scholarly journals Assessment of Fetal Autonomic Nervous System Activity by Fetal Magnetocardiography: Comparison of Normal Pregnancy and Intrauterine Growth Restriction

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Akimune Fukushima ◽  
Kenji Nakai ◽  
Tomonobu Kanasugi ◽  
Miyuki Terata ◽  
Toru Sugiyama
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Intrauterine Growth Restriction ◽  
Statistical Significance ◽  
Low Frequency ◽  
Normal Pregnancy ◽  
Growth Restriction ◽  
Autonomic Nervous ◽  
Intrauterine Growth ◽  
Fetal Magnetocardiography

Objective. To clarify the developmental activity of the autonomic nervous system (ANS) of the normal fetus and intrauterine growth restriction (IUGR) cases using fetal magnetocardiography (FMCG).Subjects and Methods. Normal pregnancy (n=35) and IUGR (n=12) cases at 28–39 and 32–37 weeks of gestation, respectively, were included in this study. The R-R interval variability was used to calculate the coefficient of variance (CVRR) and low frequency/high frequency (LF/HF) ratio.Results. The value ofCVRRin the normal pregnancy group displayed a slight increasing trend with gestational age. However, no such trend was observed in the IUGR group. In contrast, the LF/HF ratio in both the normal pregnancy group and the IUGR group clearly increased over the gestational period; the normal group showing statistical significance.Conclusion. The development of fetal ANS activity in IUGR cases might differ from that observed in the normal pregnancy group, and this may facilitate early detection of IUGR.

scholarly journals The status of autonomic nervous system and adaptation in infants with the different types of intrauterine growth restriction

2017 ◽  
Vol 8 (2) ◽  
pp. 15-23 ◽  
Author(s):  
Dmitry O Ivanov ◽  
Lyudmila V Kozlova ◽  
Vitaly V Derevtsov
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Autonomic Dysfunction ◽  
Intrauterine Growth Restriction ◽  
Sympathetic Activity ◽  
Growth Restriction ◽  
Autonomic Nervous ◽  
Intrauterine Growth ◽  
Different Types ◽  
The Status

The article presents the characteristics of the status of autonomic nervous system and adaptation in babies with the different types of intrauterine growth restriction (IUGR). In infants the presence of symmetrical IUGR in comparison to asymmetrical IUGR is related to higher frequency of first- and second-degree cerebral ishaemia at birth and autonomic dysfunction starting from the second six months of life. Thus, babies with symmetrical IUGR display: lower sympathetic nervous system activity and depletion of adaptation reserves at the age of two-three days; higher sympathetic activity and strain on adaptation, high frequency of asympathicotonic responsiveness of the autonomic nervous system at the age of one month; higher sympathetic activity and higher frequency of adaptation strain with the prevalence of adaptation failure at the age of three months; lower sympathetic activity and higher frequency of asympathicotonic autonomic responsiveness at the age of six months; higher sympathetic activity and strain on compensatory reserves, higher frequency of asympathicotonic autonomic responsiveness and adaptation dysfunction with the prevalence of unsatisfactory adaptation at the age of 12 months. The proven facts should lead neonatologists and pediatricians to specifically monitor infants having had intrauterine growth restriction in their past medical history, especially those who have suffered from symmetrical intrauterine growth restriction, and to take preventive measures against autonomic dysfunction in the first six months of life of such infants and curative measures starting with non-pharmacologic ones or with a sparing use of drugs in the second six months of life. At the same time, infants having had asymmetrical intrauterine growth restriction demand special attention during the neonatal period and at the age of twelve months.

