Evidence that baroreflex feedback influences long-term incidental visual memory in men

Sympathetic nervous system (SNS) activity at the time of acquisition is associated with human memory. However, rather than SNS activity per se, it may be afferent baroreflex feedback that is responsible for this effect. A pharmacological design was employed to unload (SNP, sodium nitro-prusside) and load (norepinephrine) baroreceptors. In addition to two placebo periods, epinephrine and esmolol (a peripherally acting beta1-blocker) served as control conditions for altered cardiac perception. During drug infusion blood pressure, heart rate, and perception of heartbeat were tested. Twenty-four healthy men were participated. The participants viewed emotional slides while their electromyographic eye blink responses to random noise bursts were measured (affective startle modulation paradigm) to determine potential drug impact on emotional processing. Subjects were not informed that memory testing would take place after 4 weeks. Drugs did not impact startle, thus indicating unbiased emotional processing at the time of acquisition. Norepinephrine had no effect on heartbeat perception, but improved (p = .002) recognition memory. SNP (p = .0001) increased heartbeat perception but impaired (p = .038) recognition memory. Epinephrine, on the other hand, increased heartbeat perception (p = .0001) yet did not impair but partially improve memory (effect on high arousing pictures only: p = .05). Heartbeat perception in the placebo condition did not correlate with recognition memory (p's > .5). We suggest that baroreflex unloading, with subsequent feedback activation of the SNS, impairs long-term incidental visual recognition memory in humans while baroreflex loading enhances it. Further, we propose that these memory effects are neither secondary to cardiac sensations that accompany SNS activation nor to altered emotional picture processing at the time of acquisition.     

Anxiety sensitivity and auditory perception of heartbeat

Anxiety sensitivity (AS) is the fear of sensations associated with autonomic arousal. AS has been associated with the development and maintenance of panic disorder. Given that panic patients often rate cardiac symptoms as the most fear-provoking feature of a panic attack, AS individuals may be especially responsive to cardiac stimuli. Consequently, we developed a signal-in-white-noise detection paradigm to examine the strategies that high and low AS individuals use to detect and discriminate normal and abnormal heartbeat sounds. Compared to low AS individuals, high AS individuals demonstrated a greater propensity to report the presence of normal, but not abnormal, heartbeat sounds. High and low AS individuals did not differ in their ability to perceive normal heartbeat sounds against a background of white noise; however, high AS individuals consistently demonstrated lower ability to discriminate abnormal heartbeats from background noise and between abnormal and normal heartbeats. AS was characterized by an elevated false alarm rate across all tasks. These results suggest that heartbeat sounds may be fear-relevant cues for AS individuals, and may affect their attention and perception in tasks involving threat signals.     

Effect of three levels of work intensity on performance of a fine motor skill.

The purpose of this study was to investigate the effect of three levels of work intensity on the performance of a fine motor skill during steady-state exercies. Subjects were administered a progressive bicycle ergometer test to exhaustion in order to determine maximum heart rate (HRmax). Following practice sessions on the pursuit rotor, subjects performed 3 different rides on a bicycle ergometer at 60, 75, and 90% of HRmax. The order to test administration was varied randomly in an attempt to control for sequential effects. Analysis of variance with repeated measures was used to determine differences in pursuit rotor performance by days and by levels of work intensity. No confounding of learning was noted. A significant F ratio (p less than .001) between work intensities showed that fine motor performance during steady-state exercise is affected by levels of work intensity.     

Effects of progressive exercise on attentional focus.

To replicate 1986 work of Salmela and Ndoye on whether physical arousal from riding a stationary bicycle led to narrowing of attentional focus 17 subjects responded to a verbal 5-choice RT task while pedalling to exhaustion. Increased heart rates with increased physical stress (bicycle resistance increased) was not associated with narrowing of attention. When heart rates were 160 and 180 bpm, RTs to stimuli peripherally located to the right were slower than central ones. Further evaluation is required.     

