Development of cholinergic chronotropic control in chick (Gallus gallus domesticus) embryos

In chick (Gallus gallus domesticus) embryos, instantaneous heart rate begins to fluctuate with the appearance of rapid, transient decelerations at around the end of the second week of incubation. Previously, it was shown that instantaneous heart rate decelerations were eliminated by administration of atropine and concurrently heart rate baseline was elevated in late embryos. Because the previous study lacked statistical treatment and there has been recent controversy over the development of tonic vagal control of the heart, we reexamine the hypothesis that transient decelerations of instantaneous heart rate are mediated by vagus nerve and the vagal tone begins to appear at around the end of the second week of incubation. Atropine administration tests were conducted for sixty-seven 11- to 14-day-old and 18-day-old embryos in total. Heart rate decelerations appeared sporadically in three out of ten 12-day-old embryos, but the difference of mode heart rate before and after administration of atropine was not significant. Seven out of nine 13-day-old embryos and all nine 14-day-old embryos showed heart rate decelerations and the difference of mode heart rate before and after atropine administration was significant. In late (18-day-old) embryos, magnitude and frequency of instantaneous heart rate decelerations further increased with additional appearance of transient, irregular accelerations. Administration of varying doses of atropine completely eliminated the heart rate decelerations and elevated the heart rate baseline more markedly than in young embryos, indicating the maturation of vagal tone late in incubation.     

Relationship between accelerations and decelerations in heart rate and skeletal muscle activity in fetal sheep

Accelerations in fetal heart rate have been shown to be closely related to fetal body movements and are indicative of well-being in the human fetus. We have examined the association of accelerations and decelerations in heart rate with skeletal muscle activity in 8 fetal sheep between 125 and 145 days' gestation. Accelerations/decelerations were defined as transient increases/decreases in fetal heart rate of greater than or equal to 10 beats/min. lasting for 5 s or longer. For accelerations (n = 1180), the mean duration was 18.8 +/- 1.5 s (SEM) and the mean amplitude was 25.3 +/- 1.2 beats/min; for decelerations (n = 237), the mean duration was 17.4 +/- 1.6 s and the mean amplitude was 18.7 +/- 1.0 beats/min. Electromyograms were recorded from the nuchal muscles and antagonistic muscle groups of the fetal forelimb and hindlimb. Electromyogram activity occurred during 88.4 +/- 2.8% of accelerations and 60.6 +/- 7.7% of decelerations. There was a 36.6% reduction in the number of accelerations following fetal paralysis with gallamine, but no change in their amplitude or duration. It is concluded that accelerations in heart rate are highly associated with skeletal muscle activity in fetal sheep. The majority of these occur as a result of central neuronal output rather than as a consequence of fetal movement.     

Ontogeny of heart rate in embryonic and nestling crows (Corvus corone and Corvus macrorhynchos)

The developmental patterns of mean heart rate (MHR) and instantaneous heart rate (IHR) were investigated in embryos and chicks of altricial Corvuscorone and Corvus macrorhynchos. The MHR of embryos increased linearly with time from 250 beats · min⁻¹ at mid-incubation to 290 beats · min⁻¹ in hatchlings. MHR during the pipping period was maximal, but only marginally higher than in hatchlings. MHR was stable at about 290–300 beats · min⁻¹ during the 1st week after hatching. Spontaneous heart rate (HR) decelerations and accelerations were found in embryos and chicks, disturbing the baseline HR with increasing frequency during development. However, the IHR accelerations developed later and were less frequent than in precocial species. IHR and body temperature decreased during mild cold exposure (23–25 °C) and IHR accelerations were reduced in nestlings during the 1st week. We suggest that the development of parasympathetic control of HR in crows occurs at 60% of incubation, similar to precocial embryos, but sympathetic control may be delayed and suppressed in contrast to precocial embryos. Accepted: 3 March 1999     

Dynamical systems analysis of arterial blood pressure signals in relation to heart rate fluctuations in chick embryos

We attempted a new approach based on a modern dynamical system theory to reconstruct the arterial blood pressure signals in relation to heart rate fluctuations of developing chick embryos. The dynamical systems approach in general is to model a phenomenon that is presented by a single time series record and approximate the dynamical property (e.g. heart rate fluctuations) of a system based only on information contained in a single-variable (arterial blood pressure) of the system. The time-series data of the arterial blood pressure was reconstructed in 3-dimensional space to draw characteristic orbits. Since the reconstructed orbits of the blood pressure should retain information contained in the pressure signals, we attempted to derive instantaneous heart rate (IHR) from the reconstructed orbits. The derived IHR presenting HR fluctuations coincided well with the IHR obtained conventionally from the peak-to-peak time intervals of the maximum blood pressure. Movements of the reconstructed orbits of the arterial blood pressure in 3-dimensional space reflected HR fluctuations (i.e. transient decelerations and accelerations).     

