Respiratory Sinus Arrhythmia as an Index of Parasympathetic Cardiac Control During Active Coping

Psychophysiological studies concerning tonic cardiac responses to stressor tasks have tended to emphasize beta-adrenergic effects and to neglect parasympathetic influences and sympathetic-parasympathetic interactions. Much recent evidence indicates that both within- and between-individual variations in cardiac parasympathetic heart rate (HR) control can be easily and reliably assessed by measuring the magnitude of respiratory sinus arrhythmia (RSA). Therefore, we used RSA to index cardiac vagal responses to two active coping tasks. Both tasks consisted of the same video game, in one condition with threat of shock for inferior performance, and in the other without such threat. Twenty subjects underwent both tasks (counterbalanced over subjects), plus a preceding resting baseline period. HR and RSA were continuously measured. Results suggested that cardiac parasympathetic activity was diminished from rest to task, contributing to heart rate responses. Exaggerated HR responses were also associated with extreme parasympathetic withdrawal. Furthermore, task condition X sequence of presentation interaction effects showed that threat of shock was particularly effective in elevating HR and reducing RSA when the threat was presented during the first task condition. A repeated-measures analysis of covariance of HR, attempting to remove the effects of parasympathetic influences upon HR, suggested that sympathetic influences upon HR exceeded any reciprocal vagal effects during the threat condition for those subjects exposed to the threat task first. The findings indicate the importance of considering stress-related parasympathetic effects upon HR as well as sympathetic-vagal interactions.     

Prediction of Tonic Parasympathetic Cardiac Control Using Respiratory Sinus Arrhythmia: The Need for Respiratory Control

Respiratory sinus arrhythmia (RSA) has received much attention in recent years due to the large body of evidence indicating that variations in this phenomenon represent alterations in parasympathetic cardiac control. Although it appears that respiratory sinus arrhythmia is mediated by vagal mechanisms, the extent to which the well-known respiratory influences (i.e., rate and tidal volume) on respiratory sinus arrhythmia (in altering its magnitude) may moderate the relationship between RSA and cardiac vagal tone has never been systematically studied. We addressed this issue by examining intraindividual relationships among RSA magnitude, respiration (rate and tidal volume), and heart period among six healthy male adults after intravenous administration of 10 mg propranolol, a beta-adrenergic blocker. Subjects were exposed to various behavioral tasks which altered all physiological variables measured. Variations in heart period after beta blockade were assumed to be predominantly vagally mediated. Within-subject regression analyses consistently showed that respiratory parameters influenced RSA magnitude, but not tonic variations in beta-blocked heart period, suggesting that respiratory-mediated RSA alterations are not associated with changes in cardiac vagal tone. Only when respiratory variables were statistically controlled was there evidence of a reasonable correspondence between beta-blocked heart period and RSA amplitude, providing support for the idea that respiratory parameters need to be controlled when using RSA amplitude as an index of cardiac vagal tone. Repeated-measures analyses of variance of mean levels of heart period and respiratory sinus arrhythmia across subjects supplemented and supported the intraindividual results. These findings point to the importance of controlling for respiratory parameters when using respiratory sinus arrhythmia as a cardiac vagal index.     

Paced Respiratory Sinus Arrhythmia as an Index of Cardiac Parasympathetic Tone During Varying Behavioral Tasks

This study addresses a number of unresolved issues regarding the employment of respiratory sinus arrhythmia as an index of tonic parasympathetic cardiac control in psychophysiological investigations. These questions include the following: (1) Does respiratory sinus arrhythmia reflect cardiac vagal tone under conditions in which alterations in parasympathetic control are expected to be mild to moderate? (2) Are variations in human respiratory sinus arrhythmia that occur in response to varying behavioral demands independent of beta-adrenergic effects on the heart? (3) To what extent do typical experimental tasks apparently affect tonic cardiac vagal control? Twelve healthy male subjects were administered a joint alpha- and β-adrenoreceptor pharmacological blocker on one day and a placebo on another (balanced across subjects). On both days, respiratory sinus arrhythmia and heart period were monitored during a number of different experimental tasks while subjects continuously paced their respiration. Results indicated that respiratory sinus arrhythmia, under controlled respiratory conditions, is uninfluenced by variations in sympathetic activity, and provides a reasonably sensitive index of cardiac vagal tone, even when alterations in parasympathetic tone are not large. Furthermore, our findings suggest that cardiac vagal tone is responsive to varying behavioral demands and may interact in different ways with β-adrenergic mechanisms.     