Heartbeat perception in social anxiety before and during speech anticipation

According to current cognitive models of social phobia, individuals with social anxiety create a distorted image of themselves in social situations, relying, at least partially, on interoceptive cues. We investigated differences in heartbeat perception as a proxy of interoception in 48 individuals high and low in social anxiety at baseline and while anticipating a public speech. Results revealed lower error scores for high fearful participants both at baseline and during speech anticipation. Speech anticipation improved heartbeat perception in both groups only marginally. Eight of nine accurate perceivers as determined using a criterion of maximum difference between actual and counted beats were high socially anxious. Higher interoceptive accuracy might increase the risk of misinterpreting physical symptoms as visible signs of anxiety which then trigger negative evaluation by others. Treatment should take into account that in socially anxious individuals perceived physical arousal is likely to be accurate rather than false alarm.     

Relationship between perceptual style and ability to reproduce a standard work task

The present study examined the relationship between perceptual style and perception of physical effort. Perceptual style of 10 men and 10 women was assessed by the rod-and-frame apparatus. Perception of physical effort was defined as the difference in heart-rate responses between a standard work task and the subject's self-selected task. Heart-rate response on the pre-selected standard work task on a cycle ergometer (600 kpm.min.-1) was extremely variable, ranging from 111 to 188 beats per minute (M = 153 +/- 23.5). However, average error between heart rate during the standard work task and the subjects' self-adjusted workload was extremely low (range 0 to 18 beats per minute; M = 5.4 +/- 5.5 beats per minute). Pearson correlation of .78 showed a moderate relationship between heart rate and rating of perceived effort, but was nonsignificant (-.12) between perceptual style and perception of physical effort. The data confirm the absence of a significant relationship between perceptual style (i.e., field dependence-independence) and ability to reproduce a standard work task. In addition, these results suggest that there has been possible bias in studies of relationships between heart rate and rating of perceived effort or workload and rating of perceived effort during incremental testing.     

Shortening of the QT interval of the EKG is associated primarily with increased ventricular contractility rather than heart rate

The objective of this study was to gather direct evidence on whether the duration of the QT interval relates primarily to heart rate or to ventricular contractility. The electrocardiographic and cardiodynamic consequences of electrical stimulation (15 V, 5 ms, 10Hz) of various intrathoracic sympathetic efferent neuronal structures were studied in 10 anesthetized mongrel dogs. Stimulation of efferent sympathetic axons in the right intraganglionic nerve, which innervates the sinoatrial node, induced tachycardia (110±5 - 133±6 bpm; p<0.01) without significantly altering right or left ventricular intramyocardial ventricular chamber pressures. The QT interval, as determined by leads I, II and III of the EKG and a transthoracic lead, was not affected by this intervention (310±8 - 302±ms). Increasing heart rate to a similar degree (111±3 - 131±3 bpm) by right atrial pacing did not induce changes in the QT interval. When right (23±3 - 49±8 mm Hg; p<0.01) and left (81±10 - 127±19 mm Hg; p<0.01) ventricular forces were augmented without concomitant increases in heart rate by stimulating efferent sympathetic axons in the left caudal pole cardiopulmonary nerve the QT interval shortened (322±11 - 290±12 ms; p<0.01). Only when an efferent sympathetic nerve, that contains fibers destined for both the sinoatrial node and the ventricles was stimulated did both heart rate and ventricular contractility augment and QT shorten (318±10 - 290±11 ms; p<0.01). These results indicate that QT interval shortening induced by efferent sympathetic neurons is primarily associated with augmentation of ventricular contractility rather than heart rate.     

Intergroup conflict management strategies as related to perceptions of dual identity and separate groups

The authors examined the relations between (a) the perceptions of dual identity and separate groups and (b) intergroup conflict management strategies, in two contexts: the conflict between the secular and religious sectors in Israel and the allocation of resources among organizational subunits. In both contexts, contention (i.e., forcing one's will on the other party) was associated with the perception of separate groups. Only in the organizational context, avoidance (i.e., doing nothing or discontinuing participation in the conflict) was associated with the perception of dual identity. Problem solving (i.e., finding a solution that is acceptable to both parties) was related to the perception of dual identity in the secular-religious context. In the organizational context, this relation appeared only under a low perception of separate groups. Yielding (i.e., satisfying the other party's needs at the expense of one's own) was related to the perception of dual identity in the organizational context. In the secular-religious context, this relation appeared only under a high perception of separate groups. The authors discussed the varying pattern of the associations between (a) the perceptions of dual identity and separate groups and (b) the conflict management strategies in the two contexts in terms of the Dual Concern Model and the perceived feasibility of the strategies.     

