Heart Rate Variability in Children Following Drowning Injury

Madhuradhar Chegondi; Jun Sasaki; Sayed Naqvi; Wei-Chiang Lin; Andre Raszynski; Balagangadhar R. Totapally

doi:10.4103/ijccm.IJCCM_120_16

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Heart Rate Variability in Children Following Drowning Injury

Journal article

Open access

Heart Rate Variability in Children Following Drowning Injury

Madhuradhar Chegondi, Jun Sasaki, Sayed Naqvi, Wei-Chiang Lin, Andre Raszynski and Balagangadhar R. Totapally

Indian journal of critical care medicine, Vol.22(1), pp.53-55

01/01/2018

DOI: 10.4103/ijccm.IJCCM_120_16

PMCID: PMC5793027

PMID: 29422737

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Abstract

Heart rate variability (HRV) has been used as prognostic tool in various disorders in pediatric and adult patients. In our study we aimed to evaluate heart rate variability indices and their association with neurological outcome in three children with anoxic brain injury following drowning. Three children included in the study were admitted following drowning and required mechanical ventilation and targeted temperature management. All physiologic data, including electrocardiography (ECG) and EEG were collected for a period of 3-5 days after enrollment. ECG signals were analyzed in both time and frequency domains. The spectral power of the low-frequency (LF) band (0.04-0.15 Hz) and that of the high-frequency (HF) band (0.15-0.4 Hz), the standard deviation of the average R to R ECG intervals (SDANN) were calculated. Mean low-frequency/high-frequency power ratios (LF/HF) were compared using a two-tailed t-test and ANOVA with Tukey-Kramer multiple comparisons. The power in the LF band, the LF/HF power ratio, and the SDANN, were lower in children who had a poor outcome, and during periods of isoelectric or burst suppression EEG patterns.

Critical Care Medicine

General & Internal Medicine

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Heart Rate Variability in Children Following Drowning Injury
Creators: Madhuradhar Chegondi - Nemours Children's Clinic
Jun Sasaki - Miami Children's Hospital
Sayed Naqvi - Miami Children's Hospital
Wei-Chiang Lin - Florida International University
Andre Raszynski - Florida International University
Balagangadhar R. Totapally - Florida International University
Resource Type: Journal article
Publication Details: Indian journal of critical care medicine, Vol.22(1), pp.53-55
Publisher: Jaypee Brothers Medical Publishers Pvt Ltd
DOI: 10.4103/ijccm.IJCCM_120_16
PMID: 29422737
PMCID: PMC5793027
ISSN: 0972-5229
eISSN: 1998-359X
Number of pages: 3
Grant note: W81XWH-09-1-0295 / Department of Defense; United States Department of Defense
Language: English
Date published: 01/01/2018
Academic Unit: Stead Family Department of Pediatrics
Record Identifier: 9984354004302771

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