Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication
The aim of this study was to evaluate HRV in children requiring intensive care unit stays due to TCA poisoning between March 2009 and July 2010. In the time-domain nonspectral evaluation, the SDNN (P<0.001), SDNNi (P<0.05), RMSDD (P<0.01), and pNN50 (P<0.01) were found to be significant...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/196506 |
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| author | Ener Cagri Dinleyici Zubeyir Kilic Sabiha Sahin Rabia Tutuncu-Toker Makbule Eren Zeynel Abidin Yargic Pelin Kosger Birsen Ucar |
| author_facet | Ener Cagri Dinleyici Zubeyir Kilic Sabiha Sahin Rabia Tutuncu-Toker Makbule Eren Zeynel Abidin Yargic Pelin Kosger Birsen Ucar |
| author_sort | Ener Cagri Dinleyici |
| collection | DOAJ |
| description | The aim of this study was to evaluate HRV in children requiring intensive care unit stays due to TCA poisoning between March 2009 and July 2010. In the time-domain nonspectral evaluation, the SDNN (P<0.001), SDNNi (P<0.05), RMSDD (P<0.01), and pNN50 (P<0.01) were found to be significantly lower in the TCA intoxication group. The spectral analysis of the data recorded during the first 5 minutes after intensive care unit admission showed that the values of the nLF (P<0.05) and the LF/HF ratio (P=0.001) were significantly higher in the TCA intoxication group, while the nHF (P=0.001) values were significantly lower. The frequency-domain spectral analysis of the data recorded during the last 5 minutes showed a lower nHF (P=0.001) in the TCA intoxication group than in the controls, and the LF/HF ratio was significantly higher (P<0.05) in the intoxication group. The LF/HF ratio was higher in the seven children with seizures (P<0.001). These findings provided us with a starting point for the value of HRV analysis in determining the risk of arrhythmia and convulsion in TCA poisoning patients. HRV can be used as a noninvasive testing method in determining the treatment and prognosis of TCA poisoning patients. |
| format | Article |
| id | doaj-art-37dc880dcce94a80954cfb980021e309 |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-37dc880dcce94a80954cfb980021e3092025-02-03T01:02:03ZengWileyCardiology Research and Practice2090-80162090-05972013-01-01201310.1155/2013/196506196506Heart Rate Variability in Children with Tricyclic Antidepressant IntoxicationEner Cagri Dinleyici0Zubeyir Kilic1Sabiha Sahin2Rabia Tutuncu-Toker3Makbule Eren4Zeynel Abidin Yargic5Pelin Kosger6Birsen Ucar7Department of Pediatric Intensive Care, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatric Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatric Intensive Care, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatrics, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatrics, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatrics, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatric Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyDepartment of Pediatric Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, 26480 Eskişehir, TurkeyThe aim of this study was to evaluate HRV in children requiring intensive care unit stays due to TCA poisoning between March 2009 and July 2010. In the time-domain nonspectral evaluation, the SDNN (P<0.001), SDNNi (P<0.05), RMSDD (P<0.01), and pNN50 (P<0.01) were found to be significantly lower in the TCA intoxication group. The spectral analysis of the data recorded during the first 5 minutes after intensive care unit admission showed that the values of the nLF (P<0.05) and the LF/HF ratio (P=0.001) were significantly higher in the TCA intoxication group, while the nHF (P=0.001) values were significantly lower. The frequency-domain spectral analysis of the data recorded during the last 5 minutes showed a lower nHF (P=0.001) in the TCA intoxication group than in the controls, and the LF/HF ratio was significantly higher (P<0.05) in the intoxication group. The LF/HF ratio was higher in the seven children with seizures (P<0.001). These findings provided us with a starting point for the value of HRV analysis in determining the risk of arrhythmia and convulsion in TCA poisoning patients. HRV can be used as a noninvasive testing method in determining the treatment and prognosis of TCA poisoning patients.http://dx.doi.org/10.1155/2013/196506 |
| spellingShingle | Ener Cagri Dinleyici Zubeyir Kilic Sabiha Sahin Rabia Tutuncu-Toker Makbule Eren Zeynel Abidin Yargic Pelin Kosger Birsen Ucar Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication Cardiology Research and Practice |
| title | Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication |
| title_full | Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication |
| title_fullStr | Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication |
| title_full_unstemmed | Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication |
| title_short | Heart Rate Variability in Children with Tricyclic Antidepressant Intoxication |
| title_sort | heart rate variability in children with tricyclic antidepressant intoxication |
| url | http://dx.doi.org/10.1155/2013/196506 |
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