Respiratory sinus arrhythmia, cardiac vagal tone, and respiration: Within- and between-individual relations

Respiratory sinus arrhythmia (RSA) is frequently employed as an intra- and interindividual index of cardiac parasympathetic tone, although the relationship of RSA to interindividual differences in cardiac vagal tone remains questionable. Our study examined between- and within-subject relations among RSA, cardiac vagal tone, and respiratory parameters. Twenty-nine young adults performed two sessions of tasks under no medication and single and double autonomic blockade (intravenously administered propranolol and atropine). Parasympathetic tone was determined from heart period responses to complete vagal blockade. Results indicated the following. Resting RSA does not accurately predict individual differences in cardiac vagal tone. However, RSA and heart period together do predict such individual differences reasonably well. The relationship between individual variations in RSA and vagal tone is not improved by controlling respiratory parameters. Substantial cardiac vagal activity occurs during inspiration, and intraindividual variations in respiratory measures confound the association between RSA and cardiac vagal tone.     

Patterns of Autonomic Response During Laboratory Stressors

The present study was designed to include an index reflecting the influence of parasympathetic nervous system activity on the heart, respiratory sinus arrhythmia, in addition to measures reflecting primarily sympathetic nervous system activity. The inclusion of the parasympathetic index was considered important for two reasons:(a) Past studies have suggested different patterns of autonomic response to qualitatively different laboratory stressors but have had to infer parasympathetic influences more indirectly, and (b) there is evidence that borderline hypertensives may have reduced vagal tone at rest when compared to normotensives. This last point is important for the study of individual differences in cardiovascular reactivity because excessive responsiveness in young normotensives (beta-adrenergic reactors) has been suggested as a model for studying the precursors of some types of hypertension. Fifty-one male college students were given a reaction time task, a mental arithmetic task, a cold pressor task, and graded bicycle exercise. A variety of cardiovascular and respiratory measures were collected on each subject. Results indicated significant differences in levels of respiratory sinus arrhythmia during the three tasks and the rest period, giving additional evidence for parasympathetic differences (along with sympathetic differences) in these conditions. Additionally, high beta-adrenergic reactors did not differ in mean level of respiratory sinus arrhythmia from low reactors either at rest or during the task periods. These results are discussed in the context of previous research.     

The relationships between sympathetic and parasympathetic tones and cardiovascular responses during active coping]

The relationships between sympathetic and parasympathetic tones and a variety of cardiovascular measures were examined in 27 male college students subjected to an active coping, namely a reaction time task, for five minutes. The results demonstrated an enhanced sympathetic tone during the first one minute (P1), indicating the decreases of pre-ejection period (PEP), left ventricular ejection time, and electromechanical systole (QS2), and the increase of QT/QS2. The reactivities of QT/QS2 and PEP defined by mean changes in the P1 period differed in their relationship with cardiovascular responses in the last four minutes. Although the PEP reactivity was associated with the cardiac performance (stroke volume and PEP/LVET), the QT/QS2 reactivity was correlated with the mean blood pressure (MBP). The reactivities of respiratory sinus arrhythmia (RSA) were defined by the residual difference obtained by subtracting values estimated by baseline RSAs from the mean value of changes during five minutes period. Subjects with high RSA reactivity (vagal withdrawal) showed higher heart rate and MBP than those with low RSA reactivity. The results are discussed with respect to the cardiac loading factors and hemodynamics.     

Parasympathetic nervous system control of heart rate responses to stress in offspring of hypertensives

The elevated heart rate response to stress in normotensive offspring of hypertensives (PH+) has been suggested to be a function of sympathetic nervous system activity. This study examined whether parasympathetic nervous system activity may also underlie familial differences in the heart rate response. Twenty-four subjects, half of whom were PH+, were exposed to four stressor tasks administered in counterbalanced order. Stressors were chosen based on previous research that suggested vagal contributions to the heart rate response. Stressors were a cold pack to the forehead, isometric hand grip, a noxious film, and a shock-avoidance video game task. Physiological measures included heart rate (HR), respiration rate (RR), and respiratory sinus arrhythmia (RSA). RSA values were corrected for corresponding RR by analysis of covariance. Familial differences in HR were observed in response to the hand grip and video game tasks. However, in both cases analyses suggest that familial differences in reactivity were a function of primarily sympathetic as opposed to parasympathetic influences. Familial differences in RSA were not observed for rest or tasks. This study found no evidence for parasympathetic mediation of familial differences in the heart rate response to the stressors employed.     

