1990) Spectral characteristics of heart rate variability before and during postural tilt. Relations to aging and risk of syncope. Circulation 81:1803-1810
15. Malliani A, Pagani M, Lombardi F, et al. (1991) Cardiovascular neural regulation explored in the frequency domain. Circulation 84:482-492
16. Mizumaki K, Fujiki A, Tani M, et al. (1995) Left ventricular dimensions and autonomic balance during head-up tilt differ between patient with isoproterenol dependent and insoproterenol-independent neurally mediated syncope. J Am Coll Cardiol 26:164-173
17. Morillo CA, Klein GJ, Jones DL, Yee R (1994) Time and frequency domain analyses of heart rate variability during orthostatic stress in patients with neurally mediated syncope. Am J Cardiol 74:1258-1262
18. Pagani M, Lombardi F, Guzzetti S, et al. (1986) Power spectral analysis of heart rate and arterial pressure variability as a marker of sympato-vagal interaction in man and conscious dog. Circ Res 59:178-193
19. Perry JC, Garson A (1991) The child with recurrent syncope: autonomic function testing and beta-adrenergic hypersensitivity. J Am Coll Cardiol 17:1168-1171
20. Pongiglione G, Fish FA, Strasburger JF, et al. (1990) Heart rate and bloodpressure response to upright tilt in young patients with unexplained syncope. J Am Coll Cardiol 16:165-170
21. Raviele A, Gasparini G, Pe Pede F, et al. (1990) Usefulness of head-up tilt test in evaluating patients with syncope of unknown origin and negative electrophysiologic study. Am J Cardiol 65:1322-1327
22. Ruckman RK (1987) Cardiac causes of syncope. Pediatr Rev 9:101-108
23. Sehra R, Hubbard JE, Straka SP, et al. (1999) Autonomic changes and heart rate variability in children with neurocardiac syncope. Pediatr Cardiol 20:242-247
24. Sheldon R (1994) Effects of aging on responses to isoproteronol tilt-table testing in patients with syncope. Am J Cardiol 74:459-463
25. Silvetti MS, Drago F, Ragonese P (2001) Heart rate variability in healthy children and adolescents is partially related to age and gender. Int J Cardiol 81:169-174
26. Sneddon JF, Bashir Y, Murgatroyd FD, et al. (1993) Do patients with neurally mediated syncope have augmented vagal tone? Am J Cardiol 72:1314-1315
27. Stewart JM, Erb M, Sorbera C (1996) Heart rate variability and the outcome of head-up tilt in syncopal children. Pediatr Res 40:702-709
28. Tanaka H, Thulesius O, Yamaguchi H, Mino M (1994) Circulatory responses in children with unexplained syncope evaluated by continuous non-invasive finger blood pressure monitoring. Acta Paediatr 83:754-761
29. Van Lieshout JJ, Weiling W, Karemaker JM, Eckberg DL (1991) The vasovagal response. Clin Sci 81:575-586
30. Vybiral T, Bryg RJ, Maddens ME, et al. (1989) Effect of passive tilt on sympathetic and parasympathetic components of heart rate variability in normal subjects. Am J Cardiol 63:1117-1120