Heart rate-Qt interval relationship during postural change and exercise. A possible connection to cardiac contractility

The QT interval of the electrocardiogram, although often coordinated in an inverse relationship to heart rate, appears from the existing evidence to be regulated by mechanisms separate from those that govern heart rate. The purpose of this inquiry was to explore further the relationship of the two and to test other factors that may contribute to the regulation of QT. Heart rate and QT duration were measured in healthy human subjects during postural change and exercise. The data showed that, while coordinated in an inverse relationship under some circumstances, under others heart rate and QT were discordant, leading to the inference that there is no fixed linkage between the two. Previous work by the authors and other published studies have suggested that ventricular contractility may have more predictable association with QT shortening than do increases in heart rate. Observations of force of ventricular contraction (HI and IJ velocity) as reflected in ballisto-cardiographic tracings were made using each of 12 human subjects as the authors' own control. The data revealed a highly significant correlation between the velocity measures and QT duration (p less than 0.01) but not heart rate. These findings led to the conclusion that there is clearly not a fixed relationship between heart rate and QT interval and to the hypothesis that QT may more closely reflect the degree of cardiac contractility.     

Heart rate—QT interval relationship during postural change and exercise

The QT interval of the electrocardiogram, although often coordinated in an inverse relationship to heart rate, appears from the existing evidence to be regulated by mechanisms separate from those that govern heart rate. The purpose of this inquiry was to explore further the relationship of the two and to test other factors that may contribute to the regulation of QT. Heart rate and QT duration were measured in healthy human subjects during postural change and exercise. The data showed that, while coordinated in an inverse relationship under some circumstances, under others heart rate and QT were discordant, leading to the inference that there is no fixed linkage between the two. Previous work by the authors and other published studies have suggested that ventricular contractility may have more predictable association with QT shortening than do increases in heart rate. Observations of force of ventricular contraction (HI and IJ velocity) as reflected in ballisto-cardiographic tracings were made using each of 12 human subjects as the authors’ own control. The data revealed a highly significant correlation between the velocity measures and QT duration (p<0.01) but not heart rate. These findings led to the conclusion that there is clearly not a fixed relationship between heart rate and QT interval and to the hypothesis that QT may more closely reflect the degree of cardiac contractility.     

Visual perception and gaze control in judging versus producing phase relations

We studied visual perception and gaze control in nine participants while they judged the relative phase between two oscillating stimuli (Experiment 1), and while they moved their hand--and therewith a concurrent feedback signal--in-phase or in antiphase with an oscillating stimulus (Experiment 2). As in previous studies, the mean relative phase judgements in Experiment 1 corresponded to the presented phase relations (0 degree, 45 degrees, 90 degrees, 135 degrees, and 180 degrees), whereas their standard deviations followed an inverted U-function of relative phase. The relative phase judgements were hardly affected by the degree of visibility (fully visible, inner parts occluded, outer parts occluded) and the amplitude (5 degrees, 10 degrees, and 20 degrees) of the stimuli. Stimulus-gaze coupling decreased as relative phase increased, and its variability correlated with that of the relative phase judgements. Taken together, task performance and gaze behaviour suggested that the judgement of relative phase might be flexibly based on different variables, rather than a single variable like relative direction of motion. In Experiment 2, the production of the antiphase relation was less stable than that of the in-phase relation. Performance deteriorated when the outer parts of the signals were occluded and when their amplitudes were reduced. Stimulus-gaze coupling was stronger during in-phase than during antiphase tracking and weaker when the signals were partially occluded and when their amplitudes were reduced. Stimulus-gaze coupling at 0 degrees and 180 degrees was stronger in Experiment 2 than in Experiment 1, suggesting that the visual perception of relative phase may benefit from its active production. Overall, the results clearly indicated that visual perception of relative phase and the corresponding gaze control are strongly task-dependent.     