Assessment of autonomic function by the spectral analysis of heart rate variability: an examination in a mirror drawing task]

The effect of an experimental task on autonomic function was investigated by spectral analysis of heart rate variability in 13 male college students. Power spectral density of heart rate variability has been said to contain two significant components: respiratory sinus arrhythmia (RSA) as an index of cardiac vagal activity, and Mayer wave related sinus arrhythmia (MWSA) as an index of sympathetic activity with vagal modulation. Those two components were examined during a task of mirror drawing on the CRT. In order to eliminate the effect of respiratory rate on RSA, the respiratory rate was controlled at 15 breaths/min. Furthermore, the coefficient of variance of R-R interval (CV-RR) and the fluctuation of plethysmograph (PTG) were calculated simultaneously. Results indicated that, while RSA decreased significantly, MWSA did not change during the task. On the other hand, neither CV-RR nor PTG showed any significant differences during the task. These findings indicated that cardiac parasympathetic activity was diminished in the mirror drawing task. The significance of spectral analysis of heart rate variability were discussed.     

Cardiac Autonomic Mechanisms Associated with Borderline Hypertension under Varying Behavioral Demands: Evidence for Attenuated Parasympathetic Tone but Not for Enhanced Beta-Adrenergic Activity

Elevated blood pressure in psychophysiological studies of borderline hypertension is frequently attributed to the effects of increased sympathetic tone, and with few exceptions, the potential parasympathetic contributions have not been considered. Furthermore, of the investigations that have addressed vagal influences upon blood pressure, most have employed invasive pharmacological assessment of parasympathetic tone. In this study, cardiac parasympathetic and beta-adrenergic influences in borderline hypertension were evaluated noninvasively employing respiratory sinus arrhythmia as a vagal index and preejection period as a sympathetic index of cardiac functioning. Subjects were 30 borderline hypertensive and 23 normotensive males (age range, 24-45 years). The ECG, blood pressure, impedance cardiography, and respiration were measured during two baselines (initial and post-task), a memory-comparison reaction time task, the cold pressor, and CO2-rebreathing. Results indicated tonic differences between groups in all cardiovascular variables across tasks, with the exception of pre-ejection period, which showed no group effects at all. Hypertensives additionally manifested somewhat heightened systolic blood pressure reactivity and attenuated cardiac parasympathetic responsivity to specific tasks. Our findings provide no support for an exaggerated cardiac beta-adrenergic tonic level or reactivity in borderline hypertensives. On the other hand, the consistently lower magnitude of respiratory sinus arrhythmia in our hypertensives suggests that reduced parasympathetic control may be involved in the pathophysiology of hypertension.     

Relationships between features of autonomic cardiovascular control and cognitive performance

The study investigated relationships between autonomic cardiovascular control and attentional performance. In 60 healthy subjects R-wave to pulse interval (RPI), respiratory sinus arrhythmia (RSA), heart rate variability in the mid-frequency (MF) band and sensitivity of the cardiac baroreflex (BRS) were assessed at rest and during a visual attention test. All parameters decreased markedly during test execution. Lower values of resting BRS predicted increased performance. On-task RPI, RSA, MF power and BRS were inversely related to attentional functioning, with RSA accounting for the largest portion of test score variance. The inverse association between resting BRS and performance is discussed as reflecting the bottom-up modulation of cerebral function by baroreceptor activity. The results concerning the on-task measures suggest that a pattern of cardiovascular adjustment including enhanced sympathetic and reduced vagal cardiovascular influences, as well as baroreflex inhibition may induce an adaptive state associated with improved cognitive-attentional functioning.     

Toward understanding respiratory sinus arrhythmia: relations to cardiac vagal tone, evolution and biobehavioral functions

Respiratory sinus arrhythmia (RSA, or high-frequency heart-rate variability) is frequently employed as an index of cardiac vagal tone or even believed to be a direct measure of vagal tone. However, there are many significant caveats regarding vagal tone interpretation: 1. Respiratory parameters can confound relations between RSA and cardiac vagal tone.2. Although intraindividual relations between RSA and cardiac vagal control are often strong, interindividual associations may be modest.3. RSA measurement is profoundly influenced by concurrent levels of momentary physical activity, which can bias estimation of individual differences in vagal tone.4. RSA magnitude is affected by beta-adrenergic tone.5. RSA and cardiac vagal tone can dissociate under certain circumstances.6. The polyvagal theory contains evolution-based speculations that relate RSA, vagal tone and behavioral phenomena. We present evidence that the polyvagal theory does not accurately depict evolution of vagal control of heart-rate variability, and that it ignores the phenomenon of cardiac aliasing and disregards the evolution of a functional role for vagal control of the heart, from cardiorespiratory synchrony in fish to RSA in mammals. Unawareness of these issues can lead to misinterpretation of cardiovascular autonomic mechanisms. On the other hand, RSA has been shown to often provide a reasonable reflection of cardiac vagal tone when the above-mentioned complexities are considered. Finally, a recent hypothesis is expanded upon, in which RSA plays a primary role in regulation of energy exchange by means of synchronizing respiratory and cardiovascular processes during metabolic and behavioral change.     

