Similarities between maternal and fetal RR interval tachograms and their association with fetal development

An association between maternal and fetal heart rate (HR) has been reported but, so far, little is known about its physiological implication and importance relative to fetal development. Associations between both HRs were investigated previously by performing beat-by-beat coupling analysis and corre...

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Main Authors: Namareq Widatalla, Ahsan Khandoker, Mohanad Alkhodari, Kunihiro Koide, Chihiro Yoshida, Yoshiyuki Kasahara, Yoshitaka Kimura, Masatoshi Saito
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.964755/full
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author Namareq Widatalla
Ahsan Khandoker
Mohanad Alkhodari
Mohanad Alkhodari
Kunihiro Koide
Chihiro Yoshida
Yoshiyuki Kasahara
Yoshiyuki Kasahara
Yoshitaka Kimura
Yoshitaka Kimura
Masatoshi Saito
Masatoshi Saito
author_facet Namareq Widatalla
Ahsan Khandoker
Mohanad Alkhodari
Mohanad Alkhodari
Kunihiro Koide
Chihiro Yoshida
Yoshiyuki Kasahara
Yoshiyuki Kasahara
Yoshitaka Kimura
Yoshitaka Kimura
Masatoshi Saito
Masatoshi Saito
author_sort Namareq Widatalla
collection DOAJ
description An association between maternal and fetal heart rate (HR) has been reported but, so far, little is known about its physiological implication and importance relative to fetal development. Associations between both HRs were investigated previously by performing beat-by-beat coupling analysis and correlation analysis between average maternal and fetal HRs. However, studies reporting on the presence of similarities between maternal and fetal HRs or RR intervals (RRIs) over the short term (e.g., 5-min) at different gestational ages (GAs) are scarce. Here, we demonstrate the presence of similarities in the variations exhibited by maternal and fetal RRl tachograms (RRITs). To quantify the same similarities, a cross-correlation (CC) analysis between resampled maternal and fetal RRITs was conducted; RRITs were obtained from non-invasive electrocardiogram (ECG). The degree of similarity between maternal and fetal RRITs (bmfRRITs) was quantified by calculating four CC coefficients. CC analysis was performed for a total of 330 segments (two 5-min segments from 158 subjects and one 5-min from 14 subjects). To investigate the association of the similarity bmfRRITs with fetal development, the linear correlation between the calculated CC coefficients and GA was calculated. The results from the latter analysis showed that similarities bmfRRITs are common occurrences, they can be negative or positive, and they increase with GA suggesting the presence of a regulation that is associated with proper fetal development. To get an insight into the physiological mechanisms involved in the similarity bmfRRITs, the association of the same similarity with maternal and fetal HR variability (HRV) was investigated by comparing the means of two groups in which one of them had higher CC values compared to the other. The two groups were created by using the data from the 158 subjects where fetal RRI (fRRI) calculation from two 5-min ECG segments was feasible. The results of the comparison showed that the maternal very low frequency (VLF) HRV parameter is potentially associated with the similarity bmfRRITs implying that maternal hormones could be linked to the regulations involved in the similarity bmfRRITs. Our findings in this study reinforce the role of the maternal intrauterine environment on fetal development.
