Abstract

Assessment of heart rate variability (reflective of the cardiac autonomic nervous system) has shown some predictive power for stress. Further, the predictive power of the distinct patterns of cortical brain activity and - cardiac autonomic interactions are yet to be explored in the context of acute stress, as assessed by an electrocardiogram and electroencephalogram. The present study identified distinct patterns of neural-cardiac autonomic coupling during both resting and acute stress states. In particular, during the stress task, frontal delta waves activity was positively associated with low-frequency heart rate variability and negatively associated with high-frequency heart rate variability. Low high-frequency power is associated with stress and anxiety and reduced vagal control. A positive association between resting high-frequency heart rate variability and frontocentral gamma activity was found, with a direct inverse relationship of low-frequency heart rate variability and gamma wave coupling at rest. During the stress task, low-frequency heart rate variability was positively associated with frontal delta activity. That is, the parasympathetic nervous system is reduced during a stress task, whereas frontal delta wave activity is increased. Our findings suggest an association between cardiac parasympathetic nervous system activity and frontocentral gamma and delta activity at rest and during acute stress. This suggests that parasympathetic activity is decreased during acute stress, and this is coupled with neuronal cortical prefrontal activity. The distinct patterns of neural-cardiac coupling identified in this study provide a unique insight into the dynamic associations between brain and heart function during both resting and acute stress states.

Highlights

  • Stress associated with maladaptive responses and prolonged levels of cortisol has been implicated in reduced declarative memory (Lupien et al, 2002), impaired memory retrieval and decisionmaking (Chrousos and Gold, 1992; Dominique et al, 2009) mathematical ability, and diminished working memory capacity (Wirth, 2015), providing evidence for the neural component of stress

  • The cohort consisted of registered nurses (n = 22, 66%), midwives (n = 6, 18%) and assistants in nursing (n = 2, 6%), who worked in the public hospital system (n = 25, 75%), the private hospital system (n = 4, 12%) and in a home care setting (n = 1, 3%)

  • The present study identified a positive association between resting high frequency (HF) heart rate variability (HRV) and frontocentral gamma activity, the direct inverse relationship of the low frequency (LF) HRV-gamma wave coupling at rest

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Summary

Introduction

Stress associated with maladaptive responses and prolonged levels of cortisol has been implicated in reduced declarative memory (Lupien et al, 2002), impaired memory retrieval and decisionmaking (Chrousos and Gold, 1992; Dominique et al, 2009) mathematical ability, and diminished working memory capacity (Wirth, 2015), providing evidence for the neural component of stress. Chronic stress has been linked to an increased risk of ischaemic heart disease (Steptoe and Kivimäki, 2013). The psychophysiological impacts of stress are widespread, including both the brain and heart. Numerous theories exist to explain this neural-cardiac link. The neurovisceral integration model (Thayer and Lane, 2000) hypothesizes that cardiac vagal tone, as measured by heart rate variability (HRV), can signify the functionality of the neural networks implicated in emotion-cognition interactions. The psychophysiological coherence model draws on dynamic systems theory, and it posits a sine wave-like pattern in the cardiac rhythms, amplified synchronicity of the heart and brain, and coherence between distinct physiological systems (McCraty et al, 2009)

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