Cardiac autonomic profile during rest and working memory load in essential hypotensive women

To our knowledge, no previous study has provided reliable data supporting a different modulation of the Neurovegetative system in essential hypotension. Our purpose was to provide, in essential hypotensive women compared to normotensives, evidence of a distinct sympathetic and parasympathetic cardiac control. Cardiovascular and autonomic indexes derived by impedance cardiography (heart rate, HR; pre-ejection period, PEP), photoplethysmographic technique (blood pressure, BP) and heart rate variability analysis (high and low frequencies power, HF and LF) were continuously collected during rest and mental stress condition. Hypotensives, compared to normotensives, exhibited prolonged PEP (low sympathetic tone) and elevated HF (high vagal involvement) during rest. In addition, they showed cardiovascular (reduced increases in BP and HR) and sympathetic (lower reductions of PEP) hypo-reactivity to the task. Furthermore, a lower sympathetic reactivity in hypotensives was associated to a poorer task performance. Essential hypotension was characterized by a low sympathetic and high parasympathetic tone. In addition, a reduced sympathetic nervous system reactivity suggests the main role of the Neurovegetative system in mediating the relationship between blood pressure and cognitive performance in hypotensives.     

The ontogeny of autonomic measures in 6- and 12-month-old infants

The purpose of this study was to develop a standardized protocol to measure preejection period (PEP), a measure of sympathetic nervous system, and respiratory sinus arrhythmia (RSA), a measure of parasympathetic nervous system, during resting and challenging states for 6- and 12-month-old infants and to determine developmental changes and individual stability of these measures. A 7-min reactivity protocol was administered to Latino infants at 6 months (n=194) and 12 months (n=181). Results showed: (1) it is feasible to measure PEP and RSA in infants, (2) the protocol elicited significant autonomic changes, (3) individual resting autonomic measures were moderately stable from 6 to 12 months, but reactivity measures were not stable, and (4) heart rate and RSA resting and challenge group means changed significantly from 6 to 12 months. Findings suggest that although infants' autonomic responses show developmental changes, individuals' rank order is stable from 6 to 12 months of age.     

Developmental and contextual influences on autonomic reactivity in young children

Studies of cardiovascular reactivity in young children have generally employed integrated, physiologically complex measures, such as heart rate and blood pressure, which are subject to the multiple influences of factors such as blood volume, hematologic status, thermoregulation, and autonomic nervous system (ANS) tone. Reactivity studies in children have rarely employed more differentiated, proximal measures of autonomic function capable of discerning the independent effects of sympathetic and parasympathetic responses. We describe 1) the development, validity, and reliability of a psychobiology protocol assessing autonomic reactivity to challenge in 3- to 8-year-old children; 2) the influences of age, gender, and study context on autonomic measures; and 3) the distributions of reactivity measures in a normative sample of children and the prevalences of discrete autonomic profiles. Preejection period (PEP) and respiratory sinus arrythmia (RSA) were measured as indices of sympathetic and parasympathetic nervous system reactivity, respectively, and autonomic profiles were created to offer summative indices of PEP and RSA response. Results confirmed the protocol's validity and reliability, and showed differences in autonomic reactivity by age and study context, but not by gender. The studies' findings offer guidelines for future research on autonomic reactivity in middle childhood and support the feasibility of examining sympathetic and parasympathetic responses to challenge in 3- to 8-year-old children.     

A Comparison of Three Quantification Methods for Estimation of Respiratory Sinus Arrhythmia