Pathological features of the sequence in pregnant women with delayed fetal growth

2019 ◽  
pp. 50-54
Author(s):  
V.O. Golyanovskiy ◽  
◽  
Ye.O. Didyk ◽  
Keyword(s):  
Pregnant Women ◽  
Intrauterine Growth Restriction ◽  
Normal Development ◽  
Intrauterine Infection ◽  
Normal Pregnancy ◽  
Growth Restriction ◽  
Control Group ◽  
Intrauterine Growth ◽  
Increased Risk ◽  
Infection And Inflammation

Pregnant women with intrauterine growth restriction (IUGR) have an increased risk of adverse perinatal and long-term complications compared with the birth of children with normal body weight. Thus, IUGR is one of the main challenges for the global health system, especially in poor and developing countries. Morpho-functional studies of the placentas help in determining the causes of IUGR, and therefore, timely prevent complications in pregnant women with IUGR. The objective: The purpose of this study is to investigate various morphometric and pathomorphological changes in the placenta, including inflammatory, in cases of IUGR, and to establish a correlation of these results with the etiology and complications for the fetus. Materials and methods. In the current study, 54 placentas of the fetuses with IUGR (the main group) were compared with 50 placentas of the fetuses with normal development (control group). The criteria for the inclusion of IUGR were gestational age more than 30 weeks and all fetuses with a weight less than 10th percentile for this period of pregnancy. The placenta material was studied pathomorphologically with laboratory screening for infection and inflammation. Similarly, the results were determined for placentas of the fetuses with normal development compared to placentas with IUGR. Results. The placenta study showed the presence of calcification in the case of IUGR, as well as in the case of prolonged pregnancy. However, calcification of the placenta in the case of IUGR was more progressive compared with placenta in the normal pregnancy. In addition, the presence of intrauterine infection and inflammation was observed, which could also lead to an adverse outcome for the further progression of pregnancy with IUGR. Conclusion. A comparative macro- and microscopic pathomorphological study of the placentas in the two groups has shown a significant increase in the pathological changes in all the anatomical structures of the fetuses with IUGR. Key words: Intrauterine growth restriction (IUGR), fetal weight, pathomorphological changes of the placenta.

scholarly journals Intrauterine Growth Restriction: Cytokine Profiles of Trophoblast Antigen-Stimulated Maternal Lymphocytes

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Raj Raghupathy ◽  
Majedah Al-Azemi ◽  
Fawaz Azizieh
Keyword(s):  
Inflammatory Cytokines ◽  
Peripheral Blood ◽  
Intrauterine Growth Restriction ◽  
Mononuclear Cells ◽  
Normal Pregnancy ◽  
Placental Insufficiency ◽  
Growth Restriction ◽  
Intrauterine Growth ◽  
Anti Inflammatory ◽  
Ifnγ And Tnfα

Intrauterine growth restriction (IUGR) is an important perinatal syndrome that poses several serious short- and long-term effects. We studied cytokine production by maternal peripheral blood lymphocytes stimulated by trophoblast antigens. 36 women with a diagnosis of IUGR and 22 healthy women with normal fetal growth were inducted. Peripheral blood mononuclear cells were stimulated with trophoblast antigens and levels of the proinflammatory cytokines IL-6, IL-8, IL-12, IL-23, IFNγ, and TNFα and the anti-inflammatory cytokines IL-4, IL-10, and IL-13 were measured in culture supernatants by ELISA. IL-8 was produced at higher levels by blood cells of the IUGR group than normal pregnant women, while IL-13 was produced at lower levels. IL-8, IFNγ, and TNFα were higher in IUGR with placental insufficiency than in normal pregnancy. IL-12 levels were higher and IL-10 levels were lower in IUGR with placental insufficiency than in IUGR without placental insufficiency. We suggest that a stronger pro-inflammatory bias exists in IUGR as compared to normal pregnancy and in IUGR with placental insufficiency when compared to IUGR without placental insufficiency. Several ratios of proinflammatory to anti-inflammatory cytokines also support the existence of an inflammatory bias in IUGR.

scholarly journals Analysis of heart rate variability in corn snakes (Pantherophis guttatus)

2021 ◽  
Vol 10 (11) ◽  
pp. e294101119781
Author(s):  
Antonio Gomes da Silva Neto ◽  
Daniel Souza Ferreira Magalhães ◽  
Raduan Hage ◽  
Laurita dos Santos ◽  
José Carlos Cogo
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Low Frequency ◽  
Autonomic Nervous ◽  
Rr Interval ◽  
Diagnosis And Prognosis ◽  
Frequency Domains ◽  
The Time Domain

