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
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.