Dynamics of the human heart rate during changes of posture under various climatic conditions]

The time course of the heart rate (15-sec-periods) during active orthostasis (10 min) was investigated according to types found by Drischel et al. under different climatic conditions in 51 female and 50 male subjects. Constant types were observed in each subject in 3 repeated tests on different days at 20 degrees C and 55% R.H., the types remaining constant even at 25 and 90% R.H. The increase in environmental temperature from 15 to 30 and 45 degrees C showed a significant alteration from type A via different transitional types to type B. At 45 degrees C, an additional type was observed called superhigh type B, functionally being a precollapse type. The variation in typology includes the dynamics of the initial process of the active orthostasis as well as the deviation between the steady-state of the heart rate in erect and in supine position. The physiological mechanisms eliciting the changes in the dynamic behaviour and the correlations with the effective temperature are discussed.     

Cardiac rhythms in chick embryos during hatching

Avian embryos develop within a hard eggshell which permits the measurement of heart rate while maintaining an adequate gas exchange through the chorioallantoic membrane. Heart rate has been determined from cardiogenic signals detected either noninvasively, semi-invasively or invasively with various transducers. Firstly, we reviewed these previously-developed methods and experimental results on heart rate fluctuations in prenatal embryos. Secondly, we presented new findings on the development of heart rate fluctuations during the last stages of incubation, with emphasis on the perinatal period, which remained to be studied. Three patterns of acceleration of the instantaneous heart rate were unique to the external pipping period: irregular intermittent large accelerations, short-term repeated large accelerations and relatively long-lasting cyclic small accelerations. Besides these acceleration patterns, respiratory arrhythmia, which comprimised oscillating patterns with a period of 1-1.5 s, appeared during the external pipping period. Furthermore, additional oscillating patterns with a period of 10-15 min were found in some externally pipped embryos.     

The impact of non-significant variable decelerations appearing in the latent phase on delivery mode: a prospective cohort study

Background  

Variable decelerations are the most frequent fetal heart rate changes that are related to labor. The objective of the study was to estimate the impact of non-significant variable decelerations (NSV) appearing during the latent phase of labor on delivery mode and neonatal outcome.     

Comparison of a Novel Computerized Analysis Program and Visual Interpretation of Cardiotocography

Objective

To compare a novel computerized analysis program with visual cardiotocography (CTG) interpretation results.

Methods

Sixty-two intrapartum CTG tracings with 20- to 30-minute sections were independently interpreted using a novel computerized analysis program, as well as the visual interpretations of eight obstetricians, to evaluate the baseline fetal heart rate (FHR), baseline FHR variability, number of accelerations, number/type of decelerations, uterine contraction (UC) frequency, and the National Institute of Child Health and Human Development (NICHD) 3-Tier FHR classification system.

Results

There was no significant difference in interobserver variation after adding the components of computerized analysis to results from the obstetricians'' visual interpretations, with excellent agreement for the baseline FHR (ICC 0.91), the number of accelerations (ICC 0.85), UC frequency (ICC 0.97), and NICHD category I (kappa statistic 0.91); good agreement for baseline variability (kappa statistic 0.68), the numbers of early decelerations (ICC 0.78) and late decelerations (ICC 0.67), category II (kappa statistic 0.78), and overall categories (kappa statistic 0.80); and moderate agreement for the number of variable decelerations (ICC 0.60), and category III (kappa statistic 0.50).

Conclusions

This computerized analysis program is not inferior to visual interpretation, may improve interobserver variations, and could play a vital role in prenatal telemedicine.     

Blood pressure and heart rate in patients with ischaemic heart disease receiving nifedipine and propranolol.

A randomised controlled crossover trial was performed to assess the anti-anginal effects of nifedipine and propranolol separately and together. The effects of these treatments on blood pressure and heart rate were assessed at rest and after the cold pressor and mental arithmetic tests. Nifedipine and propranolol together produced the greatest reduction in supine and erect systolic and diastolic blood pressures. Propranolol (480 mg daily) lowered resting systolic/diastolic blood pressures by 7/6 mm Hg and nifedipine (60 mg daily) lowered it by 10/8 mm Hg, while in the erect position the hypotensive effect of these agents averaged 9/8 mm Hg. During the cold pressor test propranolol lowered the maximum pressure by an average of 11/6 mm Hg and nifedipine by 19/10 mm Hg. For the mental arithmetic test, the results were 7/2 mm Hg and 16/7 mm Hg respectively. Propranolol (480 mg daily)reduced supine and erect heart rate by 19 and 25 beats/minute respectively, while nifedipine did not alter heart rate significantly. The favourable haemodynamic responses to nifedipine suggest that it may be of value in the management of hypertension.     

