Why the study?
Does propranolol alter T-wave morphology and heart rate variability during repeated umbilical cord occlusions in fetal sheep?
Does propranolol alter T-wave morphology and heart rate variability during repeated umbilical cord occlusions in fetal sheep?
Circulating catecholamines do not contribute to fetal heart rate variability during labor-like hypoxemia but partially regulate T-wave morphology between brief hypoxemic episodes.
Findings indicate catecholamines do not mediate FHRV during ovine hypoxemia; leaves open translation to human intrapartum monitoring.
= 7) 30 min before being exposed to three 2-min complete umbilical cord occlusions (UCOs) separated by 3-min reperfusions. T/QRS ratio was calculated throughout UCOs and reperfusion periods, and measures of FHRV (RMSSD, SDNN, and STV) were calculated between UCOs. During the baseline period, before the start of UCOs, propranolol was associated with reduced FHR, SDNN, and STV but did not affect RMSSD or T/QRS ratio. UCOs were associated with rapid FHR decelerations and increased T/QRS ratio; propranolol significantly reduced FHR during UCOs and was associated with a slower rise in T/QRS ratio during the first UCOs, without affecting the maximal rise or T/QRS ratio during the second and third UCO. Between UCOs propranolol reduced FHR and T/QRS ratio but did not affect any measure of FHRV. These data demonstrate that circulating catecholamines do not contribute to FHRV during labor-like hypoxemia. Furthermore, circulating catecholamines did not contribute to the major rise in T/QRS ratio during labor-like hypoxemia but may regulate T/QRS ratio between brief hypoxemia.
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Lear et al. (2020) studied this question.
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