Hypothermia and heart rate variability in a healthy newborn piglet model

Abstract Decreased heart rate variability (HRV) may be a biomarker of brain injury severity in neonatal hypoxic-ischemic encephalopathy for which therapeutic hypothermia is standard treatment. While therapeutic hypothermia may influence the degree of brain injury; hypothermia may also affect HRV per...

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Main Authors: Mette Vestergård Pedersen, Ted Carl Kejlberg Andelius, Hannah Brogård Andersen, Kasper Jacobsen Kyng, Tine Brink Henriksen
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22426-3
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author Mette Vestergård Pedersen
Ted Carl Kejlberg Andelius
Hannah Brogård Andersen
Kasper Jacobsen Kyng
Tine Brink Henriksen
author_facet Mette Vestergård Pedersen
Ted Carl Kejlberg Andelius
Hannah Brogård Andersen
Kasper Jacobsen Kyng
Tine Brink Henriksen
author_sort Mette Vestergård Pedersen
collection DOAJ
description Abstract Decreased heart rate variability (HRV) may be a biomarker of brain injury severity in neonatal hypoxic-ischemic encephalopathy for which therapeutic hypothermia is standard treatment. While therapeutic hypothermia may influence the degree of brain injury; hypothermia may also affect HRV per se and obscure a potential association between HRV and hypoxic-ischemic encephalopathy. Previous results are conflicting. This study aimed to investigate the effect of hypothermia on HRV in healthy, anaesthetised, newborn piglets. Six healthy newborn piglets were anaesthetised. Three piglets were first kept normothermic (38.5–39.0 °C) for 3 h, then exposed to hypothermia (33.5–34.5 °C) for 3 h. Three piglets were first exposed to hypothermia for 3 h, then rewarmed to normothermia for 3 h. Temperature and ECG were recorded continuously. HRV was calculated from the ECG in 5 min epochs and included time domain and frequency domain variables. The HRV variables were compared between hypothermia and normothermia. All assessed HRV variables were higher during hypothermia compared to normothermia. Heart rate was lower during hypothermia compared to normothermia and all HRV variables correlated with heart rate. Hypothermia was associated with an increase in HRV; this could be mediated by bradycardia during hypothermia.
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spelling doaj.art-71f2a625af8f41f180ab038020718e3c2022-12-22T02:41:29ZengNature PortfolioScientific Reports2045-23222022-10-011211910.1038/s41598-022-22426-3Hypothermia and heart rate variability in a healthy newborn piglet modelMette Vestergård Pedersen0Ted Carl Kejlberg Andelius1Hannah Brogård Andersen2Kasper Jacobsen Kyng3Tine Brink Henriksen4Department of Pediatrics, Aarhus University HospitalDepartment of Pediatrics, Aarhus University HospitalDepartment of Pediatrics, Aarhus University HospitalDepartment of Pediatrics, Aarhus University HospitalDepartment of Pediatrics, Aarhus University HospitalAbstract Decreased heart rate variability (HRV) may be a biomarker of brain injury severity in neonatal hypoxic-ischemic encephalopathy for which therapeutic hypothermia is standard treatment. While therapeutic hypothermia may influence the degree of brain injury; hypothermia may also affect HRV per se and obscure a potential association between HRV and hypoxic-ischemic encephalopathy. Previous results are conflicting. This study aimed to investigate the effect of hypothermia on HRV in healthy, anaesthetised, newborn piglets. Six healthy newborn piglets were anaesthetised. Three piglets were first kept normothermic (38.5–39.0 °C) for 3 h, then exposed to hypothermia (33.5–34.5 °C) for 3 h. Three piglets were first exposed to hypothermia for 3 h, then rewarmed to normothermia for 3 h. Temperature and ECG were recorded continuously. HRV was calculated from the ECG in 5 min epochs and included time domain and frequency domain variables. The HRV variables were compared between hypothermia and normothermia. All assessed HRV variables were higher during hypothermia compared to normothermia. Heart rate was lower during hypothermia compared to normothermia and all HRV variables correlated with heart rate. Hypothermia was associated with an increase in HRV; this could be mediated by bradycardia during hypothermia.https://doi.org/10.1038/s41598-022-22426-3
spellingShingle Mette Vestergård Pedersen
Ted Carl Kejlberg Andelius
Hannah Brogård Andersen
Kasper Jacobsen Kyng
Tine Brink Henriksen
Hypothermia and heart rate variability in a healthy newborn piglet model
Scientific Reports
title Hypothermia and heart rate variability in a healthy newborn piglet model
title_full Hypothermia and heart rate variability in a healthy newborn piglet model
title_fullStr Hypothermia and heart rate variability in a healthy newborn piglet model
title_full_unstemmed Hypothermia and heart rate variability in a healthy newborn piglet model
title_short Hypothermia and heart rate variability in a healthy newborn piglet model
title_sort hypothermia and heart rate variability in a healthy newborn piglet model
url https://doi.org/10.1038/s41598-022-22426-3
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AT hannahbrogardandersen hypothermiaandheartratevariabilityinahealthynewbornpigletmodel
AT kasperjacobsenkyng hypothermiaandheartratevariabilityinahealthynewbornpigletmodel
AT tinebrinkhenriksen hypothermiaandheartratevariabilityinahealthynewbornpigletmodel