Effect of Piracetam and Iron Treatment on Heart Rate Variability in Patients With Breath-Holding Spell

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dc.authoridÖncül, Mehmet/0000-0001-5874-7826
dc.authoridGozukara Bag, Harika Gozde/0000-0003-1208-4072
dc.authoridGUNGOR, SERDAL/0000-0003-3875-6770
dc.authoridMaras, Serdar Akin/0000-0001-5943-3781
dc.authorwosidÖncül, Mehmet/ABV-4995-2022
dc.authorwosidGozukara Bag, Harika Gozde/ABG-7588-2020
dc.contributor.authorOncul, Mehmet
dc.contributor.authorElkiran, Ozlem
dc.contributor.authorKarakurt, Cemsit
dc.contributor.authorGungor, Serdal
dc.contributor.authorMaras, Serdar Akin
dc.contributor.authorBag, Harika Gozde Gozukara
dc.date.accessioned2024-08-04T20:55:58Z
dc.date.available2024-08-04T20:55:58Z
dc.date.issued2024
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Breath-holding spells are a benign condition primarily seen in 3% to 5% of healthy children aged between six months and five years. Although no specific treatment is recommended due to its benign nature, iron and piracetam are used in severe or recurrent cases. We planned to compare the heart rate variability (HRV) before and after treatment with 24 -hour Holter monitoring in patients receiving iron and piracetam treatment and investigate the treatment's effectiveness. Methods: Twenty-five patients who applied to the outpatient clinic between 2013 and 2015 due to breath-holding spells were included in the study. The patients who received piracetam and iron therapy and underwent 24 -hour rhythm Holter monitoring were evaluated retrospectively. Results: Fourteen (56%) of these patients were evaluated as having cyanotic-type and 11 (44%) patients were assessed as having pale -type breath-holding spells. A significant difference was found only between hourly peak heart rate and total power in the group receiving iron treatment. Significant differences were also found among the minimum heart rate, mean heart rate, the standard deviation of RR intervals, the mean square root of the sum of the squares of their difference between adjacent RR intervals, spectpow, and low frequency before and after the treatment in the patients who started piracetam treatment ( P < 0.05). Conclusions: Our study is critical as it is the first to investigate the effects of treatment options on various HRV in patients with breath-holding spells. There were statistically significant changes in HRV parameters in patients receiving piracetam, and the number of attacks decreased significantly. Piracetam treatment contributes positively to the breath-holding spell with regard to efficacy and HRV, therefore it can be used to treat breath-holding spells. (c) 2024 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.pediatrneurol.2024.04.002
dc.identifier.endpage58en_US
dc.identifier.issn0887-8994
dc.identifier.issn1873-5150
dc.identifier.pmid38733854en_US
dc.identifier.scopus2-s2.0-85192435994en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage53en_US
dc.identifier.urihttps://doi.org/10.1016/j.pediatrneurol.2024.04.002
dc.identifier.urihttps://hdl.handle.net/11616/101974
dc.identifier.volume156en_US
dc.identifier.wosWOS:001241852300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofPediatric Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBreath-holdingen_US
dc.subjectIronen_US
dc.subjectPiracetamen_US
dc.subjectChildrenen_US
dc.titleEffect of Piracetam and Iron Treatment on Heart Rate Variability in Patients With Breath-Holding Spellen_US
dc.typeArticleen_US

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