Key result
Hypothermia increases HRV versus normothermia in newborn piglets, potentially driven by bradycardia.
Why the study?
Therapeutic hypothermia may directly affect heart rate variability and confound its use as a biomarker of neonatal hypoxic-ischemic brain injury, but previous findings are conflicting.
Does hypothermia affect heart rate variability in a healthy newborn piglet model?
Does hypothermia affect heart rate variability in a healthy newborn piglet model?
p-value: p=<0.05
Hypothermia increases heart rate variability in healthy newborn piglets, likely mediated by bradycardia, which may confound the use of HRV as a biomarker for brain injury severity during therapeutic hypothermia.
Caution against using HRV to assess brain injury during neonatal therapeutic hypothermia; leaves open translation from this healthy piglet model.
Decreased heart rate variability (HRV) may be a biomarker of brain injury severity in neonatal hypoxic-ischemic encephalopathy for which therapeutic hypothermia is standard treatment. While therapeutic hypothermia may influence the degree of brain injury; hypothermia may also affect HRV per se and obscure a potential association between HRV and hypoxic-ischemic encephalopathy. Previous results are conflicting. This study aimed to investigate the effect of hypothermia on HRV in healthy, anaesthetised, newborn piglets. Six healthy newborn piglets were anaesthetised. Three piglets were first kept normothermic (38.5-39.0 °C) for 3 h, then exposed to hypothermia (33.5-34.5 °C) for 3 h. Three piglets were first exposed to hypothermia for 3 h, then rewarmed to normothermia for 3 h. Temperature and ECG were recorded continuously. HRV was calculated from the ECG in 5 min epochs and included time domain and frequency domain variables. The HRV variables were compared between hypothermia and normothermia. All assessed HRV variables were higher during hypothermia compared to normothermia. Heart rate was lower during hypothermia compared to normothermia and all HRV variables correlated with heart rate. Hypothermia was associated with an increase in HRV; this could be mediated by bradycardia during hypothermia.
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Pedersen et al. (2022) studied Healthy (Newborn piglet model) (n=6). Hypothermia vs. Normothermia (38.5-39.5 °C) was evaluated on Heart rate variability (time and frequency domain variables) (p=<0.05). Hypothermia significantly increased all assessed heart rate variability variables compared to normothermia in healthy newborn piglets, an effect that may be mediated by bradycardia.
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