Characterization of cardiorespiratory phase synchronization and directionality in late premature and full term infants.

Abstract:

OBJECTIVE:Though the mutual influence of cardiovascular and respiratory rhythms in healthy newborns has been documented, its full characterization is still pending. In general, the activity of many physiological subsystems has a well-expressed rhythmic character, and often an interdependency between physiological rhythms emerges early in development. Traditional methods of data analysis only address the quantification of the strength of subsystem interactions. In this work, we will investigate system interrelationships in terms of the possible presence of causal or directional interplays. APPROACH:In this paper, we propose a methodological application that quantifies phase coupling and its directionality in a population of newborn infants born between 35 and 40 weeks of gestational age (GA). The aim is to assess whether GA at birth significantly influences the development of phase synchronization and the directionality of the coupling between the cardiovascular and respiratory system activity. Several studies indicating irregular cardiorespiratory coupling as a leading cause of several pathologies underscore the need to investigate this phenomenon in this at-risk population. MAIN RESULTS:Results from our investigation show a different directionality profile as a function of GA and sleep state. SIGNIFICANCE:These findings are a contribution to the understanding of higher risk for the documented negative outcomes in the late preterm population. Moreover, these parameters could provide a tool for the development of early markers of cardiorespiratory dysregulation in infants.

journal_name

Physiol Meas

authors

Lucchini M,Pini N,Fifer WP,Burtchen N,Signorini MG

doi

10.1088/1361-6579/aac553

subject

Has Abstract

pub_date

2018-06-19 00:00:00

pages

064001

issue

6

eissn

0967-3334

issn

1361-6579

journal_volume

39

pub_type

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