The assessment of heart rate variability (HRV) by linear methods in conjunction with Poincaré plots can be useful for evaluating cardiac regulation by the autonomic nervous system and for the diagnosis and prognosis of heart disease in snakes. In this report, we describe an analysis of HRV in conscious adult corn snakes Pantherophis guttatus (P. guttatus).  The electrocardiogram (ECG) parameters were determined in adult corn snakes (8 females, 13 males) and used for HRV analysis, and the RR interval was analyzed by linear methods in the time and frequency domains. There was no sex-related difference in heart rate. However, significant differences were seen in the duration of the P, PR, and T waves and QRS complex; there was no difference in the QT interval. The values for the RR interval varied by 15.3% and 18.8% in male and female snakes, respectively, and there was considerable variation in the values for the high and low frequency domains. The changes in the time domain were attributed to regulation by the parasympathetic branch of the autonomic nervous system, in agreement with variations in the high and low frequency domains. The values for standard deviations 1 and 2 in Poincaré plots, as well as the values of the frequency domain, provide useful parameters for future studies of cardiac function in P. guttatus.

scholarly journals The state of response of autonomic nervous system in children with mitral valve prolapse

2021 ◽  
Vol 26 (4) ◽  
pp. 74-80
Author(s):  
І.О.  Mitiuriaeva-Korniyko ◽  
O.V. Kuleshov ◽  
Ya.A. Medrazhevska ◽  
L.O. Fik ◽  
T.D. Klets
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Mitral Valve ◽  
Frequency Domain ◽  
Mitral Valve Prolapse ◽  
Low Frequency ◽  
Very Low Frequency ◽  
Autonomic Nervous ◽  
Significant Difference

The article presents summarized materials on connective tissue dysplasia of the heart, primary mitral valve prolapse, dysfunction of the autonomic system. Aim of research: to estimate the condition of autonomic nervous system in children with primary mitral valve prolapse. We examined 106 children with mitral valve prolapse aged from 13 to 17 years old on the clinical base of city hospital “Center of mother and child” in Vinnitsya. Research included time and frequency domain (evaluation with cardiointervalography. Final results were compared with the control group records. The results showed no statistical significance among time domain parameters in the main group of children. All these indices displayed tendency to sympathetic and parasympathetic autonomic nervous system tonus increase in boys. However, sympathicotonia tendency was noted in girls only. Frequency domain parameters showed similar results, compared with the previous. Nevertheless, very low frequency parameters had statistically significant difference in both subgroups of patience with mitral valve prolapse, including males (3205.8±190.9 against 1717±154, р<0.05) and females (3280±220.1 against 1433±811, р<0.05). There were no statistically significant difference among other frequency domain parameters. Conclusions: we estimated that children with mitral valve prolapse have imbalanced autonomic homeostasis manifested by tone disturbances of both autonomic vegetative system branches with sympathetic predominance. Patients with primary mitral valve prolapse generally have increased sympathetic tone - both boys and girls - according to spectral analysis of heart rate variability indices, heart rate oscillation power of a very low frequency in particular (p<0.05). In children with mitral valve prolapse, the tone of parasympathetic nervous system is generally normal; there is a tendency to its increase in boys and decrease in girls. These children should be under close medical supervision by pediatricians and cardiologists.

Effect of Acupuncture on Heart Rate Variability in Primary Dysmenorrheic Women

2011 ◽  
Vol 39 (02) ◽  
pp. 243-249 ◽  
Author(s):  
Eunsook Kim ◽  
Jung-Hoon Cho ◽  
Woo Sang Jung ◽  
Sanghoon Lee ◽  
Sok Cheon Pak
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Low Frequency ◽  
Acupuncture Points ◽  
Primary Dysmenorrhea ◽  
Autonomic Nervous ◽  
Real Acupuncture ◽  
Late Luteal Phase

