Cardiac deceleration and reaction time: an evaluation of two hypotheses

Timing along the cardiac cycle modulates neural signals of reward-based learning

Natural fluctuations in cardiac activity modulate brain activity associated with sensory stimuli, as well as perceptual decisions about low magnitude, near-threshold stimuli. However, little is known about the relationship between fluctuations in heart activity and other internal representations. Here we investigate whether the cardiac cycle relates to learning-related internal representations - absolute and signed prediction errors. We combined machine learning techniques with electroencephalography with both simple, direct indices of task performance and computational model-derived indices of learning. Our results demonstrate that just as people are more sensitive to low magnitude, near-threshold sensory stimuli in certain cardiac phases, so are they more sensitive to low magnitude absolute prediction errors in the same cycles. However, this occurs even when the low magnitude prediction errors are associated with clearly suprathreshold sensory events. In addition, participants exhibiting stronger differences in their prediction error representations between cardiac cycles exhibited higher learning rates and greater task accuracy.

Effects of task difficulty on performance and event-related bradycardia during preparation for action

The slowing of heart rate prior to movement onset has been presented as a marker of task-related cognitive processing and linked with performance accuracy. Here we examined this event-related bradycardia and task performance as a function of task difficulty. Forty experienced golfers completed a series of golf putting conditions that manipulated task difficulty by varying target distance, target size, and surface contour. Performance was measured by the number of holed putts and finishing distance from the hole. Physiological activity was recorded throughout. Analyses confirmed that performance varied as a function of task difficulty, worsening with longer distances to target, smaller targets, and sloping paths to target. Task difficulty also impacted the cardiac response, including the rate of heart rate deceleration, change in heart rate, and heart rate at impact. These heart rate metrics were found to correlate with performance strongly, moderately, and weakly, respectively. In conclusion, heart rate deceleration in the moments preceding movement onset was affected by task difficulty. Features of this cardiac deceleration pattern were characteristic of successful performance. Our findings are discussed in terms of the role of cognitive and motor processes during the execution of complex motor skills.

Anticipatory cardiac deceleration estimates cognitive performance in virtual reality beyond tonic heart period and heart period variability

Anticipatory cardiac deceleration is the lengthening of heart period before an expected event. It appears to reflect preparation that supports rapid action. The current study sought to bolster anticipatory deceleration as a practical and unique estimator of performance efficiency. To this end, we examined relationships between deceleration and virtual reality performance under low and high time pressure. Importantly, we investigated whether deceleration separately estimates performance beyond basal heart period and basal high-frequency heart rate variability (other vagally influenced metrics related to cognition). Thirty participants completed an immersive virtual reality (VR) cognitive performance task across six longitudinal sessions. Anticipatory deceleration and basal heart period/heart period variability were quantified from electrocardiography collected during pre-task anticipatory countdowns and baseline periods, respectively. At the between-person level, we found that greater anticipatory declaration was related to superior accuracy and faster response times (RT). The relation between deceleration and accuracy was stronger under high relative to low time pressure, when good performance requires greater efficiency. Findings for heart period and heart period variability largely converge with the prior literature, but importantly, were statistically separate from deceleration effects on performance. Lastly, deceleration effects were detected using anticipatory periods that are more practical (shorter and more intermittent) than those typically employed. Taken together, findings suggest that anticipatory deceleration is a unique and practical correlate of cognitive-motor efficiency apart from heart period and heart period variability in virtual reality.

