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Sinus tachycardia in term infants preceding sudden infant death
Authors:D P Southall  V Stevens  C I Franks  R G Newcombe  E A Shinebourne  A J Wilson
Institution:(1) Department of Paediatrics, Cardiothoracic Institute, Brompton Hospital, Fulham Road, SW3 6HP London, UK;(2) Department of Medical Computing and Statistics, University of Wales College of Medicine, Heath Park, CF4 4XN Cardiff, UK;(3) Department of Medical Physics and Clinical Engineering, Royal Hallamshire Hospital, Glossop Road, S10 2JF Sheffield, UK
Abstract:The quantities of sinus tachycardia in 24-h recordings of the electrocardiogram from 16 full-term infants (ge37 weeks gestation) who were subsequently victims of the sudden infant death syndrome (SIDS), from 230 randomly selected age-matched full-term survivors and from 64 full-term survivors matched for age and birth weight were measured by computer and manual analysis techniques. Of 16 infants dying of SIDS, 7 had elevated levels of sinus tachycardia (>95th centile in controls) (P<0.01). Although high levels of sinus tachycardia might be of value in identifying infants at high risk of SIDS, these encouraging findings must first be validated by further prospective studies.Abbreviations IHR instantaneous heart rate - SIDS sudden infant death syndrome - ECG electrocardiogram
Keywords:Sudden infant death syndrome  Sinus tachycardia  Heart rate variability
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