Associations between fetal heart rate ...
Type de document :
Article dans une revue scientifique: Article original
DOI :
PMID :
URL permanente :
Titre :
Associations between fetal heart rate variability and umbilical cord occlusions-induced neural injury: An experimental study in a fetal sheep model.
Auteur(s) :
Ghesquière, Louise [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Perbet, Romain [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lacan, Laure [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Ould Hamoud, Yasmine [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Stichelbout, Morgane [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Sharma, Dyuti [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Nguyen The Tich, Sylvie [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Storme, Laurent [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Debarge, Veronique [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
De Jonckheere, Julien [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Garabedian, Charles [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Perbet, Romain [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lacan, Laure [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Ould Hamoud, Yasmine [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Stichelbout, Morgane [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Sharma, Dyuti [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Nguyen The Tich, Sylvie [Auteur]

Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Storme, Laurent [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Debarge, Veronique [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
De Jonckheere, Julien [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Garabedian, Charles [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Titre de la revue :
Acta Obstetricia et Gynecologica Scandinavica
Nom court de la revue :
Acta Obstet Gynecol Scand
Numéro :
101
Pagination :
758-770
Date de publication :
2022-05-05
ISSN :
1600-0412
Mot(s)-clé(s) en anglais :
autonomic nervous system
fetal heart rate
heart rate variability
intrapartum hypoxic-ischemia
neural injury
umbilical cord compression
fetal heart rate
heart rate variability
intrapartum hypoxic-ischemia
neural injury
umbilical cord compression
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Introduction
This study evaluated the association between fetal heart rate variability (HRV) and the occurrence of hypoxic–ischemic encephalopathy in a fetal sheep model.
Material and methods
The experimental protocol ...
Lire la suite >Introduction This study evaluated the association between fetal heart rate variability (HRV) and the occurrence of hypoxic–ischemic encephalopathy in a fetal sheep model. Material and methods The experimental protocol created a hypoxic condition with repeated cord occlusions in three phases (A, B, C) to achieve acidosis to pH <7.00. Hemodynamic, gasometric and HRV parameters were analyzed during the protocol, and the fetal brain, brainstem and spinal cord were assessed histopathologically 48 h later. Associations between the various parameters and neural injury were compared between phases A, B and C using Spearman's rho test. Results Acute anoxic–ischemic brain lesions in all regions was present in 7/9 fetuses, and specific neural injury was observed in 3/9 fetuses. The number of brainstem lesions correlated significantly and inversely with the HRV fetal stress index (r = −0.784; p = 0.021) in phase C and with HRV long-term variability (r = −0.677; p = 0.045) and short-term variability (r = −0.837; p = 0.005) in phase B. The number of neurological lesions did not correlate significantly with other markers of HRV. Conclusions Neural injury caused by severe hypoxia was associated with HRV changes; in particular, brainstem damage was associated with changes in fetal-specific HRV markers.Lire moins >
Lire la suite >Introduction This study evaluated the association between fetal heart rate variability (HRV) and the occurrence of hypoxic–ischemic encephalopathy in a fetal sheep model. Material and methods The experimental protocol created a hypoxic condition with repeated cord occlusions in three phases (A, B, C) to achieve acidosis to pH <7.00. Hemodynamic, gasometric and HRV parameters were analyzed during the protocol, and the fetal brain, brainstem and spinal cord were assessed histopathologically 48 h later. Associations between the various parameters and neural injury were compared between phases A, B and C using Spearman's rho test. Results Acute anoxic–ischemic brain lesions in all regions was present in 7/9 fetuses, and specific neural injury was observed in 3/9 fetuses. The number of brainstem lesions correlated significantly and inversely with the HRV fetal stress index (r = −0.784; p = 0.021) in phase C and with HRV long-term variability (r = −0.677; p = 0.045) and short-term variability (r = −0.837; p = 0.005) in phase B. The number of neurological lesions did not correlate significantly with other markers of HRV. Conclusions Neural injury caused by severe hypoxia was associated with HRV changes; in particular, brainstem damage was associated with changes in fetal-specific HRV markers.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
Université de Lille
CHU Lille
CHU Lille
Date de dépôt :
2023-11-15T04:14:23Z
2024-04-08T08:31:22Z
2024-04-08T08:31:22Z
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- Acta Obstet Gynecol Scand - 2022 - Ghesquière - Associations between fetal heart rate variability and umbilical cord.pdf
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