Effects of exercise anticipation on cardiorespiratory coherence

In this study, we explored the role of feedforward mechanisms in triggering cardiorespiratory adjustments before the onset of exercise. To isolate the feedforward aspects, we examined the effect of exercise anticipation on cardiorespiratory coherence. Twenty-nine healthy males (age = 18.8 [0.96] years) were subjected to bicycle (BE) and handgrip exercise (H) at two different intensities, viz., low and high. Bicycle exercise was performed in a unilateral (left- and right-sided) or bilateral mode, whereas handgrip was performed only in a unilateral mode. Single-lead ECG and respiratory rhythm, measured in the 5 min of anticipation phase before the onset of exercise, were used for analysis. Coherence was computed between ECG-derived instantaneous heart rate and respiratory signal. Average coherence in the high-frequency band (0.15-0.4 Hz) was used to estimate respiratory sinus arrhythmia (RSA). We found that coherence decreased with the anticipation of exercise relative to baseline (baseline = 0.54 [0.16], BE = 0.41 [0.12], H = 0.39 [0.12], p < 0.001). The decrease was greater for high intensity exercise (low = 0.42 [0.11], high = 0.37 [0.1], p < 0.001). The fall of coherence with intensity was stronger for bicycle exercise (BE: low = 0.44 [0.12], high = 0.37 [0.12], H: low = 0.4 [0.12], high = 0.37 [0.12], p = 0.00433). The expectation of bilateral exercise resulted in lower coherence compared to unilateral exercise (right-sided = 0.45 [0.16], left-sided = 0.4 [0.16], bilateral = 0.36 [0.15], unilateral vs. bilateral: p < 0.001), and the left-sided exercise had lower coherence compared to that of the right (left-sided vs. right-sided: p = 0.00925). Handgrip exercise showed similar trend (right-sided = 0.4 [0.15], left-sided = 0.37 [0.14], p = 0.0056). In conclusion, feedforward RSA adjustments in anticipation of exercise covaried with subsequent exercise-related features like intensity, muscle mass (unilateral vs. bilateral), and the exercise side (left vs. right). The left versus the right difference in coherence indicates autonomic asymmetry. Feedforward changes in RSA are like those seen during actual exercise and might facilitate the rapid phase transition between rest and exercise.

Methodological Considerations on EEG Electrical Reference: A Functional Brain-Heart Interplay Study

The growing interest in the study of functional brain-heart interplay (BHI) has motivated the development of novel methodological frameworks for its quantification. While a combination of electroencephalography (EEG) and heartbeat-derived series has been widely used, the role of EEG preprocessing on a BHI quantification is yet unknown. To this extent, here we investigate on four different EEG electrical referencing techniques associated with BHI quantifications over 4-minute resting-state in 15 healthy subjects. BHI methods include the synthetic data generation model, heartbeat-evoked potentials, heartbeat-evoked oscillations, and maximal information coefficient (MIC). EEG signals were offline referenced under the Cz channel, common average, mastoids average, and Laplacian method, and statistical comparisons were performed to assess similarities between references and between BHI techniques. Results show a topographical agreement between BHI estimation methods depending on the specific EEG reference. Major differences between BHI methods occur with the Laplacian reference, while major differences between EEG references are with the MIC analysis. We conclude that the choice of EEG electrical reference may significantly affect a functional BHI quantification.

Cardiac Measures of Cognitive Workload: A Meta-Analysis

OBJECTIVE

We aimed to provide an assessment of the impact of workload manipulations on various cardiac measurements. We further sought to determine the most effective measurement approaches of cognitive workload as well as quantify the conditions under which these measures are most effective for interpretation.

BACKGROUND

Cognitive workload affects human performance, particularly when load is relatively high (overload) or low (underload). Despite ongoing interest in assessing cognitive workload through cardiac measures, it is currently unclear which cardiac-based assessments best indicate cognitive workload. Although several quantitative studies and qualitative reviews have sought to provide guidance, no meta-analytic integration of cardiac assessment(s) of cognitive workload exists to date.

METHOD

We used Morris and DeShon's meta-analytic procedures to quantify the changes in cardiac measures due to task load conditions.

RESULTS

Sample-weighted Cohen's d values suggest that several metrics of cardiac activity demonstrate sensitivity in response to cognitive workload manipulations. Heart rate variability measures show sensitivity to task load, conditions of event rate, and task duration. Authors of future work should seek to quantify the utility of leveraging multiple metrics to understand workload.

CONCLUSION

Results suggest that assessment of cognitive workload can be done using various cardiac activity indicators. Further, given the number of valid and reliable measures available, researchers and practitioners should base their selection of a psychophysiological measure on the experimental and practical concerns inherent to their task/protocol.

APPLICATIONS

Findings bear implications for future assessment of cognitive workload within basic and applied settings. Future research should seek to validate conditions under which measurements are best interpreted, including but not limited to individual differences.

