Референтные значения частоты сердечных сокращений и коэффициента вариации частоты сердечных сокращений у младенцев в различные фазы сна
DOI: 10.26442/26586630.2020.3.200421
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Kelmanson I.A. Reference values of the heart rate and the heart rate coefficient of variation in infants during different sleep phases. Pediatrics. Consilium Medicum. 2020; 3: 84–91. DOI: 10.26442/26586630.2020.3.200421
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Ключевые слова: младенцы, полисомнография, референтные величины, ритм сердца, центильные кривые, частота сердечных сокращений.
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Reference values of the heart rate and of the heart rate coefficient of variation during different sleep phases based on the polysomnographic findings in 2073 infants are presented. Reference values were constructed using conventional LMS (lambda-mu-sigma) smoothing algorithm aimed at maximal approximation of the calculated values to the real ones. Reference centile curves and tables for infants aged 1 through 52 weeks at different sleep phases as a function of infant age and sex are provided. The reference values presented in this work are compared with known published data.
Key words: infants, reference values, heart rhythm, centile curves, heart rate.
2. Sheldon S. Physiological variations during sleep in children. In: Sheldon SH, Ferber R, Kryger MH, Gozal D (ed.). Principles and practice of pediatric sleep medicine. London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto: Elsevier Health Sciences, 2014; p. 73–84.
3. Van Dongen HP, Maislin G, Kerkhof GA. Repeated assessment of the endogenous 24-hour profile of blood pressure under constant routine. Chronobiol Int 2001; 18 (1): 85–98. DOI: 10.1081/cbi-100001178
4. Trinder J, Kleiman J, Carrington M, Smith S et al. Autonomic activity during human sleep as a function of time and sleep stage. J Sleep Res 2001; 10 (4): 253–64. DOI: 10.1046/j.1365-2869.2001.00263.x
5. Van De Borne P, Nguyen H, Biston P, Linkowski P et al. Effects of wake and sleep stages on the 24-h autonomic control of blood pressure and heart rate in recumbent men. Am J Physiol-Heart Circul Physiol 1994; 266 (2): H548–H54. DOI: 10.1152/ajpheart.1994.266.2.h548
6. Bonnemeier H, Wiegand UK, Brandes A, Kluge N et al. Circadian profile of cardiac autonomic nervous modulation in healthy subjects: differing effects of aging and gender on heart rate variability. J Cardiovasc Electrophysiol 2003; 14 (8): 791–9. DOI: 10.1046/j.1540-8167.2003.03078.x
7. Trinder J. Cardiac activity and sympathovagal balance during sleep. Sleep medicine clinics 2007; 2 (2): 199–208. DOI: 10.1016/j.jsmc.2007.04.001
8. Van Someren EJW. Mechanisms and functions of coupling between sleep and temperature rhythms. Progress Brain Res 2006; 153: 309–24. DOI: 10.1016/s0079-6123(06)53018-3
9. Somers VK, Dyken ME, Mark AL, Abboud FM. Sympathetic-nerve activity during sleep in normal subjects. New Engl J Med 1993; 328 (5): 303–7. DOI: 10.1056/nejm199302043280502
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11. Laoprasert P. Atlas of pediatric EEG. New York: McGraw-Hill Medical; 2011
12. Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front Pub Health 2017; 5 (258): 1–17. DOI: 10.3389/fpubh.2017.00258
13. Razanskaite-Virbickiene D, Danyte E, Mockeviciene G et al. Can coefficient of variation of time-domain analysis be valuable for detecting cardiovascular autonomic neuropathy in young patients with type 1 diabetes: a case control study. BMC Cardiovasc Disord 2017; 17 (1): 34–43. DOI: 10.1186/s12872-016-0467-0
14. Winkler C, Linden K, Mayr A, Schultz T et al. RefCurv: a software for the construction of pediatric reference curves. arXiv preprint arXiv:1901097752019
15. Rijnbeek P, Witsenburg M, Schrama E, Hess J et al. New normal limits for the paediatric electrocardiogram. Eur Heart J 2001; 22 (8): 702–11. DOI: 10.1053/euhj.2000.2399
16. Salameh A, Gebauer RA, Grollmuss O, Vít P et al. Normal limits for heart rate as established using 24-hour ambulatory electrocardiography in children and adolescents. Cardiol Young 2008; 18 (5): 467–72. DOI: 10.1017/s1047951108002539
