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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 94))

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Abstract

The conceptual framework of this chapter is based on two fundamental assumptions. The first is that behavioral states are associated with distinct patterns of autonomic nervous system activity. The second is that the resulting neurohumoral profile will determine the intermediary mechanisms responsible for arrhythmias in susceptible individuals. Accordingly, the major modalities for arrhythmogenesis could include direct effects of neurotransmitters on the myocardium and its specialized conducting system and impaired perfusion due to inappropriate coronary vasoconstriction and/or enhanced platelet aggregability (figure 12–1).

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References

  1. Reich, P., DeSilva, R.A., Lown, B., and Murawski, B.J. 1981. Acute psychological disturbances preceding life-threatening ventricular arrhythmias. JAMA 246:233–235.

    Article  PubMed  CAS  Google Scholar 

  2. Schwartz, G.E., Weinberger, D.A., and Singer, J.A. 1981. Cardiovascular differentiation of happiness, sadness, anger, and fear following imagery and exercise. Psychosom. Med. 43:343–364.

    PubMed  CAS  Google Scholar 

  3. Lown, B., Verrier, R.L., and Corbalan, R. 1973. Psychologic stress and threshold for repetitive ventricular response. Science 182:834–836.

    Article  PubMed  CAS  Google Scholar 

  4. Verrier, R.L., Hagestad, E.L., and Lown, B. 1987. Delayed myocardial ischemia induced by anger. Circulation 75:249–254.

    Article  PubMed  CAS  Google Scholar 

  5. Hobson, J.A. 1978. What is a behavioral state? Aspects of Behavioral Neurobiology, J.A. Ferrendelli, ed. pp. 1–15, Bethesda Society for Neuroscience.

    Google Scholar 

  6. Smith, O.A. and DeVito, J.L. 1984. Central neural integration for the control of autonomic responses associated with emotion. Annu. Rev. Neurosci. 7:43–65.

    Article  PubMed  CAS  Google Scholar 

  7. Verrier, R.L. 1987. Mechanisms of behaviorally induced arrhythmias. Circulation Suppl I. Circulation Monograph #6 76:I48-I56.

    CAS  Google Scholar 

  8. Heberden, W. 1772. Some account of a disorder of the breast. Read at the College, July 21, 1768. Medical Transactions, Published by the Royal College of Physicians and Surgeons [Lond.] 2:59.

    Google Scholar 

  9. Kligfield, P. 1980. John Hunter, angina pectoris and medical education. Am. J. Cardiol. 45:367–369.

    Article  PubMed  CAS  Google Scholar 

  10. Kobayashi, T., Ishikawa, H., and Tawara I. 1970. Psychosomatic aspects of angina pectoris. Scand.J. Rehabil. Med. 2:87–91.

    PubMed  CAS  Google Scholar 

  11. Hagestad, E.L. and Verrier, R.L. 1988. Delayed myocardial ischemia following the cessation of sympathetic stimulation. Am. Heart J. 115.

    Google Scholar 

  12. Verrier, R.L., Kirby, D.A., and Papageorgiou, P. 1988. Plasma catecholamines and anger-induced delayed myocardial ischemia [abstr.]. Circulation, in press.

    Google Scholar 

  13. Papageorgiou, P., Hagestad, E.L., and Verrier, R.L. 1988. Coronary distending pressure and delayed myocardial ischemia. Am. Heart J. 116:59–66.

    Article  PubMed  CAS  Google Scholar 

  14. Gerova, M., Barta, E., and Gero, J. 1979. Sympathetic control of major coronary artery diameter in the dog. Circ. Res. 44:459–467.

    PubMed  CAS  Google Scholar 

  15. Masuda, Y. and Levy, M.N. 1985. Heart rate modulates the disposition of neurally released norepinephrine in cardiac tissues. Circ. Res. 57:19–27.

    PubMed  CAS  Google Scholar 

  16. Schwartz, J.S., Carlyle, P.F., and Cohn, J.N. 1980. Effect of coronary arterial pressure on coronary stenosis resistance. Circulation 61:70–76.

    PubMed  CAS  Google Scholar 

  17. Master, A.M., Dack, S., Horn, H, et al. 1950. Acute coronary insufficiency due to acute hemorrhage: An analysis of one hundred and three cases. Circulation 1:1302–1317.