Heart rate variability in the human transplanted heart: Nonlinear dynamics and QT vs RR-QT alterations during exercise suggest a return of neurocardiac regulation in long-term recovery

Rationale. Functional reinnervation of the transplanted human heart by the autonomic nervous system has not been demonstrated. A lack of autonomic control of the transplanted allograft is reflected by an increased resting heart rate, a sluggish heart rate response to dynamical exercise and a reduced heart rate variability. Recent evidence suggests that a measure of deterministic chaos in the heartbeat interval series (point correlation dimension, PD2i) is superior to the conventional power spectrum or other stochastic measures in detecting changes in the mechanism underlying heartbeat generation.Methods. The PD2i is based on the presumption that the variability is determined and patterned, whereas the stochastic measures all assume that the variability is around a stationary mean and is noise. The PD2i reconstructs the degrees of freedom (number of independent variables) in the system that generates the time series examined, and does this irrespective of whether the system is stochastic or deterministic and is stationary in time.Results. PD2i was determined for heartbeat intervals (RR, ECG digitized at 1200 Hz; supine posture) of 23 heart transplant recipients (HTR: 9 adults, 14 children; 0.04-7.7 years after transplantation) and 21 healthy control subjects (CTL; 13 adults, 8 children). The PD2i (+/? SD) averaged 5.4 +/? 0.7 for the CTL adults and 5.4 +/? 0.6 for the CTL children. Mean PD2i was reduced after transplantation to 1.1 +/? 0.1 in 6 HTRs recorded within 1 year after surgery; in one HTR recorded 2 weeks after surgery the mean PD2i was 3.7. Between 1 to 2 years PD2i was found increased in 2 of 3 subjects and between 2 to 8 years it was increased in 13 of 13, but not to control levels. In normal hearts the QT subinterval of each heartbeat cycle is associated with inotropy and the RR-QT remainder with chronotropy (i.e., the dyastolic interval during which RR is primarily regulated). To examine more closely the residual and returning heartbeat dynamics of the HTR subjects, these subinterval series were examined during mild exercise (40 to 90 Watts) and its recovery. In recent HTRs, resting QT and RR-QT were moderately reduced and modulated by exercise and recovery, but with an approximate 100 beat latency. In long-term (7-8 years) HTR subjects there was a rapid and larger response to exercise/recovery, but compared to normal the range was smaller and the complexity of the subinterval trajectories in time was simpler.Conclusions. Recurrence of low-dimensional deterministic dynamics after transplantation suggests recovery of neurocardiac control attributable to 1) reorganization of the viable intrinsic cardiac nervous system, 2) reinnervation by the extrinsic autonomic nervous system, or 3) both.     

Heart attack risk perception biases among hypertension patients: the role of educational level and worry

Risk biases such as comparative optimism (thinking one is better off than similar others) and risk inaccuracy (misestimating one's risk compared to one's calculated risk) for health outcomes are common. Little research has investigated racial or socioeconomic differences in these risk biases. Results from a survey of individuals with poorly controlled hypertension (N=813) indicated that participants showed (1) comparative optimism for heart attack risk by underestimating their heart attack risk compared to similar others, and (2) risk inaccuracy by overestimating their heart attack risk compared to their calculated heart attack risk. More highly educated participants were more comparatively optimistic because they rated their personal risk as lower; education was not related to risk inaccuracy. Neither race nor the federal poverty level was related to risk biases. Worry partially mediated the relationship between education and personal risk. Results are discussed as they relate to the existing literature on risk perception.     

On the Relationship Between Interoceptive Awareness and Alexithymia: Is Interoceptive Awareness Related to Emotional Awareness?

