Cardiorespiratory responses to bidirectional tilts in infants.

Abstract:

:Prior research in newborns has shown that head-up and head-down tilting elicits sustained increases and decreases in heart rate, respectively. Other studies in older infants have suggested that the pattern of heart rate responses to head-up tilting varies with risk for sudden infant death syndrome (SIDS). In this study, heart and respiratory rate changes following bidirectional tilting were recorded in sleeping infants on Day 1 or 2 of life, and during the period of maximum risk for SIDS, at 2 and 4 months of age. Newborns show increases in heart rate following 30 degrees head-up tilts and decreases in heart rate to 300 head-down tilting. Respiratory rates decreased to head-up tilting but did not change significantly to head-down tilting. While respiratory rate changes at 2 and 4 months of age are comparable to those of newborns, and decreases in heart rate to head-down tilting are similar across ages, sustained elevations in heart rate following head-up tilting are no longer apparent at the older ages. These results are consistent with the hypothesis that, during the period of maximum risk for SIDS, infants may have reduced ability to compensate for challenges that lead to decreases in blood pressure.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Fifer WP,Greene M,Hurtado A,Myers MM

doi

10.1016/s0378-3782(99)00026-2

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

265-79

issue

3

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(99)00026-2

journal_volume

55

pub_type

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