Graphical and statistical techniques for cardiac cycle time (phase) dependent changes in interbeat interval

The cardiac cycle time effect revisited: temporal dynamics of the central-vagal modulation of heart rate in human reaction time tasks

Lacey and Lacey (1974) suggested that during reaction time tasks higher brain centers dynamically adjust efferent vagal nerve pulses to the sino-atrial node of the heart, inducing phase-dependent heart rate changes. Since then, animal and human neuro-physiological results have provided evidence for this hypothesis. Higher subcortical and cortical brain centers may have reciprocal interactive pathways relating to autonomic control comparable to those at the level of peripheral autonomic changes and brain stem reflexes. In humans such central effects may be observed in the short latency vagal control of heart rate that has been studied mostly in reaction time (RT) tasks. RT task parameters modulate vagal pulses to the cardiac sino-atrial node (SAN), which in turn exerts a phase-dependent change in the ongoing cardiac interbeat interval. Simulations of human RT task effects in an animal model of heart rate change support this hypothesis. The current study examined evidence for vagal control of three human phasic heart rate responses in RT tasks. The evidence indicates that the initiation of an RT response triggers a reflexive shift from vagal activation to vagal inhibition. This shift is cardiac cycle phase dependent. Graded anticipatory cardiac deceleration during the warning interval of an RT task varies with task relevance and time uncertainty. This response may be part of a control process engaged in time keeping. Hence, temporal variables mediate the central-autonomic-vagal modulation of heart rate.

Changes in heart beat timing: reactivity, resetting, or perturbation?

A widely held hypothesis within behavioral medicine is that cardiovascular reactivity is a risk factor for cardiovascular disease. The measurement model for this cardiovascular reactivity is rather simple. A basal level of function is seen to increase while the organism is stressed and then return to basal function. We argue that this model is incomplete and that other forms of 'reactivity' may be relevant to pathophysiology. A pathophysiological hypothesis is discussed which assumes a cyclic heart beat generation mechanism that is sensitive to stimulation only at certain phases of its cycle. Implications of this hypothesis for measurement are developed to illustrate the point that models of normal function can determine the measures most relevant to pathophysiology.

Does the heart know what the ears hear? A heart rate analysis of auditory selective attention

Between- and within-channel auditory selective attention were examined by presenting subjects with tone pips randomly to opposite ears; some pips had a slightly different pitch. Subjects were instructed to count rare, deviant tone pips at one ear and ignore all input to the other ear. Heart rate was sampled twice: once for the attended tone pips and once for the nonattended stimulus series. Heart rate responded differently to attended tone pips. While subjects were waiting for the rare stimulus to occur, heart rate slowed until the deviant stimulus was detected, which was followed by heart rate acceleration. Anticipatory heart rate deceleration was largely absent for nonattended series, and rare tone pips presented at the nonattended ear were not followed by acceleratory recovery. All tone pips elicited cardiac cycle time effects, that is, stimuli presented at short delays after the R wave prolonged the concurrent interbeat interval more than stimuli presented later. The cardiac cycle time effect was not altered by stimulus relevance (attended vs. nonattended) or significance (standard vs. rare). These results suggest that all stimuli receive preliminary perceptual analysis, but only attended stimuli are processed for further evaluation.

Phase-sensitive interaction of cardiac and respiratory timing in humans

We asked whether the heart rate response to respiratory change varied as a function of timing within the cardiac cycle. Respiratory and electrocardiographic data were collected from seven men and seven women during three weekly sessions under conditions of normal and visually paced breathing. Results revealed that, when inspiration began sooner than 500 ms before the subsequent heart beat, inspiration had little effect on the subsequent interbeat interval. However, the timing of the subsequent beat was accelerated when inspiration began later than 450 ms before this heart beat. Similar relationships were observed for expiratory onset. Results were not attributable to volitional control or rate of breathing. The modulation of respiratory sinus arrhythmia by the timing of respiratory events in the cardiac cycle has implications for the role of vagal control in the synchronization of heart rate with respiratory and behavioral actions.

Heart rate and sustained attention during childhood: age changes in anticipatory heart rate, primary bradycardia, and respiratory sinus arrhythmia

This study examined age changes in three aspects of heart rate responsivity elicited in an auditory oddball task; anticipatory heart rate change, primary bradycardia, and respiratory sinus arrhythmia. Three age groups (5-, 7-, and 9-year-old boys) were presented with series of target (15%) and standard (85%) tones. The results were consistent with the findings reported previously in the adult literature. Heart rate decreased in anticipation of the target tone. The morphology of anticipatory deceleration was somewhat different for the 5-year-olds compared to the older children. Stimuli presented during the early part of the cardiac cycle induced added deceleration, but this primary bradycardia did not differ between age groups. Respiratory sinus arrhythmia did not discriminate between age groups but was suppressed during the performance of the oddball task relative to base level. It was concluded that these three aspects of heart rate responsivity show developmental constancy rather than change.

Graphical and statistical techniques for cardiac cycle time (phase) dependent changes in interbeat interval: problems with the Jennings et al. (1991) proposals

Two apparently new effects in human cardiac responding, "primary bradycardia" and "vagal inhibition", were first described by the Laceys. These effects have been considered by some researchers to reflect differential cardiac innervation, analogous to similar effects observed in animal preparations with direct vagal stimulation. However, it has been argued that such effects arise merely from the data-analytic techniques introduced by the Laceys, and hence are not genuine cardiac cycle effects. Jennings, van der Molen, Somsen and Ridderinkhoff (Psychophysiology, 28 (1991) 596-606) recently proposed a plotting technique and statistical procedure in an attempt to resolve this issue. The present paper demonstrates that the plotting technique fails to achieve their stated aim, since it identifies data from identical cardiac responses as showing cardiac-cycle effects. In addition, the statistical procedure is shown to be reducible to a trivial test of response occurrence. The implication of these demonstrations, in the context of other work, is that this area of investigation has reached a dead end.