Interoceptive awareness (IA) is associated with emotional experience, the processing of emotional stimuli, and activation of brain structures that monitor the internal visceral and emotional state of the organism. Alexithymia is characterized by difficulties in identifying and describing one's emotions and externally oriented thinking (EOT) and reflects impairments in emotional awareness and the regulation of emotions. This study examined the relationship between alexithymia and IA in a healthy population of N=155 persons. A well-validated heartbeat perception task to measure interoceptive awareness, the Toronto Alexithymia Scale (TAS-20) and a depression questionnaire (BDI-2) were administered to 88 women and 67 men. IA was inversely associated with all features of alexithymia in the whole sample. When considering sex differences, IA turned out to be a relevant negative predictor for the EOT subscale only in men. This large sample investigation in a nonclinical population indicates that IA represents a relevant negative predictor for alexithymia.     

Stability of heartbeat interval distributions in chronic high altitude hypoxia.

Recent studies of nonlinear dynamics of the long-term variability of heart rate have identified nontrivial long-range correlations and scale-invariant power-law characteristics (l/f noise) that were remarkably consistent between individuals and were unrelated to external or environmental stimuli (Meyer et al., 1998a). The present analysis of complex nonstationary heartbeat patterns is based on the sequential application of the wavelet transform for elimination of local polynomial nonstationary behavior and an analytic signal approach by use of the Hilbert transform (Cumulative Variation Amplitude Analysis). The effects of chronic high altitude hypoxia on the distributions and scaling functions of cardiac intervals over 24 hr epochs and 4 hr day/nighttime subepochs were determined from serial heartbeat interval time series of digitized 24 hr ambulatory ECGs recorded in 9 healthy subjects (mean age 34 yrs) at sea level and during a sojourn at high altitude (5,050 m) for 34 days (Ev-K2-CNR Pyramid Laboratory, Sagarmatha National Park, Nepal). The results suggest that there exists a hidden, potentially universal, common structure in the heterogeneous time series. A common scaling function with a stable Gamma distribution defines the probability density of the amplitudes of the fluctuations in the heartbeat interval time series of individual subjects. The appropriately rescaled distributions of normal subjects at sea level demonstrated stable Gamma scaling consistent with a single scaled plot (data collapse). Longitudinal assessment of the rescaled distributions of the 24 hr recordings of individual subjects showed that the stability of the distributions was unaffected by the subject's exposure to a hypobaric (hypoxic) environment. The rescaled distributions of 4 hr subepochs showed similar scaling behavior with a stable Gamma distribution indicating that the common structure was unequivocally applicable to both day and night phases and, furthermore, did not undergo systematic changes in response to high altitude. In contrast, a single function stable over a wide range of time scales was not observed in patients with congestive heart failure or patients after cardiac transplantation. The functional form of the scaling in normal subjects would seem to be attributable to the underlying nonlinear dynamics of cardiac control. The results suggest that the observed Gamma scaling of the distributions in healthy subjects constitutes an intrinsic dynamical property of normal heart function that would not undergo early readjustment or late acclimatization to extrinsic environmental physiological stress, e.g., chronic hypoxia.     

Stability of heartbeat interval distributions in chronic high altitude hypoxia

Recent studies of nonlinear dynamics of the long-term variability of heart rate have identified nontrivial long-range correlations and scale-invariant power-law characteristics (1/f noise) that were remarkably consistent between individuals and were unrelated to external or environmental stimuli (Meyer et al., 1998a). The present analysis of complex nonstationary heartbeat patterns is based on the sequential application of the wavelet transform for elimination of local polynomial nonstationary behavior and an analytic signal approach by use of the Hilbert transform (Cumulative Variation Amplitude Analysis). The effects of chronic high altitude hypoxia on the distributions and scaling functions of cardiac intervals over 24 hr epochs and 4 hr day/nighttime subepochs were determined from serial heartbeat interval time series of digitized 24 hr ambulatory ECGs recorded in 9 healthy subjects (mean age 34 yrs) at sea level and during a sojourn at high altitude (5,050 m) for 34 days (Ev-K2-CNR Pyramid Laboratory, Sagarmatha National Park, Nepal). The results suggest that there exists a hidden, potentially universal, common structure in the heterogeneous time series. A common scaling function with a stable Gamma distribution defines the probability density of the amplitudes of the fluctuations in the heartbeat interval time series of individual subjects. The appropriately rescaled distributions of normal subjects at sea level demonstrated stable Gamma scaling consistent with a single scaled plot (data collapse). Longitudinal assessment of the rescaled distributions of the 24 hr recordings of individual subjects showed that the stability of the distributions was unaffected by the subject’s exposure to a hypobaric (hypoxic) environment. The rescaled distributions of 4 hr subepochs showed similar scaling behavior with a stable Gamma distribution indicating that the common structure was unequivocally applicable to both day and night phases and, furthermore, did not undergo systematic changes in response to high altitude. In contrast, a single function stable over a wide range of time scales was not observed in patients with congestive heart failure or patients after cardiac transplantation. The functional form of the scaling in normal subjects would seem to be attributable to the underlying nonlinear dynamics of cardiac control. The results suggest that the observed Gamma scaling of the distributions in healthy subjects constitutes an intrinsic dynamical property of normal heart function that would not undergo early readjustment or late acclimatization to extrinsic environmental physiological stress, e.g., chronic hypoxia.     

