Coordination of the EEG and the heart rate of preterm neonates during quiet sleep.

Aim of this study was to confirm that EEG bursts are associated with heart rate (HR) accelerations, and to investigate the synchronicity between quadratic phase couplings (QPC) courses of the EEG and HR before and during burst activity during quiet sleep in preterm newborns. The time-courses of QPC between frequency components of the EEG ([0.25-1.0 Hz]<-->[4.0-6.0 Hz]) as well as between the Mayer-Traube-Hering (MTH) wave and the frequency component of the HR associated to the respiratory sinus arrhythmia (RSA) ([0.02-0.15 Hz]<-->[0.4-1.5 Hz]) were investigated in five preterm neonates. During quiet sleep, the EEG alternates between burst and interburst activity. The burst onsets were used to trigger an averaging procedure for the EEG, HR, and QPC courses. It can be demonstrated that the envelopes of the EEG rise after the burst onset accompanied by an acceleration of HR before or at the burst maximum. The QPC courses show that the HR's QPC increases before or at the burst onset whereas the increase of the EEG's QPC is delayed. The synchronous changes of EEG and HR as well as of the corresponding QPC courses indicate a coupling between cortical, thalamocortical and neurovegetative brain structures. Such a coupling might be mediated by the MTH waves in the blood pressure.