Bojko Bjelakovic1,2, Dragana Ilic3, Stevo Lukic4,5, Vladislav Vukomanovic6,7, Cojbasic Zarko8, Zoran Stankovic9, Jovic Marko4. 1. Clinic of Pediatrics, Clinical Center, Zorana Djindjica 48 Boulevard, Nis, 18000, Serbia. bojko968@gmail.com. 2. Medical Faculty, University of Nis, Nis, Serbia. bojko968@gmail.com. 3. Clinic of Pediatrics, Clinical Center, Zorana Djindjica 48 Boulevard, Nis, 18000, Serbia. 4. Medical Faculty, University of Nis, Nis, Serbia. 5. Clinic of Neurology-Clinical Center, Nis, Serbia. 6. Mother and Child Health Institute, "Dr Vukan Cupic", Belgrade, Serbia. 7. Medical Faculty, University of Belgrade, Belgrade, Serbia. 8. Mechanical Engineering Faculty, University of Nis, Nis, Serbia. 9. Faculty of Electronic Engineering, University of Nis, Nis, Serbia.
Abstract
BACKGROUND: Over the last decades, time domain heart rate (HR) variability analysis has been explored in different pediatric clinical settings to obtain information on the cardiac autonomic tone. However, the consistency over time of 24 h time domain HRV measurements in children is not well-known. METHODS: We investigated the reproducibility of 24 h HRV time-domain indices (1 day apart), from 39 healthy children (9.5 ± 5.3 years, 56.4% girls). The parameters analysed included: standard deviation of all the adjacent NN intervals, standard deviation of the averages of NN intervals (the intervals between normal R-peaks) in all 5-min segments, and square root of the mean of the sum of the squares of the differences between adjacent NN intervals, uncorrected and corrected for HR. Reproducibility between two 24-h ECG recordings was evaluated by intraclass correlation coefficients, standard error of measurement, coefficients of variation and Bland-Altman plots. RESULTS: For the analyzed time-domain indices, standard deviation of all the adjacent NN intervals corrected for HR showed best reproducibility with the highest intraclass correlation coefficient (0.987), the lowest coefficients of variation (5.5%) and the best level of agreement between two recordings as assessed by Bland-Altman plots. CONCLUSIONS: Our results indicate that the standard deviation of all the adjacent NN intervals corrected for the HR parameter obtained from 24-h ambulatory recordings in children is consistent and reproducible over time, thus allowing reliable identification of cardiac autonomic tone in this age group.
BACKGROUND: Over the last decades, time domain heart rate (HR) variability analysis has been explored in different pediatric clinical settings to obtain information on the cardiac autonomic tone. However, the consistency over time of 24 h time domain HRV measurements in children is not well-known. METHODS: We investigated the reproducibility of 24 h HRV time-domain indices (1 day apart), from 39 healthy children (9.5 ± 5.3 years, 56.4% girls). The parameters analysed included: standard deviation of all the adjacent NN intervals, standard deviation of the averages of NN intervals (the intervals between normal R-peaks) in all 5-min segments, and square root of the mean of the sum of the squares of the differences between adjacent NN intervals, uncorrected and corrected for HR. Reproducibility between two 24-h ECG recordings was evaluated by intraclass correlation coefficients, standard error of measurement, coefficients of variation and Bland-Altman plots. RESULTS: For the analyzed time-domain indices, standard deviation of all the adjacent NN intervals corrected for HR showed best reproducibility with the highest intraclass correlation coefficient (0.987), the lowest coefficients of variation (5.5%) and the best level of agreement between two recordings as assessed by Bland-Altman plots. CONCLUSIONS: Our results indicate that the standard deviation of all the adjacent NN intervals corrected for the HR parameter obtained from 24-h ambulatory recordings in children is consistent and reproducible over time, thus allowing reliable identification of cardiac autonomic tone in this age group.
Authors: G Yi; M M Gallagher; Y G Yap; X H Guo; R Harrison; J T McDonald; A J Camm; M Malik Journal: Pacing Clin Electrophysiol Date: 2000-02 Impact factor: 1.976
Authors: Jakub S Gąsior; Jerzy Sacha; Mariusz Pawłowski; Jakub Zieliński; Piotr J Jeleń; Agnieszka Tomik; Tomasz M Książczyk; Bożena Werner; Marek J Dąbrowski Journal: Front Physiol Date: 2018-10-24 Impact factor: 4.566