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spelling doaj.art-05c01dacfb7d44ec8e3917cff05752612022-12-22T04:18:27ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-11-011310.3389/fphys.2022.964755964755Similarities between maternal and fetal RR interval tachograms and their association with fetal developmentNamareq Widatalla0Ahsan Khandoker1Mohanad Alkhodari2Mohanad Alkhodari3Kunihiro Koide4Chihiro Yoshida5Yoshiyuki Kasahara6Yoshiyuki Kasahara7Yoshitaka Kimura8Yoshitaka Kimura9Masatoshi Saito10Masatoshi Saito11Graduate School of Biomedical Engineering, Tohoku University, Sendai, JapanHealthcare Engineering Innovation Center, Department of Biomedical Engineering, Khalifa University, Abu Dhabi, United Arab EmiratesHealthcare Engineering Innovation Center, Department of Biomedical Engineering, Khalifa University, Abu Dhabi, United Arab EmiratesCardiovascular Clinical Research Facility, Radcliffe Department of Medicine, University of Oxford, Oxford, United KingdomTohoku University Graduate School of Medicine, Sendai, JapanTohoku University Graduate School of Medicine, Sendai, JapanGraduate School of Biomedical Engineering, Tohoku University, Sendai, JapanTohoku University Graduate School of Medicine, Sendai, JapanGraduate School of Biomedical Engineering, Tohoku University, Sendai, JapanTohoku University Graduate School of Medicine, Sendai, JapanGraduate School of Biomedical Engineering, Tohoku University, Sendai, JapanTohoku University Graduate School of Medicine, Sendai, JapanAn association between maternal and fetal heart rate (HR) has been reported but, so far, little is known about its physiological implication and importance relative to fetal development. Associations between both HRs were investigated previously by performing beat-by-beat coupling analysis and correlation analysis between average maternal and fetal HRs. However, studies reporting on the presence of similarities between maternal and fetal HRs or RR intervals (RRIs) over the short term (e.g., 5-min) at different gestational ages (GAs) are scarce. Here, we demonstrate the presence of similarities in the variations exhibited by maternal and fetal RRl tachograms (RRITs). To quantify the same similarities, a cross-correlation (CC) analysis between resampled maternal and fetal RRITs was conducted; RRITs were obtained from non-invasive electrocardiogram (ECG). The degree of similarity between maternal and fetal RRITs (bmfRRITs) was quantified by calculating four CC coefficients. CC analysis was performed for a total of 330 segments (two 5-min segments from 158 subjects and one 5-min from 14 subjects). To investigate the association of the similarity bmfRRITs with fetal development, the linear correlation between the calculated CC coefficients and GA was calculated. The results from the latter analysis showed that similarities bmfRRITs are common occurrences, they can be negative or positive, and they increase with GA suggesting the presence of a regulation that is associated with proper fetal development. To get an insight into the physiological mechanisms involved in the similarity bmfRRITs, the association of the same similarity with maternal and fetal HR variability (HRV) was investigated by comparing the means of two groups in which one of them had higher CC values compared to the other. The two groups were created by using the data from the 158 subjects where fetal RRI (fRRI) calculation from two 5-min ECG segments was feasible. The results of the comparison showed that the maternal very low frequency (VLF) HRV parameter is potentially associated with the similarity bmfRRITs implying that maternal hormones could be linked to the regulations involved in the similarity bmfRRITs. Our findings in this study reinforce the role of the maternal intrauterine environment on fetal development.https://www.frontiersin.org/articles/10.3389/fphys.2022.964755/fullmaternal-fetal RRI similarityheart rate vaiabilityvery low frequencyfetal developementfetal programming
spellingShingle Namareq Widatalla
Ahsan Khandoker
Mohanad Alkhodari
Mohanad Alkhodari
Kunihiro Koide
Chihiro Yoshida
Yoshiyuki Kasahara
Yoshiyuki Kasahara
Yoshitaka Kimura
Yoshitaka Kimura
Masatoshi Saito
Masatoshi Saito
Similarities between maternal and fetal RR interval tachograms and their association with fetal development
Frontiers in Physiology
maternal-fetal RRI similarity
heart rate vaiability
very low frequency
fetal developement
fetal programming
title Similarities between maternal and fetal RR interval tachograms and their association with fetal development
title_full Similarities between maternal and fetal RR interval tachograms and their association with fetal development
title_fullStr Similarities between maternal and fetal RR interval tachograms and their association with fetal development
title_full_unstemmed Similarities between maternal and fetal RR interval tachograms and their association with fetal development
title_short Similarities between maternal and fetal RR interval tachograms and their association with fetal development
title_sort similarities between maternal and fetal rr interval tachograms and their association with fetal development
topic maternal-fetal RRI similarity
heart rate vaiability
very low frequency
fetal developement
fetal programming
url https://www.frontiersin.org/articles/10.3389/fphys.2022.964755/full
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