Abstract

Rhesus monkeys (Macaca mulatta) were tested in classic aversive and appetitive conditioning paradigms following complete coronary artery occlusion (CO) to test the hypothesis that "emotional stress" induces ventricular arrhythmias. Findings were based upon conditioning trials conducted for one or more weeks after occlusion in 13 animals. When all data from each animal for the week following CO were considered, there was no demonstrable tendency for arrhythmias to increase during "fear" conditioned to unavoidable electric shock or during "excitement" in anticipation of food. However, selected trials from six monkeys did reveal instances when changes in the frequency of occurrence of arrhythmias were coupled with behavioural conditioning. While analysis of these trials did not reveal any simple relationship between emotional stress and the development of ventricular arrhythmias after myocardial infarction, certain of the behavioral situations may be more potentially arrhythmogenic than others. For these selected trials, with respect to control, the number of arrhythmias may have increased or decreased upon presentation of the conditional stimulus; the exact response appears to depend upon the immediate physiologic status of the animal as well as on the behavioral condition. "More stressful" situations, such as aversive conditioning, are not necessarily associated with greater numbers of arrhythmias than were "less stressful" situations, such as appetitive conditioning. Arrhythmias appear to occur more frequently when an animal's heart rate is within a given range; this may reflect underlying cardiac sympathetic and parasympathetic nerve activity.

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