J 2024

Speed of heart rate changes during postural provocations in children and adolescents

ŠIŠÁKOVÁ, Martina, Kateřina HELÁNOVÁ, Katerina HNATKOVA, Irena ANDRŠOVÁ, Tomáš NOVOTNÝ et. al.

Základní údaje

Originální název

Speed of heart rate changes during postural provocations in children and adolescents

Autoři

ŠIŠÁKOVÁ, Martina (203 Česká republika, domácí), Kateřina HELÁNOVÁ (203 Česká republika, domácí), Katerina HNATKOVA (203 Česká republika), Irena ANDRŠOVÁ (203 Česká republika, domácí), Tomáš NOVOTNÝ (203 Česká republika, domácí) a Marek MALÍK (203 Česká republika, domácí)

Vydání

Scientific Reports, London, NATURE RESEARCH, 2024, 2045-2322

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.600 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001233422900051

Klíčová slova anglicky

heart rate; speed; children; adolescents

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 8. 2024 12:28, Mgr. Tereza Miškechová

Anotace

V originále

Heart rate is under constant autonomic influence but the development of the influence in children is not fully understood. Continuous electrocardiograms were obtained in 1045 healthy school-age children (550 females) during postural provocations with body position changes between supine, sitting, standing, supine, standing, sitting and supine (in this order), 10 min in each position with position changes within 20 s. Heart rate was measured in each position and speed of heart rate changes between positions were assessed by regressions of rates versus timing of individual cardiac cycles. Supine heart rate was gradually decreasing with age: 82.32 +/- 9.92, 74.33 +/- 9.79, 67.43 +/- 9.45 beats per minute (bpm) in tertile age groups < 11, 11-15, > 15 years, respectively (p < 0.0001), with no significant sex difference. Averaged speed of heart rate changes differed little between sexes and age groups but was significantly faster during rate deceleration than acceleration (e.g., supine <-> standing: 2.99 +/- 1.02 vs. 2.57 +/- 0.68 bpm/s, p < 0.0001). The study suggests that in children, vagal heart rate control does not noticeably change between ages of approximately 6-19 years. The gradual resting heart rate decrease during childhood and adolescence is likely caused by lowering of cardiac sympathetic influence from sympathetic overdrive in small children to adult-like sympatho-vagal balance in older adolescents.