On the physiology of interruption after unexpectedness

Unexpected sounds inhibit the movement of the eyes during reading and letter scanning

Novel sounds that unexpectedly deviate from a repetitive sound sequence are well known to cause distraction. Such unexpected sounds have also been shown to cause global motor inhibition, suggesting that they trigger a neurophysiological response aimed at stopping ongoing actions. Recently, evidence from eye movements has suggested that unexpected sounds also temporarily pause the movements of the eyes during reading, though it is unclear if this effect is due to inhibition of oculomotor planning or inhibition of language processes. Here, we sought to distinguish between these two possibilities by comparing a natural reading task to a letter scanning task that involves similar oculomotor demands to reading, but no higher level lexical processing. Participants either read sentences for comprehension or scanned letter strings of these sentences for the letter 'o' in three auditory conditions: silence, standard, and novel sounds. The results showed that novel sounds were equally distracting in both tasks, suggesting that they generally inhibit ongoing oculomotor processes independent of lexical processing. These results suggest that novel sounds may have a global suppressive effect on eye-movement control.

Effects of beta-blockers on ventricular repolarization documented by 24-h electrocardiography in long-QT syndrome type 2

BACKGROUND

Long QT syndrome (LQTS) is an inherited arrhythmia disorder characterized by ventricular repolarization abnormalities and a risk of sudden cardiac death. The electrophysiological components generating the high risk of arrhythmias in LQTS are prolonged repolarization, increased dispersion of repolarization, and early afterdepolarizations, which are clinically estimated as QT interval, T-wave peak to end (TPE) interval, and T2/T1-wave amplitude ratio, respectively. In experimental LQTS type 2 (LQT2) models, beta-blockers decrease dispersion of repolarization and prevent early afterdepolarizations. In clinical studies among LQT2 patients beta-blockers are more effective against exercise-induced than arousal-induced cardiac events.

OBJECTIVES AND METHODS

The aim of the study was to investigate the effects of beta-blocker therapy on QT and TPE intervals, and maximal T2/T1-wave amplitude ratios recorded by 24-h electrocardiograms (ECG) among 25 LQT2 patients.

RESULTS

Beta-blocker therapy decreased the maximal T2/T1-wave amplitude ratio from 2.9±1.1 to 1.8±0.7 (p<0.001), but did not change pause-induced T2/T1-wave amplitude ratio. Under medication abrupt maximal TPE intervals were shorter at heart rates of 75 beats/min or over, and maximal QT intervals were shorter at a heart rate of 100 beats/min.

CONCLUSIONS

Beta-blockers stabilize ventricular repolarization in LQT2 by reducing electrocardiographic early afterdepolarizations, and by reducing abrupt prolongation of electrocardiographic dispersion of repolarization and ventricular repolarization duration at elevated heart rates. The effect of beta-blockers on pause-induced electrocardiographic early afterdepolarizations is weak. The findings provide electrocardiographic explanation for the protective effects of beta-blockers against exercise-induced cardiac events in LQT2.