17. Schlüter B, Buschatz D, Trowitzsch E. Polysomnographic reference curves for the first and second year of life. Somnologie 2001; 5 (1): 3–16. DOI: 10.1046/j.1439-054x.2001.01148.x
18. Harper RM, Leake B, Hodgman JE, Hoppenbrouwers TJS. Developmental patterns of heart rate and heart rate variability during sleep and waking in normal infants and infants at risk for the sudden infant death syndrome. Sleep 1982; 5 (1): 28–38. DOI: 10.1093/sleep/5.1.28
19. Yiallourou SR, Walker AM, Horne R. Effects of sleeping position on development of infant cardiovascular control. Arch Dis Childhood 2008; 93 (10): 868–72. DOI: 10.1136/adc.2007.132860
20. Galland B, Hayman R, Taylor B, Bolton D et al. Factors affecting heart rate variability and heart rate responses to tilting in infants aged 1 and 3 months. Ped Res 2000; 48 (3): 360–8. DOI: 10.1203/00006450-200009000-00017
21. Tuladhar R, Harding R, Adamson MT, Horne RSJ. Comparison of postnatal development of heart rate responses to trigeminal stimulation in sleeping preterm and term infants. J Sleep Res 2005; 14 (1): 29–36. DOI: 10.1111/j.1365-2869.2004.00434.x
22. Krishnan B, Jeffery A, Metcalf B et al. Gender differences in the relationship between heart rate control and adiposity in young children: a cross‐sectional study (EarlyBird 33). Ped Diabet 2009; 10 (2): 127–34. DOI: 10.1111/j.1399-5448.2008.00455.x
23. Scholle S, Wiater A, Scholle HC. Normative values of polysomnographic parameters in childhood and adolescence: cardiorespiratory parameters. Sleep Med 2011; 12 (10): 988–96. DOI: 10.1016/j.sleep.2011.05.006
24. Archbold KH, Johnson NL, Goodwin JL, Rosen CL et al. Normative heart rate parameters during sleep for children aged 6 to 11 years. J Clin sleep Med 2010; 6 (1): 47–50. DOI: 10.5664/jcsm.27709
25. Massin M, Von Bernuth G. Normal ranges of heart rate variability during infancy and childhood. Ped Cardiol 1997; 18 (4): 297–302. DOI: 10.1007/s002469900178
26. Schechtman VL, Harper RM, Kluge KA. Development of heart rate variation over the first 6 months of life in normal infants. Ped Res 1989; 26 (4): 343–6. DOI: 10.1203/00006450-198910000-00011
27. Horne RSC. Cardiovascular autonomic dysfunction in sudden infant death syndrome. Clin Autonom Res 2018; 28 (6): 535–43. DOI: 10.1007/s10286-017-0490-y
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2. Sheldon S. Physiological variations during sleep in children. In: Sheldon SH, Ferber R, Kryger MH, Gozal D (ed.). Principles and practice of pediatric sleep medicine. London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto: Elsevier Health Sciences, 2014; p. 73–84.
3. Van Dongen HP, Maislin G, Kerkhof GA. Repeated assessment of the endogenous 24-hour profile of blood pressure under constant routine. Chronobiol Int 2001; 18 (1): 85–98. DOI: 10.1081/cbi-100001178
4. Trinder J, Kleiman J, Carrington M, Smith S et al. Autonomic activity during human sleep as a function of time and sleep stage. J Sleep Res 2001; 10 (4): 253–64. DOI: 10.1046/j.1365-2869.2001.00263.x
5. Van De Borne P, Nguyen H, Biston P, Linkowski P et al. Effects of wake and sleep stages on the 24-h autonomic control of blood pressure and heart rate in recumbent men. Am J Physiol-Heart Circul Physiol 1994; 266 (2): H548–H54. DOI: 10.1152/ajpheart.1994.266.2.h548
6. Bonnemeier H, Wiegand UK, Brandes A, Kluge N et al. Circadian profile of cardiac autonomic nervous modulation in healthy subjects: differing effects of aging and gender on heart rate variability. J Cardiovasc Electrophysiol 2003; 14 (8): 791–9. DOI: 10.1046/j.1540-8167.2003.03078.x
7. Trinder J. Cardiac activity and sympathovagal balance during sleep. Sleep medicine clinics 2007; 2 (2): 199–208. DOI: 10.1016/j.jsmc.2007.04.001
8. Van Someren EJW. Mechanisms and functions of coupling between sleep and temperature rhythms. Progress Brain Res 2006; 153: 309–24. DOI: 10.1016/s0079-6123(06)53018-3
9. Somers VK, Dyken ME, Mark AL, Abboud FM. Sympathetic-nerve activity during sleep in normal subjects. New Engl J Med 1993; 328 (5): 303–7. DOI: 10.1056/nejm199302043280502