Heterogeneity of defensive responses after exposure to trauma: blunted autonomic reactivity in response to startling sounds

Research on threat responses, particularly among trauma-exposed individuals, has traditionally focused on increased autonomic arousal and reactivity. However, clinical features associated with trauma exposure, such as dissociation (e.g., shutting down or "spacing out") manifest as the opposite pattern: non-reactivity and blunted arousal. These clinical features suggest that the possibility of threat responses other than fight/flight, namely, immobilization may be undergirded by hyper- or hypo-arousal. The goal of this paper is to examine autonomic responses to a stressful stimulus (acoustic startle) using analytic approaches which have been previously used to examine defensive responses before: heart rate acceleration, heart rate deceleration, and skin conductance response. We examined these responses in relation to symptoms (Posttraumatic Stress Disorder, or PTSD, and dissociation) and trauma exposure (cumulative exposure, age of onset) in a sample of trauma-exposed college students. We found evidence of blunted reactivity, with decreased acceleration and skin conductance, but with increased deceleration, particularly among individuals who had significant symptoms and early exposure to multiple types of trauma. However, individuals with sub-clinical symptoms and more attenuated exposure had large heart rate acceleration and skin conductance responses during the task. Taken together, these findings suggest that moderate symptoms and trauma exposure are related to exaggerated autonomic responses, while extreme symptoms and trauma exposure are related to blunted autonomic responses. These findings further suggest heterogeneity of stress responses within individuals with PTSD and with trauma exposure.

Differences in heartbeat awareness among males with higher and lower levels of systolic blood pressure

Recent empirical findings related to the baroreceptor hypothesis indicate that elevated heart rate, pulse pressure, and blood pressure may dampen exteroception and interoception. We thus predicted that persons with elevated systolic blood pressure would be less able to accurately perceive their heartbeats and profit from feedback training. This study examined the plausibility of this hypothesis by exposing 57 male students (11 with elevated SBP levels and 46 with normotensive SBP levels) to the Whitehead heartbeat perception task with, and without, feedback training. Results indicated that participants with elevated SBP levels were more able to accurately perceive their heartbeats prior to, and after, feedback training. Participants with elevated SBP levels also showed a significant increase in heartbeat perception accuracy when they were provided with feedback training while participants with normotensive blood pressure levels did not show a significant response to feedback training. These findings are interpreted in terms of the ballistic perception model of cardiac awareness.

Anticipatory EMG responses of pericranial muscles in relation to heart rate during a warned simple reaction time task

Obrist's cardiac-somatic coupling hypothesis predicts a widespread inhibition of heart rate and task-irrelevant muscle activity during expectancy situations. This hypothesis was tested by measuring heart rate and pericranial electromyographic (EMG) activity during a warned simple reaction time task with visual or auditory reaction signals and hand or foot responses. In each of three groups of 24 participants, EMG activity of three different facial, masticatory, or neck muscles was recorded. During the warning interval preceding the presentation of the reaction signal, masticatory and lower facial muscles predominantly showed a gradual inhibition in activity concomitant with heart rate deceleration. In contrast, two upper facial muscles showed increasing activity. Pericranial EMG responses were little affected by reaction signal modality and were independent of responding limb. Greater heart rate deceleration was associated with greater inhibition and weaker facilitation of EMG responses. The results suggest a functional role of inhibitory EMG responses in increasing the perceptual sensitivity to expected signals.

Central effects of baroreceptor activation in humans: attenuation of skeletal reflexes and pain perception

Activating the arterial baroreceptors blunts pain sensation and produces other forms of central nervous system inhibition in animals. These effects may be important to blood pressure regulation but have not been rigorously verified in humans. We describe (i) a noninvasive behaviorally unbiased method for baroreceptor stimulation and (ii) the application of this method to measurement of baroreceptor-mediated attenuation of pain perception and of the Achilles tendon reflex. The findings are relevant to basic mechanisms of blood pressure stabilization and cardiovascular reactivity and may also have implications for noncompliance with antihypertensive medications and for the pathophysiology of essential hypertension.