Prior knowledge about display inversion in biological motion perception

Display inversion severely impedes veridical perception of point-light biological motion (Pavlova and Sokolov, 2000 Perception & Psychophysics 62 889-899; Sumi, 1984 Perception 13 283-286). Here, by using a spontaneous-recognition paradigm, we ask whether prior information about display orientation improves biological motion perception. Participants were shown a set of 180 degrees inverted point-light stimuli depicting a human walker and quadrupeds (dogs). In experiment 1, one group of observers was not aware of the orientation of stimuli, whereas the other group was told beforehand that stimuli will be presented upside down. In experiment 2, independent groups of participants informed about stimulus orientation saw the same set of stimuli, in each of which either a moving or a static background line was inserted. The findings indicate that information about display inversion is insufficient for reliable recognition of inverted point-light biological motion. Instead, prior information facilitates display recognition only when it is complemented by additional contextual elements. It appears that visual impressions from inverted point-light stimuli remain impenetrable with respect to one's knowledge about display orientation. The origins of orientation specificity in biological motion perception are discussed in relation to the recent neuroimaging data obtained with point-light stimuli and fragmented Mooney faces.     

See red? Turn pale? Unveiling emotions through cardiovascular and hemodynamic changes

Cardiodynamic and hemodynamic reactions to emotion-eliciting film sequences were investigated. Thirty-two healthy subjects (12 women, 20 men) were randomly assigned to one of two groups. In the first group, anger was induced using selected scenes of the film "Ragtime." In the second group, scenes of the film "The Shining" were chosen to elicit fear. A documentary film was used as a baseline stimulus in both groups. EKG, impedance cardiography, and blood pressure were continuously monitored. The two emotional conditions elicited significant differential changes in subjective ratings and cardiovascular indices. Fear was associated with decreased cardiac output, increased total peripheral resistance, and a reduction in stroke volume and myocardial contractility. Anger was associated with an increase of cardiac output and small changes in total peripheral resistance. These results support the hypothesis that discrete emotions such as fear and anger elicit differential patterns of physiological responses.     

Non-equilibrium dynamics as an indispensable characteristic of a healthy biological system

Healthy systems in physiology and medicine are remarkable for their structural variability and dynamical complexity. The concept of fractal growth and form offers novel approaches to understanding morphogenesis and function from the level of the gene to the organism. For example, scale-invariance and long-range power-law correlations are features of non-coding DNA sequences as well as of healthy heartbeat dynamics. For cardiac regulation, perturbation of the control mechanisms by disease or aging may lead to a breakdown of these long-range correlations that normally extend over thousands of heartbeats. Quantification of such long-range scaling alterations are providing new approaches to problems ranging from molecular evolution to monitoring patients at high risk of sudden death. We briefly review recent work from our laboratory concerning the application of fractals to two apparently unrelated problems: DNA organization and beat-to-beat heart rate variability. We show how the measurement of long-range power-law correlations may provide new understanding of nucleotide organization as well as of the complex fluctuations of the heartbeat under normal and pathologic conditions.