Factor Information
Data ID 3573
Factor PST (cardiac parasympathetic nervous tone) (bpm)
Description In the complex CHD patients, higher cNCR was mainly associated with the lower pharmacologically determined cardiac parasympathetic nervous tone (PST), HR variability, high atrial natriuretic peptide, and lower right ventricular ejection fraction ( p<0.0001).
Biomarker NA
Classification E10 (physiological factor - other)
Association
Application treatment and prognosis
Objective To investigate the negative chronotropic response (NCR) to low-dose atropine in postoperative patients with congenital heart disease (CHD).
p Value <0.001
Conclusion PST and cPST were also lower in the CHD groups, especially in the complex and Fontan patients and were proportionally decreased according to the exercise capacity.
Risk Factor unknown
CHD Type
ID 557
CHD Type isolated CHD
CHD Subtype ASD/VSD/other
Reference
PMID 15771928
Year 2005
Title Negative chronotropic response to low-dose atropine is associated with parasympathetic nerve-mediated cardiovascular response in postoperative patients with congenital heart disease.
Sample
Population All (9-36 years)
Source patients
Region Osaka, Japan
Method NCR corrected for basal heart rate (HR) (minimal HR/basal HR=cNCR) was determined after low-dose atropine (3 Ag/kg) administration and was compared with the cardiac autonomic nervous and functional status.
Race Asian
Disease History N/A
Treatment History N/A
Group Complex CHD(Treatment) AVSD(Control)
Number 80 17
Age 15.5±5 years 15.1±4.6 years
Gender (Male: Female) N/A N/A
Marker Level 25±14 bpm 50±14 bpm