Trajectories of Parasympathetic Nervous System Function Before, During, and After Feeding in Infants With Transposition of the Great Arteries

Harrison, Tondi M.

doi:10.1097/nnr.0b013e31821600b1

Cited by 8 publications

(10 citation statements)

References 37 publications

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“…4–6,23–30 The majority of these have been descriptive studies of the changes that occur in HRV measures as infants develop over time 4,24–26,29 or how birth characteristics, such as birth weight, gestational age, or congenital heart disease, affect HRV responses to feeding. 23–25,28,30 Consistent with Polyvagal Theory, Portales, 27 McCain, 6 and Suess 28 all found that HF HRV decreased during feeding.…”

Section: Feeding and Heart Rate Variabilitymentioning

confidence: 99%

Heart Rate Variability as a Feeding Intervention Outcome Measure in the Preterm Infant

Pados¹,

Thoyre²,

Knafl³

et al. 2017

Advances in Neonatal Care

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Background Feeding interventions for preterm infants aim to reduce the physiologic stress of feeding to promote growth. Heart rate variability (HRV) is a potential non-invasive measure of physiologic stress that may be useful for evaluating efficacy of feeding interventions. Purpose To evaluate whether HRV is a sensitive measure of physiologic stress compared to standard physiologic outcomes in the context of a feeding intervention study. Methods This was secondary analysis of a within-subjects, cross-over design study comparing usual care feeding to a gentle, co-regulated feeding approach (CoReg) in 14 infants born < 35 weeks post-menstrual age. HRV indices were calculated from electrocardiogram data and compared to standard physiologic outcomes, including oxygen saturation (SpO2), respiratory rate (RR), apnea, heart rate (HR), and bradycardia. Data were analyzed using linear mixed modeling. Results Infants fed using the CoReg approach had fewer apneic events and higher RR, suggesting they were able to breathe more during feeding. No statistically significant differences were found in SpO2, HR, bradycardia, or high frequency power (the most commonly-reported measure of HRV). Infants fed using the usual care approach had significantly higher SD12, a measure of HRV indicating randomness in the HR, which is a potential indicator of elevated stress. Implications for Practice SD12 was more sensitive to stress than SpO2, HR, and bradycardia. The utility of HRV as a measure of feeding outcomes in clinical practice needs further exploration. Implications for Research Further exploration of HRV as an intervention outcome measure is needed, particularly evaluating non-linear indices, such as SD12.

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Section: Feeding and Heart Rate Variabilitymentioning

confidence: 99%

Heart Rate Variability as a Feeding Intervention Outcome Measure in the Preterm Infant

Pados¹,

Thoyre²,

Knafl³

et al. 2017

Advances in Neonatal Care

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“…Deep sleep increases parasympathetic nervous system activity. A previous report suggested that, during feeding, the sympathetic nervous system is activated at the onset of the sucking motion, while the parasympathetic nervous system is activated later for gastric acid secretion 7 . We compared the HRV analysis findings immediately before and after the sinus bradycardia and paroxysmal CAVB events to gain a deeper understanding of its pathophysiology (Fig.…”

Section: Discussionmentioning

confidence: 99%

Early infantile paroxysmal atrioventricular block with autonomic nervous system dysfunction: A case report and literature review

Taimura

Kawamura

Maruyama

et al. 2022

J Paediatrics Child Health

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A male neonate born at 33 weeks of gestation was orally administered caffeine from the 2nd to the 13th days of life for the management of apnoea of prematurity with several episodes of bradycardia. Paroxysmal bradycardia recurred at 23 days of age, indicating that the treatment was ineffective. A physical examination at 31 days of age revealed no hypothermia or other abnormalities. Laboratory findings at 35 days of age showed no abnormalities in the serum electrolyte, thyroid hormone, creatinine kinase, or troponin-I levels. The serum samples were also negative for Anti-SS-A and anti-SS-B antibodies. Other serum findings were as follows: epinephrine, 17 pg/mL (normal < 100 pg/mL); norepinephrine, 1205 pg/mL (normal < 450 pg/mL); and dopamine, 38 pg/mL (normal < 20 pg/mL). The urinary metanephrine-to-creatinine ratio was 2.06 (normal < 0.5). The chest radiography, echocardiography, brain magnetic resonance imaging and video electroencephalography findings were normal. His resting heart rate was 150-170 beats/

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“…This descriptive study was conducted using secondary analysis of data collected for a study in which autonomic nervous system function and its relationship to maternal sensitive caregiving during feeding was examined in the first 2 months of life in healthy infants and infants with TGA (Harrison, 2009, 2011; Harrison & Brown, ). This report focuses on previously unstudied associations among infants' autonomic function, affect and behavior, and dyadic interaction during feeding, as well as additional measures of maternal sensitive caregiving.…”

Section: Methodsmentioning

confidence: 99%

Maternal–Infant Interaction and Autonomic Function in Healthy Infants and Infants With Transposition of the Great Arteries

Harrison

Ferree

2014

Research in Nursing & Health

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The quality of maternal-infant interaction is a critical factor in the development of infants' autonomic function and social engagement skills. In this secondary data analysis, relationships among infant and maternal affect and behavior and quality of dyadic interaction, as measured by the Parent-Child Early Relational Assessment, and infant autonomic function, as measured by heart rate variability, were examined during feeding at 2 weeks and 2 months of age in 16 healthy infants and in 15 infants with transposition of the great arteries (TGA). Contrary to previous research, at 2 weeks infant age, mothers of infants with TGA had significantly higher scores in affect and behavior than did mothers of healthy infants. The affect and behavior and quality of dyadic interaction of infants with TGA also did not differ from that of healthy infants. Although infants' social engagement skills did not differ by health condition (TGA or healthy), these skills did differ by parasympathetic nervous system function: infants better able to suppress vagal activity with challenge had more positive and less dysregulated affect and behavior, regardless of health status. These findings suggest that maternal-infant interactions for some cardiac disease subgroups may not differ from healthy dyads. Additional research is required to identify both healthy and ill infants with delayed autonomic maturation and to develop and test interventions to enhance critical interactive functions.

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Trajectories of Parasympathetic Nervous System Function Before, During, and After Feeding in Infants With Transposition of the Great Arteries

Cited by 8 publications

References 37 publications

Heart Rate Variability as a Feeding Intervention Outcome Measure in the Preterm Infant

Heart Rate Variability as a Feeding Intervention Outcome Measure in the Preterm Infant

Early infantile paroxysmal atrioventricular block with autonomic nervous system dysfunction: A case report and literature review

Maternal–Infant Interaction and Autonomic Function in Healthy Infants and Infants With Transposition of the Great Arteries

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