Cardiac rhythms in prenatal and perinatal emu embryos

Emu eggs weigh approximately 600 g and have an incubation duration (ID) of approximately 50 days. The egg mass is approximately 10-fold heavier than the chicken egg and the ID is approximately 2.5-fold longer. Daily changes in mean heart rate (MHR) of emu embryos were previously determined, but further measurement was needed to investigate the species-specific behavior of cardiac rhythm for comparison with other species. In the present study, we continuously measured the electrocardiogram of emu embryos while maintaining adequate gas exchange through the eggshell and determined instantaneous heart rate (IHR) during the last 2-7 days of incubation until hatching or death. The MHR over 1-min intervals was calculated from IHR data in order to present continuous developmental patterns of heart rate (HR) in a single graph and 24-h recordings of HR in a single panel, showing the HR trend over a prolonged period. However, neither circadian nor ultradian rhythms of HR were shown in these figures or by power spectrum analysis. The IHR distinctively fluctuated and the fluctuations were mainly comprised of three patterns of irregular HR accelerations in embryos that hatched. Respiratory sinus arrhythmia also occurred in perinatal embryos. During the final stages of the perinatal period, short-term, repeated, large accelerations of IHR appeared, which signaled imminent hatching and has been reported for chick embryos. IHR fluctuations in embryos that failed to hatch tended to become inactive towards death.     

Computer analysis of antepartum fetal heart rate: 1. Baseline determination

A consequent and reproducible determination of baseline is an essential prerequisite for objective interpretation of fetal heart rate. A fully automated off-line method of baseline determination has been developed and tested on 50 normal antepartum fetal heart rate recordings of two hours duration. The method is constructed around two functional units, a digital filter and a trim function, which interact in an iterative process. The results were evaluated in comparison with automated baseline determination according to Dawes and coworkers. A panel of 3 experts agreed that in 14 of the 50 recordings (28%), the new developed procedure resulted in a substantially better baseline fit. In the remaining 34 recordings (72%), baseline fit from both methods was judged as equivalent. The described procedure of baseline determination provides a solid base for automated detection of accelerations and decelerations in fetal heart rate recordings. It enables the study of the relation between the fetal heart rate pattern and fetal movements. Finally, it provides an objective tool for analysis of variables within the fetal heart rate with the highest predictive value with respect to fetal outcome.     

Heart-rate changes and gasping during intra-partum asphyxiation of a piglet. A case report

Fetal heart rate and gasping were monitored in a chronically-catheterized fetal piglet which became asphyxiated during delivery. This piglet was the fourth to be delivered in a litter of seven. Prior to delivery of the second piglet in the litter (which was next to the affected piglet in the uterine horn), blood pH and pO(2) values were within normal limits and heart rate changes were restricted to acceleration during uterine contractions. After expulsion of the second piglet in the litter, fetal heart rate became very irregular and fetal gasping became pronounced. Terminally, periods of severe bradycardia (with gasping) which occurred late in or after uterine contractions were observed between periods when the fetal heart rate was increased. These late decelerations followed a pattern similar to those seen in asphyxiated human infants.     

Changes in antepartum heart rate patterns with progressive deterioration of the fetal condition

In this paper changes in antepartum fetal heart rate (FHR) patterns are described, that occur with progressive deterioration of the fetal condition. The data on the relationship between heart rate patterns and fetal blood gas and pH values are reviewed. A possible rank ordering is presented in which changes in FHR pattern, body movements and blood flow velocity wave form patterns occur with progressive deterioration of the fetal condition.It is concluded that in small-for-date fetuses changes in heart rate and movement patterns are rather late signs of impairment, coinciding with fetal hypoxaemia. In general, heart rate variation falls below the norm at the same time as decelerations occur; there are, however, large inter-fetal differences. In general, abnormal Doppler velocity wave form patterns precede the occurrence of heart rate decelerations. Their impact on the timing of delivery is, however, still uncertain. The advantages of a numerical analysis of FHR patterns include identification of fetuses with low FHR variation, precision of the actual fetal condition and (at early gestation) longitudinal follow-up of fetuses with abnormal heart rate patterns.     