10. Iber C, Ancoli-Israel S, Chesson A, Quan SF. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. 1st ed. Westchester, IL: American Academy of Sleep Medicine 2007. DOI: 10.5664/jcsm.26812
11. Laoprasert P. Atlas of pediatric EEG. New York: McGraw-Hill Medical; 2011
12. Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front Pub Health 2017; 5 (258): 1–17. DOI: 10.3389/fpubh.2017.00258
13. Razanskaite-Virbickiene D, Danyte E, Mockeviciene G et al. Can coefficient of variation of time-domain analysis be valuable for detecting cardiovascular autonomic neuropathy in young patients with type 1 diabetes: a case control study. BMC Cardiovasc Disord 2017; 17 (1): 34–43. DOI: 10.1186/s12872-016-0467-0
14. Winkler C, Linden K, Mayr A, Schultz T et al. RefCurv: a software for the construction of pediatric reference curves. arXiv preprint arXiv:1901097752019
15. Rijnbeek P, Witsenburg M, Schrama E, Hess J et al. New normal limits for the paediatric electrocardiogram. Eur Heart J 2001; 22 (8): 702–11. DOI: 10.1053/euhj.2000.2399
16. Salameh A, Gebauer RA, Grollmuss O, Vít P et al. Normal limits for heart rate as established using 24-hour ambulatory electrocardiography in children and adolescents. Cardiol Young 2008; 18 (5): 467–72. DOI: 10.1017/s1047951108002539
17. Schlüter B, Buschatz D, Trowitzsch E. Polysomnographic reference curves for the first and second year of life. Somnologie 2001; 5 (1): 3–16. DOI: 10.1046/j.1439-054x.2001.01148.x
18. Harper RM, Leake B, Hodgman JE, Hoppenbrouwers TJS. Developmental patterns of heart rate and heart rate variability during sleep and waking in normal infants and infants at risk for the sudden infant death syndrome. Sleep 1982; 5 (1): 28–38. DOI: 10.1093/sleep/5.1.28
19. Yiallourou SR, Walker AM, Horne R. Effects of sleeping position on development of infant cardiovascular control. Arch Dis Childhood 2008; 93 (10): 868–72. DOI: 10.1136/adc.2007.132860
20. Galland B, Hayman R, Taylor B, Bolton D et al. Factors affecting heart rate variability and heart rate responses to tilting in infants aged 1 and 3 months. Ped Res 2000; 48 (3): 360–8. DOI: 10.1203/00006450-200009000-00017
21. Tuladhar R, Harding R, Adamson MT, Horne RSJ. Comparison of postnatal development of heart rate responses to trigeminal stimulation in sleeping preterm and term infants. J Sleep Res 2005; 14 (1): 29–36. DOI: 10.1111/j.1365-2869.2004.00434.x
22. Krishnan B, Jeffery A, Metcalf B et al. Gender differences in the relationship between heart rate control and adiposity in young children: a cross‐sectional study (EarlyBird 33). Ped Diabet 2009; 10 (2): 127–34. DOI: 10.1111/j.1399-5448.2008.00455.x
23. Scholle S, Wiater A, Scholle HC. Normative values of polysomnographic parameters in childhood and adolescence: cardiorespiratory parameters. Sleep Med 2011; 12 (10): 988–96. DOI: 10.1016/j.sleep.2011.05.006
24. Archbold KH, Johnson NL, Goodwin JL, Rosen CL et al. Normative heart rate parameters during sleep for children aged 6 to 11 years. J Clin sleep Med 2010; 6 (1): 47–50. DOI: 10.5664/jcsm.27709
25. Massin M, Von Bernuth G. Normal ranges of heart rate variability during infancy and childhood. Ped Cardiol 1997; 18 (4): 297–302. DOI: 10.1007/s002469900178
26. Schechtman VL, Harper RM, Kluge KA. Development of heart rate variation over the first 6 months of life in normal infants. Ped Res 1989; 26 (4): 343–6. DOI: 10.1203/00006450-198910000-00011
27. Horne RSC. Cardiovascular autonomic dysfunction in sudden infant death syndrome. Clin Autonom Res 2018; 28 (6): 535–43. DOI: 10.1007/s10286-017-0490-y
ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России, Санкт-Петербург, Россия;
СПб ГАОУ ВО «Санкт-Петербургский государственный институт психологии и социальной работы», Санкт-Петербург, Россия
*iakelmanson@hotmail.com
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Igor A. Kelmanson*
Almazov National Medical Research Centre, Saint Petersburg, Russia;
Saint Petersburg State Institute for Psychology and Social Work, Saint Petersburg, Russia
*iakelmanson@hotmail.com