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Human cerebral circuitry related to cardiac control: A neuroimaging meta‐analysis
Authors:Estefanía Ruiz Vargas PhD  Peter Sörös MD  J. Kevin Shoemaker PhD  Vladimir Hachinski MD  DSc
Affiliation:1. Ivey Business School, Western University, London, Ontario, Canada;2. Department of Neurology, University of Lübeck, Lübeck, Germany;3. School of Kinesiology, University of Western Ontario, London, Ontario, Canada;4. Department of Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, Ontario, Canada;5. Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
Abstract:Serious arrhythmias often follow stroke, highlighting the important role that the cerebral cortex has in neural regulation of the heart. Neuroimaging studies reveal patterns of activation associated with autonomic cardiovascular responses. Using the activation likelihood estimation, a meta‐analysis was performed to identify cortical activation patterns related to heart rate and heart rate variability across studies that used differing stimuli of cardiovascular arousal. Consistent associations with heart rate and heart rate variability were observed in the anterior cingulate, amygdala, insula, and prefrontal cortex, among others. Also, evidence is provided of insular lateralization associated with autonomic cardiac responses. Ann Neurol 2016;79:709–716
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