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Baroreflex sensitivity at rest and during stress in individuals with a history of vasovagal syncope
Abstract
The baroreflex sensitivity of healthy young adult males who reported some history of vasovagal syncope during emotionally stressful situations (e.g. blood donation) was compared to a control group of individuals who reported no such history. The baroreflex, which induces compensatory bradycardia and vasodilation in response to acute elevations of blood pressure, was examined as a possible mechanism underlying predisposition to vasovagal reactions. Changes in heart rate and vasoconstriction in response to baroreflex stimulation (negative external cervical pressure) at rest and during administration of a mental arithmetic task and a constrictive pain stimulus were assessed. Individuals with a history of vasovagal reactions displayed greater baroreflex sensitivity during the pain stimulus and at rest, but not during mental arithmetic. These findings suggest one mechanism of risk for syncope reactions, particularly in situations involving the experience of pain.
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One study including individuals with a history of emotional fainting showed reduced baroreflex sensitivity during pain stimulation but not mental arithmetic.
“One study that also included individuals with a history of emotional fainting showed reduced baroreflex sensitivity during pain stimulation but not mental arithmetic (Ader et al., 1991).”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as Ader et al., 1991
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Cites
Physiological responses in blood phobics
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The elusive pathophysiology of neurally mediated syncope
Mosqueda-Garcia, R., Furlan, R., MD, J. T., & Fernandez-Violante, R. (2000) · Circulation · doi:10.1161/01.cir.102.23.2898 · Cited by 383
Trouern‐Trend, J. J., Cable, R. G., Badon, S. J., Newman, B. H., & Popovsky, M. A. (1999) · Transfusion · doi:10.1046/j.1537-2995.1999.39399219291.x · Cited by 208
The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm
Ritz, T., Meuret, A. E., & Ayala, E. S. (2010) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2010.05.007 · Cited by 74
Metadata
- Authors
- Adler, P. S. J., France, C., & Ditto, B.
- Affiliations
- McGill University (CA)
- Ohio University (US)
- Corresponding author
- Ditto, Blaine
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1991-01
- Volume
- 35
- Issue
- 4-5
- Pages
- 591-597
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2088482133
- Cited by
- 29
- References
- 1
- Citations by year
- 2022: 2 · 2015: 1 · 2014: 1 · 2012: 2
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- baroreflex sensitivity, vasovagal syncope, baroreflex, vasoconstriction, pain, mental arithmetic stress, blood donation, heart rate
- MeSH terms
- Adult, Arousal, Blood Volume, Carotid Sinus, Humans, Male, Muscle, Smooth, Vascular, Pressoreceptors, Problem Solving, Pulse, Reflex, Stress, Psychological, Syncope
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