Heart rate variability changes during pregnancy: an observational study

Background Autonomic nervous systemic imbalance, as reflected by altered heart rate variability, is associated with adverse clinical sequelae. Before heart rate variability can predict adverse responses to interventions at delivery, changes compared to the non-pregnant state should be explored. Meth...

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Veröffentlicht in:International journal of obstetric anesthesia 2007-04, Vol.16 (2), p.106-109
Hauptverfasser: Chamchad, D, Horrow, J.C, Nakhamchik, L, Arkoosh, V.A
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container_end_page 109
container_issue 2
container_start_page 106
container_title International journal of obstetric anesthesia
container_volume 16
creator Chamchad, D
Horrow, J.C
Nakhamchik, L
Arkoosh, V.A
description Background Autonomic nervous systemic imbalance, as reflected by altered heart rate variability, is associated with adverse clinical sequelae. Before heart rate variability can predict adverse responses to interventions at delivery, changes compared to the non-pregnant state should be explored. Methods Twenty-four normal healthy volunteer women and 22 pregnant women at term immediately before cesarean section, underwent various analyses of heart rate variability following a standard sampling. Calculations included time domain, frequency domain and non-linear measures. To make 14 comparisons between pregnant and volunteer subjects, a significance level of 0.00357 was taken. Results Compared to volunteers, pregnant patients had higher heart rates and blood pressures, and decreases in some time domain heart rate variability parameters. Frequency domain heart rate variability parameters remained unaffected by pregnancy. Non-linear analysis results all decreased numerically, but failed to achieve statistical significance. Conclusions Future investigations seeking associations of heart rate variability parameters with clinical events in pregnant women at term should consider time domain and non-linear analyses.
doi_str_mv 10.1016/j.ijoa.2006.08.008
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Before heart rate variability can predict adverse responses to interventions at delivery, changes compared to the non-pregnant state should be explored. Methods Twenty-four normal healthy volunteer women and 22 pregnant women at term immediately before cesarean section, underwent various analyses of heart rate variability following a standard sampling. Calculations included time domain, frequency domain and non-linear measures. To make 14 comparisons between pregnant and volunteer subjects, a significance level of 0.00357 was taken. Results Compared to volunteers, pregnant patients had higher heart rates and blood pressures, and decreases in some time domain heart rate variability parameters. Frequency domain heart rate variability parameters remained unaffected by pregnancy. Non-linear analysis results all decreased numerically, but failed to achieve statistical significance. 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Before heart rate variability can predict adverse responses to interventions at delivery, changes compared to the non-pregnant state should be explored. Methods Twenty-four normal healthy volunteer women and 22 pregnant women at term immediately before cesarean section, underwent various analyses of heart rate variability following a standard sampling. Calculations included time domain, frequency domain and non-linear measures. To make 14 comparisons between pregnant and volunteer subjects, a significance level of 0.00357 was taken. Results Compared to volunteers, pregnant patients had higher heart rates and blood pressures, and decreases in some time domain heart rate variability parameters. Frequency domain heart rate variability parameters remained unaffected by pregnancy. Non-linear analysis results all decreased numerically, but failed to achieve statistical significance. 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Before heart rate variability can predict adverse responses to interventions at delivery, changes compared to the non-pregnant state should be explored. Methods Twenty-four normal healthy volunteer women and 22 pregnant women at term immediately before cesarean section, underwent various analyses of heart rate variability following a standard sampling. Calculations included time domain, frequency domain and non-linear measures. To make 14 comparisons between pregnant and volunteer subjects, a significance level of 0.00357 was taken. Results Compared to volunteers, pregnant patients had higher heart rates and blood pressures, and decreases in some time domain heart rate variability parameters. Frequency domain heart rate variability parameters remained unaffected by pregnancy. Non-linear analysis results all decreased numerically, but failed to achieve statistical significance. Conclusions Future investigations seeking associations of heart rate variability parameters with clinical events in pregnant women at term should consider time domain and non-linear analyses.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>17270423</pmid><doi>10.1016/j.ijoa.2006.08.008</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Anesthesia & Perioperative Care
Blood pressure
Blood Pressure - physiology
Electrocardiography - methods
Female
Fourier Analysis
Healthy volunteers
Heart Rate - physiology
Heart rate: variability
Humans
Middle Aged
Monitoring, Physiologic - methods
Obstetrics and Gynecology
Pregnancy
Pregnancy - physiology
Reference Values
title Heart rate variability changes during pregnancy: an observational study
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