Waiting in readiness: gating in attention and motor preparation

In this paper the similarities in the structural and functional organization of motor preparation and attention are discussed. A crucial structure in this organization is the thalamus, a complex of sensory and motor nuclei that transmits information from subcortical origins to the cortex. For the most part, the thalamus is overlapped by the nucleus reticularis, which has a local inhibitory influence on the underlying nuclei. This serves as a gating mechanism for the transmission of sensory information to the cortex. Skinner and Yingling (1977) have provided arguments in favor of a frontal control in the gating of sensory information. The present paper extends their suggestions to the motor system: a similar gating mechanism for the transmission of subcortical motor information to the cortex is hypothesized, also under frontal control. Slow potentials recorded during motor preparation and attention for an upcoming stimulus show a different distribution over the scalp. These distributions are interpreted as an indication of which thalamic gates are open to transmit information to the cortex. Probe responses (spinal reflexes, evoked potentials, and the startle reflex) can also be used to investigate which thalamocortical gates are open under certain experimental conditions. It is concluded that the sensory and motor input to the cortex are subjected to a similar control mechanism.

Reliable measures of behaviorally-evoked cardiovascular reactivity from a PC-based test battery: results from student and community samples

This paper describes efforts to reduce measurement error in the assessment of cardiovascular reactivity by standardizing task requirements and by aggregating data across tasks and testing sessions. Using these methods, reliable measures of reactivity (.80 or greater) were obtained on five different measures of cardiovascular function (heart rate, systolic blood pressure, diastolic blood pressure, stroke volume, pre-ejection period) in samples of college students and community volunteers. Methodological limitations may have hampered previous efforts in this area. Current findings are consistent with a dispositional model of cardiovascular reactivity, and they suggest productive future strategies for obtaining reliable assessments.

Autonomic activity

A review such as this can do no more than provide an indication of the issues involved in using autonomic activity as a means of providing a "window on the brain." Several points arise. One of the most important is that of careful and appropriate use of techniques available. One well-known textbook of experimental psychology published some time ago advocated the use of two dimes applied to the palm of the hand for the measurement of electrodermal activity. It was this sort of recommendation that led to the use of psychophysiological measurement falling into disrepute. As indicated in the second section, it is important to understand fully the peripheral mechanisms involved before measurement of electrodermal activity can be usefully carried out. Appropriate use of silver/silver chloride electrodes and physiologically appropriate levels of saline in the electrolyte medium can lead to accurate and repeatable measurement where artefact is not carelessly introduced. Equally important is the context in which studies are carried out. The psychological invasiveness of the technique is important to recognize, and it is here that measurement of autonomic activity probably scores over other methods that are available insofar as very little restriction of the subject is required and the number of transducers that must be applied is minimal. The measurement of autonomic activity within the totality of the experimental context is all important. As an example Dawson and Schell investigated the SCR to words which had previously been associated with shock. When these words were presented to the ear to which attention was not directed in a dichotic listening paradigm, an SCR could be elicited although the subject was unaware of the presentation of the stimulus. The importance of the Dawson and Schell study was the care that they took to make sure that the subject really was unaware of the critical stimulus and had not momentarily switched attention from the attended ear. More important, their experiment, in contrast to some which had gone before, used a balanced design in which the critical stimuli were presented on different occasions to each ear. As a result of this it was found that critical stimuli, which were presented to the left ear, right hemisphere, gave rise to SCRs, even when the subject was not aware of their presentation, whereas stimuli presented to the right ear, left hemisphere elicited no response.(ABSTRACT TRUNCATED AT 400 WORDS)

Individual differences in resting heart rate and spontaneous electrodermal activity as predictors of attentional processes: effects on anticipatory heart rate deceleration and task performance

The present study was concerned with the question of whether tonic resting heart rate (HR) and resting spontaneous electrodermal activity account for the association between anticipatory HR deceleration and task performance in a choice reaction time (RT) task with a fixed foreperiod. The task employed (a varied mapping paradigm) differed from simple RT tasks especially with regard to processing and attention demands. Subjects were required to determine as quickly and accurately as possible whether a 'complex' probe, presented for 80 ms, was identical or not to one of two distinct memory items, presented at the onset of each trial. Reaction times as well as accuracy of responses were determined. Additionally, reaction time and error data were synthesized to obtain a joint measure of response behaviour. The results of the present study were indicative of a reliable anticipatory HR deceleration extended over the last seconds preceding the probe stimulus. In agreement with previous findings, the HR deceleration grew stronger over blocks of trials and was sensitive to detection requirements, i.e. probe complexity. Furthermore, HR deceleration was related to task performance. Subjects with stronger decelerations (below the median on mean deceleration) exhibited a more impulsive (fast-inaccurate) and subjects above the median a more reflective (slow-accurate) response style. The effect was mainly due to a significant difference in RT. Further results indicated that the relationship between anticipatory deceleration and RT performance was especially due to the response behaviour of one group of subjects. Subjects above the median of resting HR and resting spontaneous electrodermal activity behaved in a prominent reflective manner and also displayed the lowest foreperiod deceleration. Results were discussed in terms of differences in the regulation or control of attentional processes.

