Health Engineering Innovation Center (HEIC), Department of Biomedical Engineering, Khalifa University, Abu Dhabi 127788, United Arab Emirates.
Department of Maternal and Fetal Therapeutics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, 980-8575, Japan.
Biol Open. 2022 Apr 15;11(4). doi: 10.1242/bio.058999. Epub 2022 Apr 13.
This study examines the role of autonomic control of maternal and fetal heart rate variability (MHRV and FHRV) and their heartbeats phase coupling prevalence (CPheartbeat) in mice. The subjects are divided into three groups: control with saline, cholinergic blockade with atropine, and β-adrenergic blockade with propranolol. Electrocardiogram signals of 27 anesthetized pregnant mice and 48 fetuses were measured for 20 min (drugs were administered after 10 min). For the coupling analysis, different maternal heartbeats were considered for one fetal beat. Results show that saline infusion did not produce any significant changes in MHRV and FHRV, as well as CPheartbeat. Atropine increased maternal HR (MHR) and decreased MHRV significantly without any considerable effect on fetal HR (FHR) and FHRV. Propranolol infusion did not produce any significant changes in MHR and MHRV, but significantly decreased FHR and increased FHRV. Moreover, atropine had led to a decrease in CPheartbeat when considering two and three maternal beats, and an increase for four beats; while propranolol resulted in a decrease for two heartbeats, but an increase for four and five beats. The proposed approach is useful for assessing the impact of maternal autonomic modulation activity on fetal distress and obstetric complications prevalent in pregnant mothers.
本研究探讨了母体和胎儿心率变异性(MHRV 和 FHRV)自主控制及其心跳相位耦合发生率(CPheartbeat)在小鼠中的作用。受试者分为三组:生理盐水对照、阿托品胆碱能阻断和普萘洛尔β-肾上腺素能阻断。对 27 只麻醉怀孕小鼠和 48 只胎儿的心电图信号进行了 20 分钟的测量(在 10 分钟后给予药物)。对于耦合分析,考虑了不同的母体心跳来对应一个胎儿心跳。结果表明,生理盐水输注没有对 MHRV 和 FHRV 以及 CPheartbeat 产生任何显著影响。阿托品显著增加了母体心率(MHR)并显著降低了 MHRV,而对胎儿心率(FHR)和 FHRV 没有显著影响。普萘洛尔输注没有对 MHR 和 MHRV 产生任何显著变化,但显著降低了 FHR 并增加了 FHRV。此外,当考虑两个和三个母体心跳时,阿托品导致 CPheartbeat 减少,而考虑四个心跳时增加;而普萘洛尔导致两个心跳减少,但四个和五个心跳增加。该方法可用于评估母体自主调节活动对胎儿窘迫和孕妇常见产科并发症的影响。