Heart rate and heart rate variability changes in the intracarotid sodium amobarbital test
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PURPOSE: Changes in heart rate and heart rate variability have been found in prior studies performed during the intracarotid sodium amobarbital (ISA) test. However, these results are not entirely consistent with current models of differential cerebral involvement in the modulation of the heart. This study was designed to re-investigate this topic with a larger N than has heretofore been used. METHODS: The electrocardiogram was recorded during left and right ISAs in 73 subjects. Raw heart rate and heart rate variability were calculated. RESULTS: Raw heart rate increased during inactivation of either hemisphere, but more so for the right hemisphere. Heart rate variability changes consistent with decreasing parasympathetic tone also were found to occur during either ISA, but to a significant degree, only during right ISA. CONCLUSIONS: The right hemisphere appears to have a greater role in cerebral regulation of cardiac function, perhaps by virtue of the modification of parasympathetic effects.
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The stress response is mediated by subcortical areas including the amygdala, and is normally under continuous tonic inhibition by the prefrontal cortex (PFC), more specifically the ventromedial PFC (vmPFC).
“The stress response is mediated by subcortical areas in the brain, i.e. the so called limbic structures, including the amygdala, and it is normally under continuous ('tonic') inhibition by the prefrontal cortex (PFC; Ahern et al., 2001), more specifically by the ventromedial PFC (vmPFC; Motzkin et al., 2015).”
From Exposed to events that never happen: generalized unsafety, the default stress response, and prolonged autonomic activity (2017) · cites this paper as Ahern et al., 2001
The stress response is a default response of the organism, automatically fallen back upon when no other information is available.
“the stress response is a default response”
From Exposed to events that never happen: generalized unsafety, the default stress response, and prolonged autonomic activity (2017) · cites this paper as Ahern et al., 2001
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- Authors
- Ahern, G. L., Sollers, J. J., Lane, R. D., Labiner, D. M., Herring, A. M., Weinand, M. E., Hutzler, R., & Thayer, J. F.
- Affiliations
- University of Arizona (US)
- National Institute on Aging (US)
- Corresponding author
- Ahern, Geoffrey L.
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2001-07-07
- Volume
- 42
- Issue
- 7
- Pages
- 912-921
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W1988655270
- Cited by
- 195
- References
- 43
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 7 · 2021: 10 · 2020: 8 · 2019: 3 · 2018: 7 · 2017: 4 · 2016: 11 · 2015: 12 · 2014: 9 · 2013: 12 · 2012: 17
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epilepsia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hemispheric Asymmetry in Neuroscience
- Keywords
- heart rate, heart rate variability, hemispheric lateralization, parasympathetic activity, electrocardiogram
- MeSH terms
- Adolescent, Adult, Aged, Amobarbital, Analysis of Variance, Autonomic Nervous System, Brain, Carotid Artery, Internal, Electrocardiography, Epilepsy, Female, Heart, Heart Rate, Humans, Infusions, Intra-Arterial, Functional Laterality, Male, Middle Aged, Vagus Nerve
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