Primary dysmenorrhea is a common gynecological complaint among young women that is related to an autonomic nervous system (ANS) disturbance. Acupuncture is one of several therapeutic approaches for primary dysmenorrhea, since it can modulate ANS function. The heart rate variability (HRV) parameters such as high frequency (HF), low frequency (LF) and LF/HF ratio are generally accepted tools to assess ANS activity. The purpose of this study was to investigate the effects of acupuncture applied at Hegu (LI4) and Sanyinjiao (SP6) points on HRV of women with primary dysmenorrhea during the late luteal phase. The experimental design was a crossover and patient-blinded procedure. All subjects participated in Sham (SA) and Real Acupuncture (RA) procedure, separated by one month, in a crossover sequence. The participants included 38 women (mean age 22.3 years; weight 53.8 kg; height 162.6 cm). HRV measurement was 15 min before and 15 min after an acupuncture procedure. The RA procedure was performed at two bilateral acupoints, but needles were inserted subcutaneously to the acupuncture points for the SA procedure. The RA induced a significant decrease in LF/HF ratio and a significant increase in the HF power, while SA treatment caused a significant increase only in the HF power. Manual acupuncture at bilateral acupoints of LI4 and SP6 may play a role in dysmenorrhea treatment with autonomic nervous system involvement.

scholarly journals Autonomic Nervous System Function in Infants With Transposition of the Great Arteries

2011 ◽  
Vol 14 (3) ◽  
pp. 257-268 ◽  
Author(s):  
Tondi M. Harrison ◽  
Roger L. Brown
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
High Frequency ◽  
Heart Defects ◽  
Newborn Infants ◽  
Low Frequency ◽  
Autonomic Nervous ◽  
Healthy Infants ◽  
Before And After ◽  
High Risk Infants

The ability to maintain and respond to challenges to homeostasis is primarily a function of the autonomic nervous system (ANS). In infants with complex congenital heart defects this ability may be impaired. This study described change in ANS function before and after surgical correction in infants with transposition of the great arteries (TGA) and in healthy infants. A total of 15 newborn infants with TGA were matched with 16 healthy infants on age, gender, and feeding type. The ANS function was measured using heart rate variability (HRV). Data were collected preoperatively in the 1st week of life and postoperatively before, during, and after feeding at 2 weeks and 2 months of age. Infants with TGA demonstrated significantly lower high-frequency and low-frequency HRV preoperatively ( p < .001) when compared with healthy infants. At 2 weeks, infants with TGA were less likely than healthy infants to demonstrate adaptive changes in high-frequency HRV during feeding (Wald Z = 2.002, p = .045), and at 2 months, 40% of TGA infants exhibited delayed postfeeding recovery. Further research is needed to more thoroughly describe mechanisms of a physiologically adaptive response to feeding and to develop nursing interventions supportive of these high-risk infants.

Circulating microparticles: a marker of procoagulant state in normal pregnancy and pregnancy complicated by preeclampsia or intrauterine growth restriction

2003 ◽  
Vol 89 (03) ◽  
pp. 486-492 ◽  
Author(s):  
Florence Bretelle ◽  
Florence Sabatier ◽  
Dominique Desprez ◽  
Laurence Camoin ◽  
Leila Grunebaum ◽  
...  
Keyword(s):  
Intrauterine Growth Restriction ◽  
Vascular Complications ◽  
Annexin V ◽  
Normal Pregnancy ◽  
Growth Restriction ◽  
Procoagulant Activity ◽  
Endothelial Microparticles ◽  
Intrauterine Growth ◽  
Cellular Marker ◽  
Circulating Microparticles

SummaryIn the present study, we explored the microparticles involved in the control of hemostatic equilibrium, i.e microparticles originating from platelet, endothelial cells and total MP defined as annexin V positive microparticles. Our aim was to analyze the level and procoagulant activity of these microparticles in normal pregnancy and pregnancies complicated with preeclampsia or isolated intrauterine growth restriction. We reported increased levels of platelet and endothelial microparticles in normal pregnancy compared to non pregnant healthy women. Number of annexin V microparticles was significantly increased together with their procoagulant activity. In pathological pregnancies, significant reduction in platelet microparticle number was found in preeclampsia. The procoagulant activity generated by the total annexin V MP was unchanged, suggesting that the microparticles remaining in the circulation were pro-coagulant. This study evidenced that microparticles constitute a cellular marker of a proinflammatory and procoagulant responses in normal pregnancy. In pregnancies with vascular complications, circulating MP with procoagulant potential may be part of the exacerbation of these responses.

Sign in / Sign up

Export Citation Format

Share Document