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Erschienen in: Pediatric Cardiology 2/2012

01.02.2012 | Original Article

Heart Rate Variability in Children With Fontan Circulation: Lateral Tunnel and Extracardiac Conduit

verfasst von: Jenny Alenius Dahlqvist, Marcus Karlsson, Urban Wiklund, Rolf Hörnsten, Eva Strömvall-Larsson, Håkan Berggren, Katarina Hanseus, Sune Johansson, Annika Rydberg

Erschienen in: Pediatric Cardiology | Ausgabe 2/2012

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Abstract

The technique in Fontan surgery has developed from the lateral tunnel (LT) toward the extracardiac conduit (EC) used to reduce long-term complications such as atrial arrhythmia and sinus node dysfunction. Heart rate variability (HRV) examines cardiac nervous activity controlling the sinus node. This study aimed to investigate HRV in a cohort of children with univentricular hearts, focusing on the relation between HRV and surgical procedure. For 112 children with Fontan circulation, HRV was analyzed using power spectral analysis. Spectral power was determined in three regions: very-low-frequency (VLF), low-frequency (LF), and high-frequency (HF) regions. Patients were compared with 66 healthy controls subject. Patients with LT were compared with patients who had EC. The children with Fontan circulation showed a significantly reduced HRV including total power (P < 0.0001), VLF (P < 0.0001), LF (P < 0.0001), and HF (P = 0.001) compared with the control subjects. The LT and EC patients did not differ significantly. Reduced HRV was found in both the LT and EC patients. In terms of HRV reduction, EC was not superior to LT.
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Metadaten
Titel
Heart Rate Variability in Children With Fontan Circulation: Lateral Tunnel and Extracardiac Conduit
verfasst von
Jenny Alenius Dahlqvist
Marcus Karlsson
Urban Wiklund
Rolf Hörnsten
Eva Strömvall-Larsson
Håkan Berggren
Katarina Hanseus
Sune Johansson
Annika Rydberg
Publikationsdatum
01.02.2012
Verlag
Springer-Verlag
Erschienen in
Pediatric Cardiology / Ausgabe 2/2012
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-011-0126-2

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