The empirical literature has shown that respiratory sinus arrhythmia is a sensitive noninvasive index of parasympathetic cardiac control. Nevertheless there has been no general agreement among investigators as to the most preferable quantification technique for assessing respiratory sinus arrhythmia, although there has been much speculation that specific estimation techniques are more or less reflective of vagal processes and could be more or less contaminated by other influences upon heart period variability unrelated to respiration. This study compared three quantification procedures for estimating respiratory sinus arrhythmia (RSA): (1) a spectral analytic technique, (2) a complex detrending approach removing periodic and aperiodic cardiac variations unrelated to respiration, and (3) a time-domain, peak-valley procedure employing inspiratory and expiratory periods as windows for determining range of cardiac-interval fluctuations associated with respiratory phase. Measures derived from these techniques were intra- and interindividually compared using three different samples of male subjects, including students, adult normotensives, and adult hypertensives. All interindividual correlations between measures yielded coefficients above .92 and the mean within-subject correlation across 42 individuals was .96, thus indicating a marked degree of comparability between measures. Additionally, given that much evidence indicates lawful within-individual relations between RSA amplitude and respiratory parameters, we employed respiratory period as an external criterion and compared intraindividual correlations between this variable and (2) and (3); results showed that (3) was significantly more highly associated with respiration than was (2), although the mean r's for the two measures did not diverge greatly (.91 vs. .84). Finally, inspection of the data and further regression analyses did not suggest that any of the RSA estimates were differentially contaminated by other components of cardiac variability. Our findings suggest that the three techniques are almost equivalent as indices of cardiac vagal tone and would appear to ease concerns about the inferiority of any of the procedures. Choice of a quantification procedure should therefore be tailored to the specific empirical needs of an investigation. The advantages and disadvantages of each method are discussed.     

Blood phobia and spider phobia: two specific phobias with different autonomic cardiac modulations

Cardiac reactions to two fear-related and one control film were compared in individuals high in spider or blood/injury fear. Twelve subjects in each phobic group were selected on the basis of their scores in the Spider or Mutilation Questionnaires and a semi-structured interview. Cardiac responses and self-reported affective ratings to the films were investigated. Sympathetic and parasympathetic cardiac influences were indexed by T-wave amplitude and respiratory sinus arrhythmia measured during film viewing. Basal parasympathetic cardiac control was also assessed during a paced breathing task. Results indicate differential autonomic modulation of cardiac responses for blood and spider phobics. Although each group reacted with marked cardiac activation to its feared stimulus, a sympathetic increase followed by withdrawal over time was found in blood phobics. Greater vagal tone at rest was present in blood phobics compared with spider phobics.     

RSA fluctuation in major depressive disorder

Cardiac vagal control, as measured by indices of respiratory sinus arrhythmia (RSA), has been investigated as a marker of impaired self-regulation in mental disorders, including depression. Past work in depressed samples has focused on deficits in resting RSA levels, with mixed results. This study tested the hypothesis that depression involves abnormal RSA fluctuation. RSA was measured in depressed and healthy control participants during rest and during two reactivity tasks, each followed by a recovery period. Relative to controls, depressed persons exhibited lower resting RSA levels as well as less RSA fluctuation, primarily evidenced by a lack of task-related vagal suppression. Group differences in RSA fluctuation were not accounted for by differences in physical health or respiration, whereas group differences in resting RSA level did not survive covariate analyses. Depression may involve multiple deficits in cardiac vagal control.     

Cardiac workload and inhibitory control in younger and older adults

Our goal was to investigate age differences in the role played by cardiovascular regulation in response control. We questioned whether pre-test respiratory sinus arrhythmia (RSA; an index of phasic vagal cardiac control) and/or rate pressure product (RPP; a measure of cardiac workload) were associated with error rate and/or error-related electrocortical responses (ERPs) during a Go/NoGo inhibitory control task across three levels of working memory load. ERPs, RSA and RPP were indirectly associated with performance in young adults. Within the older group, higher resting RPP was directly associated with NoGo errors at all levels of load, an association not seen in the younger group. Thus, for older adults, excessive hemodynamic demands at rest were more relevant than on-task electrocortical responses in the prediction of inhibitory control errors. These data support the relevance of autonomic regulation in understanding age-related change in higher-order neurocognitive function.     

Cardiac responses associated with affective processing of unpleasant film stimuli.

The autonomic basis of cardiac reactions to unpleasant film stimuli was investigated. Film clips depicting major surgery, threats of violence, and neutral material were presented to 46 subjects. Self-report measures of emotion were obtained, as well as heart rate, respiration rate, respiratory sinus arrhythmia, T-wave amplitude and skin conductance level. Resting vagal tone was estimated in a paced breathing task prior to film viewing. Spontaneous blink rate was also taken as a measure of visual engagement during film viewing. Coherent increases in sympathetic activation accompanied the film containing violent threats, whereas the surgery film yielded greater electrodermal activation, as well as heart rate deceleration and T-wave increase. These data support the hypothesis of differential autonomic response patterns to specifically unpleasant material. As compared with threat and neutral films, greater blink rate inhibition was observed during the surgery film. Individual differences in parasympathetic cardiac control measured at rest were able to discriminate cardiac response patterns during film viewing.