Cardiovascular changes in prolonged space flights

In prolonged manned space flights, the cardiovascular function was examined at rest and during provocative tests. As compared to the preflight data the following changes were seen: higher heart rate at rest and during LBNP tests, decrease of stroke volume at rest and during LBNP test and a less marked increase (or decrease) during exercise tests, symptoms of a greater heart load which transformed to the syndrome of myocardial hypodynamics (preload) during LBNP tests or to the syndrome of myocardial hyperdynamics (afterload) during exercise tests (with other than preflight ratios of systolic and diastolic time intervals). The above cardiovascular changes did not, as a rule, aggravate with flight time and can be viewed as adaptive reactions to microgravity. The above cardiovascular changes were primarily produced by fluid redistribution in the cranial direction, diminished participation of the muscle system in circulation, and involvement of unloading reflexes from the cardiopulmonary receptor zones.     

Small-sided games in amateur players: rule modification with mini-goals to induce lower external load responses

The aim of this study was to compare the acute physiological (i.e., heart rate-related variables) and neuromuscular responses (i.e., sprint and jump) and time-motion characteristics (i.e., external load variables) when modifying the game design (possession play vs. mini-goals without a goalkeeper) during 4-a-side in amateur senior football players. Male senior football players (n = 16) performed two formats of small-sided games (SSGs) in two different testing sessions (4-a-side with possession play and mini-goals rule). Differences in time-motion characteristics and physiological parameters of players were measured with the Global Positioning System (GPS), and tested before and after (pre- and post-SSG) for neuromuscular assessment. A repeated measures analysis of variance (ANOVA), with Bonferroni post-hoc test, showed that both SSG formats induced changes in sprint performance (before-after comparison) (p ≤ 0.05). Moreover, the results showed that the variables muscle oxygen saturation, rate of perceived exertion, 85–89% heart rate peak, total distance, total distances at low speed, total distances at high speed, m/min, accelerations at low speed, accelerations of ≥ 2.5 m.s^-2, maximal speed, and average speed were statistically significantly different among game conditions. The players’ performances are affected by the inclusion of mini-goals during 4 vs. 4 SSGs. The results provide useful information for training and task design that replicate specific physical demands (i.e., accelerations of ≥ 2.5 m.s^-2, total distances at high speed or total distances at low speed).     

Interrelations of the Autogenic Somatomotor Excitation of the Cardiac Activity in Developing Rats

In developing rats aged from newborns to 1.5 months, regularities were studied of the heart rate fluctuations associated with periodic bursts of the endogenous somatomotor excitation characteristic of early stages of postnatal ontogenesis of immature born animals. It has been established that decelerations predominate on the background of the motor bursts for the first week of life, whereas accelerations, since the beginning of the 3rd week. The heart rhythm changes can precede or lag behind the beginning of the motor excitation, which allows judging about the existence of two mechanisms of the interaction: about the heart reaction to motor activity and about the central drivers acting simultaneously on the both systems. Experiments with chronic desympathization and block of -adrenoreceptors indicate a participation of the sympathetic nervous system in formation of the motor-cardiac interaction.     

Cardiorespiratory interactions during resistive load breathing

The addition to the respiratory system of a resistive load results in breathing pattern changes and in negative intrathoracic pressure increases. The aim of this study was to use resistive load breathing as a stimulus to the cardiorespiratory interaction and to examine the extent of the changes in heart rate variability (HRV) and respiratory sinus arrhythmia (RSA) in relation to the breathing pattern changes. HRV and RSA were studied in seven healthy subjects where four resistive loads were applied in a random order during the breath and 8-min recording made in each condition. The HRV spectral power components were computed from the R-R interval sequences, and the RSA amplitude and phase were computed from the sinusoid fitting the instantaneous heart rate within each breath. Adding resistive loads resulted in 1) increasing respiratory period, 2) unchanging heart rate, and 3) increasing HRV and changing RSA characteristics. HRV and RSA characteristics are linearly correlated to the respiratory period. These modifications appear to be linked to load-induced changes in the respiratory period in each individual, because HRV and RSA characteristics are similar at a respiratory period obtained either by loading or by imposed frequency breathing. The present results are discussed with regard to the importance of the breathing cycle duration in these cardiorespiratory interactions, suggesting that these interactions may depend on the time necessary for activation and dissipation of neurotransmitters involved in RSA.     

Analysis of Heart Rate Variability Based on the Graph Method

A method of analysis of heart rate variability based on the graph theory principle was suggested. The main parameters of the heart rate graph structure were determined and analyzed using models of harmonic oscillations, white noise, and various functional tests (including controllable respiration and mental load). The efficiency of the use of parameters of the heart rate graph for diagnosing some functional states was considered. A correlation of the parameters of the heart rate graph structure with the frequency characteristics of heart rate variability was studied. A general model of changes in the heart rate graph structure parameters at different levels of mental activity was constructed in terms of entropy changes.