PMID- 18456675 OWN - NLM STAT- MEDLINE DCOM- 20080826 LR - 20131121 IS - 1933-7205 (Electronic) IS - 1933-7191 (Linking) VI - 15 IP - 6 DP - 2008 Jul TI - ECG and heart rate variability changes in preterm and near-term fetal lamb following LPS exposure. PG - 572-83 LID - 10.1177/1933719107314060 [doi] AB - The aim of this study is to evaluate the myocardial response in the preterm and near-term fetal lamb with infection. Chronically instrumented fetal lambs were exposed to lipopolysaccharide (LPS), and the fetal electrocardiogram (FECG) ST waveform was examined using STAN. Fetal heart rate variability (FHRV) was automatically analyzed by adapting a polynomial function to the RR sequence in the FECG. Preterm fetuses exposed to >90 ng/kg LPS died within 8 hours of LPS administration, a response not seen in near-term fetuses. In both surviving and nonsurviving preterm fetuses, cardiovascular responses were characterized by decreased arterial pressure, negative T waves, and tachycardia accompanied by an increase in FHRV. Similar changes were not observed in the near-term fetuses after LPS. The study shows that preterm lambs are more sensitive to LPS in terms of myocardial/cardiovascular response than the more mature fetuses are. High FHRV and negative ST waveform seem to characterize the LPS-induced stress response in preterm fetuses. FAU - Blad, Sofia AU - Blad S AD - Perinatal Center, Department of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden. sofia.blad@gu.se FAU - Welin, Anna-Karin AU - Welin AK FAU - Kjellmer, Ingemar AU - Kjellmer I FAU - Rosen, K G AU - Rosen KG FAU - Mallard, Carina AU - Mallard C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080502 PL - United States TA - Reprod Sci JT - Reproductive sciences (Thousand Oaks, Calif.) JID - 101291249 RN - 0 (Blood Glucose) RN - 0 (Lipopolysaccharides) RN - 33X04XA5AT (Lactic Acid) SB - IM MH - Animals MH - Blood Gas Analysis MH - Blood Glucose/analysis MH - Disease Models, Animal MH - Electrocardiography/*methods MH - Female MH - Fetal Monitoring/*methods MH - Fetus MH - Heart Rate, Fetal/*physiology MH - Lactic Acid/blood MH - Lipopolysaccharides/*pharmacology MH - Pregnancy MH - Sheep MH - Sheep Diseases/*microbiology/physiopathology EDAT- 2008/05/06 09:00 MHDA- 2008/08/30 09:00 CRDT- 2008/05/06 09:00 PHST- 2008/05/06 09:00 [pubmed] PHST- 2008/08/30 09:00 [medline] PHST- 2008/05/06 09:00 [entrez] AID - 1933719107314060 [pii] AID - 10.1177/1933719107314060 [doi] PST - ppublish SO - Reprod Sci. 2008 Jul;15(6):572-83. doi: 10.1177/1933719107314060. Epub 2008 May 2.