The development and validation of an analytical training program for medical suturing

Based on attitude questionnaires and film analysis. three training simulators, electromechanical (E), perceptual (P), and (E) + (P),were developed to teach suturing to medical students. Training effectiveness on these simulators was compared to the traditional training method. Intergroup comparisons were obtained by having nine subjects from each of the three experimental groups, subsequent to training, practice on porcine skin by placing 35 sutures similar to those o{ the traditional group (N = 9). Results indicate that all three experimental training methods provided for significantly better quality of performance, briefer training times. and less psychophysiological stress (as measured by sinus arrhythmia, chin and neck EMG, and skin conductance) than the traditional training method.

Lip and nonpreferred forearm EMG activity as a function of orienting task

Subjects performed orthographic or semantic orienting tasks while preparing an overt response (pressing one of two buttons). Electromyographic (EMG) activity of lip and nonpreferred forearm muscles and heart rate were monitored. Only lip EMG activity distinguished the extent of covert processing, evidencing greater activity during the semantic than sensory task. In contrast, increased nonpreferred forearm EMG and cardiac activity accompanied the behavioral response. It was concluded that general semantic and autonomic activity serve biological needs, but in addition, there are specific patterns of physiological response that are intrinsic to convert information processing.

Within-subject covariation of reaction time and foreperiod cardiac deceleration: effects of respiration and imperative stimulus intensity

The warned foreperiod reaction time (RT) task is claimed to provide data supportive of the Laceys' visceral afferent feedback theory. However, although there are many reports of significant between-subject correlations between heart rate (HR) and RT, more direct tests examining within-subject covariation show, at best, inconclusive results. These studies suggested several procedural refinements which could produce stronger within-subject relationships. The procedures adopted in this investigation included manipulating attentional involvement by varying imperative stimulus (IS) intensity, using a respiratory control and a repeated measures design, recording electromyographic RT, employing a contact switch manipulandum with no moving parts, and having subjects initiate trial presentation. 40 males were divided between normal breathing and hold breath groups. Subjects received three blocks of 24 trials with the IS at either 10, 50, or 80 db. A variety of measurement and statistical approaches yielded generally negative results, with an overall mean within-subject correlation in the predicted direction of -0.06.

The behavioural significance of heart rate: the Laceys' hypothesis

The Laceys' account of the significance of heart rate changes for behaviour is critically evaluated. Two interwoven propositions are discerned in their account: first, the cardiac variations regulate central attentional activities via an afferent feedback mechanism; second, that environmental intake-rejection comprises a basic dimension underlying directional cardiac changes. Examination of pertinent psychophysiological research reveals that the first of these propositions lacks substantive support. The intra-cardiac cycle method has yielded highly equivocal results. Inter-cardiac cycle studies offer only modest correlational support and the two studies which have directly manipulated heart rate found that sensori-motor performance was largely unaffected. Difficulties also surround the other proposition. Consideration of the verbalization, pleasantness-unpleasantness and time estimation studies indicates that the relationship between heart rate and attention is variable and that heart rate is associated with factors other than attentional requirements. While the Laceys have attempted to reconcile such unfavourable evidence, conceptual clarity is frequently sacrificed in the process. It is concluded that the interpretation of cardiac responses must be sought in superordinate variables that account for both heart rate changes that can be related to attention and those that cannot, and that any afferent feedback mechanism, based on heart rate, most likely fulfills functions other than that proposed by the Laceys.

A review of heart-rate variability and evaluation

A review of the literature concerning heart rate and various forms of heart-rate variability and studies of behavior associated with these variables has been presented. Emphasis has been placed on the apparent discrepancies and inconsistencies reported within the literature as well as major methodological differences which make the integration of the data presented by various researchers almost impossible.

