pubmed-article:9659101 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:9659101 | lifeskim:mentions | umls-concept:C0038644 | lld:lifeskim |
pubmed-article:9659101 | lifeskim:mentions | umls-concept:C0026336 | lld:lifeskim |
pubmed-article:9659101 | lifeskim:mentions | umls-concept:C0042420 | lld:lifeskim |
pubmed-article:9659101 | pubmed:issue | 5 | lld:pubmed |
pubmed-article:9659101 | pubmed:dateCreated | 1998-7-21 | lld:pubmed |
pubmed-article:9659101 | pubmed:abstractText | A 5 1/2 month old male infant who had suffered three acute life threatening episodes was admitted for overnight sleep studies but was found dead after their completion while still in hospital. A necropsy classified the cause of death as sudden infant death syndrome (SIDS). The sleep studies had shown no periods of apnoea (> 20 seconds) or bradycardia (< 90 beats/min), and a rapid response to nasal occlusion (5 seconds). However, autonomic function during sleep was poor, with reduced heart rate variability (6 beats/min v control 24 beats/min, SD 6.2) and postural hypotension (a 12-14% fall in resting systolic blood pressure) associated with a fall in heart rate when tilted to a vertical position. Postural hypotension with bradycardia occurs in adults with unexplained syncopal episodes and is called a neurocardiac reflex. It involves poor vasomotor tone with peripheral pooling of blood, a consequent reduction in central venous return and cardiac distension, and in some individuals a neurally mediated bradycardia, as seen in this infant, rather than the expected tachycardia. A progressive bradycardia is the predominant mechanism of death seen in SIDS infants dying on cardiorespiratory monitors at home. This case suggests that a neurocardiac reflex occurs in infants, may have been involved in this infant's death, and deserves further study in the context of SIDS. | lld:pubmed |
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pubmed-article:9659101 | pubmed:language | eng | lld:pubmed |
pubmed-article:9659101 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
pubmed-article:9659101 | pubmed:citationSubset | AIM | lld:pubmed |
pubmed-article:9659101 | pubmed:status | MEDLINE | lld:pubmed |
pubmed-article:9659101 | pubmed:month | May | lld:pubmed |
pubmed-article:9659101 | pubmed:issn | 1468-2044 | lld:pubmed |
pubmed-article:9659101 | pubmed:author | pubmed-author:FokJJ | lld:pubmed |
pubmed-article:9659101 | pubmed:author | pubmed-author:MatthewsTT | lld:pubmed |
pubmed-article:9659101 | pubmed:author | pubmed-author:LedwidgeMM | lld:pubmed |
pubmed-article:9659101 | pubmed:issnType | Electronic | lld:pubmed |
pubmed-article:9659101 | pubmed:volume | 78 | lld:pubmed |
pubmed-article:9659101 | pubmed:owner | NLM | lld:pubmed |
pubmed-article:9659101 | pubmed:authorsComplete | Y | lld:pubmed |
pubmed-article:9659101 | pubmed:pagination | 481-3 | lld:pubmed |
pubmed-article:9659101 | pubmed:dateRevised | 2009-11-18 | lld:pubmed |
pubmed-article:9659101 | pubmed:meshHeading | pubmed-meshheading:9659101-... | lld:pubmed |
pubmed-article:9659101 | pubmed:meshHeading | pubmed-meshheading:9659101-... | lld:pubmed |
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pubmed-article:9659101 | pubmed:meshHeading | pubmed-meshheading:9659101-... | lld:pubmed |
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pubmed-article:9659101 | pubmed:meshHeading | pubmed-meshheading:9659101-... | lld:pubmed |
pubmed-article:9659101 | pubmed:year | 1998 | lld:pubmed |
pubmed-article:9659101 | pubmed:articleTitle | Neurocardiogenic syncope: a model for SIDS. | lld:pubmed |
pubmed-article:9659101 | pubmed:affiliation | Department of Paediatrics, Rotunda Hospital, Dublin, Republic of Ireland. | lld:pubmed |
pubmed-article:9659101 | pubmed:publicationType | Journal Article | lld:pubmed |
pubmed-article:9659101 | pubmed:publicationType | Case Reports | lld:pubmed |
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