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Biological rhythm in 1/f fluctuations of heart rate in asthmatic children

Authors


Norio Kazuma, Department of Pediatrics, Seibu General Hospital, Kamiokubo 884, Sakura-ku, Saitama-city, Saitama 338-0824, Japan. Email: n-kazu@pf7.so-net.ne.jp

Abstract

Background:  The 1/f fluctuations of heart rate (HR) have been used as a novel index of autonomic function from a chronobiological viewpoint. The autonomic function of asthma sufferers differs from that of normal children. Therefore, we investigated whether there are 1/f fluctuations in asthmatic children during an asthma attack and whether asthmatic children have a different rhythm of 1/f fluctuations in the 24 h after an asthma attack.

Methods:  We recorded 24 h electrocardiographs of eight asthmatic children (three females, five males; median age 8.5 years; range 7−11 years) at the time of an asthma attack and during a non-attack period and examined the 1/fβ fluctuations on HR and its rhythm over a 24 h period using the MemCalc system (GMS, Tokyo, Japan). The 1/f fluctuations on HR were calculated by the expression on a log10(frequency)− log10(power density) scale of the HR variability.

Results:  The values of β (1/fβ fluctuations of HR) for asthma attack and non-attack periods were 0.9 ± 0.07 and 0.96 ± 0.08, respectively (t = 1.59; P = 0.13). During the asthma attack period, the rhythm was median 7.9 h (range 6.1−11.1 h), compared with 22.7 h (range 12.2−36.4 h) during the non-attack period (t = 0; P < 0.001).

Conclusion:  During an asthma attack, the rhythm of 1/f fluctuations is ultradian (cycle length under 20 h), compared with various rhythms during a non-attack period. In future, we will clarify the relevance of the ultradian rhythm of 1/f fluctuations over a 24 h period and the biological life-support system at a point of time of an asthma attack.

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