Heart rate, recall, and reaction-time measures of levels of processing

A problem of circularity emerges in any attempt to index depth by retention alone. In the present study, reaction time (RT), and heart-rate response were used to index the three qualitatively distinct levels of physical, phonemic, and semantic processing. An additional objective was to distinguish between the three levels under incidental vs intentional learning conditions. Subjects were 46 male undergraduates who were given 30 trials. A trial consisted of the presentation of an orienting question and an imperative word-stimulus separated by a 6-sec. interval. There were three types of questions in order to induce processing to one of the three target levels. The results indicated that recall as well as heart-rate acceleration distinguished between two (physical vs phonemic and semantic) rather than three levels of processing in the incidental condition. Heart-rate change differentiated between incidental and intentional, the intentional condition showing a smaller change. Semantic and phonemic RTs were faster than physical RT, but there were no differences between semantic and phonemic RTs. Intentional recall was superior to incidental recall. It is suggested that psychophysiological indices can provide independent evidence for 'levels of processing.'

Attention and cardiac activity: heart rate responses during a variable foreperiod, disjunctive reaction time task

A variable foreperiod disjunctive reaction time task was used to evaluate the effects of stimulus discriminability on cardiac activity. In two sessions, 20 male undergraduates received easy or difficult auditory discrimination trials in blocked and random series. In the random session only, when the warning stimulus provided information about the difficulty of the subsequent discrimination, difficult trials were associated with greater foreperiod deceleration. Cardiac accelerations also tended to be greater in the foreperiods of difficult trials. There was an effect of both warning and imperative stimuli on the heart rate of the cycle in which the stimuli occurred which depended on the difficulty of the trial. The results are discussed in terms of the psychological significance of the different heart rate responses.

The voluntary control of heart rate under differential somatic restraint

The purpose of this investigation was to test the hypothesis that subjects (Ss) can exert voluntary, bidirectional heart rate (HR) control in the absence of concomitant changes in respiration rate (RR) and muscle activity (chin EMG). Feedback-assisted HR control was studied under four experimental conditions involving increasing levels of somatic restraint: (a) No somatic controls, (b) RR pacing, (c) EMG feedback, to maintain constant muscle activity, and (d) RR pacing plus EMG feedback. Fifteen Ss, eight females and seven males, were assigned to each of these four conditions (N = 60). The HR control task involved ten increase and ten decrease trials in random order, each lasting 60 sec and preceded by a 60-sec resting baseline period. The results indicated that Ss produced significant HR increases (Xdelta = +3.4 bpm), but were unable to effect decreases (Xdelta = -.3 bpm). Furthermore, the magnitude of the obtained HR changes did not differ by experimental condition, i.e., by level of somatic restraint. While concomitant bidirectional RR changes were found, the pacing procedure effectively reduced, and on HR increase trials, nearly eliminated, RR involvement. No increases in EMG activity were found on HR increase trials for any of the four experimental conditions, whereas all groups showed some EMG decreases on HR deceleration trials. With respect to the question of somatic mediation of autonomic control, it is concluded that HR increases produced under paced respiration "favor" an interpretation of unmediated HR acceleration.

Organismic, stimulus and task determinants of phasic and tonic heart rate and skin conductance changes

The effects of three variables (perceptual style 'leveling--sharpening', stimulus intensity and task) on tonic and phasic heart rate and skin conductance responses were studied. 24 levelers and 24 sharpeners received a series of 25 auditory stimuli under two instructions (task): in one task subject had to listen carefully to possible small differences between tones (intake task) and in the other task the subject had to count back silently and could neglect the tones (rejection task). One third of each group received tones of 50 dB, one third 75 dB and one third 100 dB. Results show that task has a strong effect on tonic responses in the direction predicted from Lacey's intake--rejection hypothesis. There is hardly any effect of task on phasic responses: only at the first trial heart rate tends to decelerate more in the intake than in the rejection task. Stimulus intensity does not influence tonic responses but very strongly affects phasic responses: deceleration to 50 and 75 dB, acceleration to 100 dB. GSR amplitude increases monotonically as a function of stimulus intensity. There is no difference between levelers and sharpeners with regard to tonic responses. Concerning phasic heart rate, sharpeners decelerate more than levelers and levelers have greater GSRs than sharpeners. It is suggested that tonic changes are relatively more under cognitive control, whereas phasic changes are more of a non-cognitive reflex-like nature. A relationship between the distinction arousal-activation as proposed by Pribram and McGuinness (1975) and the results of this experiment was suggested.