    PubMed  CAS  Google Scholar 

  18. Lown, B. and Verrier, R.L. 1976. Neural activity and ventricular fibrillation. N. Engl. J. Med. 294:1165–1170.

    Article  PubMed  CAS  Google Scholar 

  19. Liang, B., Verrier, R.L., Melman, J., and Lown, B. 1979. Correlation between circulating catecholamine levels and ventricular vulnerability during psychological stress in conscious dogs. Proc. Soc. Exp. Biol. Med. 161:266–269.

    PubMed  CAS  Google Scholar 

  20. Corbalan, R., Verrier, R.L., and Lown, B. 1974. Psychological stress and ventricular arrhythmias during myocardial infarction in the conscious dog. Am. J. Cardiol. 34:692–696.

    Article  PubMed  CAS  Google Scholar 

  21. Verrier, R.L. and Lown, B. 1978. Influence of neural activity on ventricular electrical stability during acute myocardial ischemia and infarction. In Management of Ventricular Tachycardia: Role of Mexiletine, E. Sandøe, D.G. Julian, and J.W. Bell, eds., pp. 133–150, Amsterdam, Excerpta Medica (International Congress Series #458).

    Google Scholar 

  22. Verrier, R.L. and Lown, B. 1979. Influence of psychologic stress on susceptibility to spontaneous ventricular fibrillation during acute myocardial ischemia and reperfusion [abstr.] Clin. Res. 27:570A.

    Google Scholar 

  23. Verrier, R.L. and Lown B. 1977. Effects of left stellectomy on enhanced cardiac vulnerability induced by psychologic stress [abstr.] Circulation 55/56:III80.

    Google Scholar 

  24. Verrier, R.L. and Lown, B. 1984. Behavioral stress and cardiac arrhythmias. Annu. Rev. Physiol. 46:155–176.

    Article  PubMed  CAS  Google Scholar 

  25. Verrier, R.L. and Lown, B. 1980. Vagal tone and ventricular vulnerability during psychological stress [abstr.] Circulation 62:III176.

    Google Scholar 

  26. Levy, M.N. 1971. Sympathetic-parasympathetic interactions in the heart. Circ. Res. 29: 437–445.

    PubMed  CAS  Google Scholar 

  27. DeSilva, R.A., Verrier, R.L., and Lown, B. 1978. The effects of psychological stress and vagal stimulation with morphine on vulnerability to ventricular fibrillation (VF) in the conscious dog. Am. Heart J. 95:197–203.

    Article  PubMed  CAS  Google Scholar 

  28. De Ferrari, G.M., Vanoli, E., Stramba-Badiale, M., et al. 1987. Vagal stimulation and sudden death in conscious dogs with a healed myocardial infarction [abstr.]. Circulation 76: IV107.

    Google Scholar 

  29. Kolman, B.S., Verrier, R.L., and Lown, B. 1975. The effect of vagus nerve stimulation upon vulnerability of the canine ventricle: role of sympathetic-parasympathetic interactions. Circulation 52:578–585.

    PubMed  CAS  Google Scholar 

  30. Zuanetti, G., De Ferrari, G.M., Priori S.G., and Schwartz, P.J. 1987. Protective effect of vagal stimulation on reperfusion arrhythmias in cats. Circ. Res. 61:429–435.

    PubMed  CAS  Google Scholar 

  31. Rabinowitz, S.H., Verrier, R.L., and Lown, B. 1976. Muscarinic effects of vagosympathetic trunk stimulation on the repetitive extrasystole (RE) threshold. Circulation 53:622–627.

    PubMed  CAS  Google Scholar 

  32. Verrier, R.L. and Moya-Huff, F.A. 1988. Fear-induced changes in plasma catecholamines and coronary hemodynamic function [abstr.]. Society for Neuroscience Abstracts, in press.

    Google Scholar 

  33. Brodsky, M., Wu, D., Denes, P., et al. 1977. Arrhythmias documented by 24-hour continuous electrocardiographic monitoring in 50 male medical students without apparent heart disease. Am. J. Cardiol. 39:390–395.

    Article  PubMed  CAS  Google Scholar 

  34. DeSilva, R.A. 1982. Central nervous system risk factors for sudden cardiac death. Ann. N.Y. Acad. Sci. 382:143–161.

    Article  PubMed  CAS  Google Scholar 

  35. Lown, B., Tykocinski, M., Garfein, A., and Brooks, P. 1973. Sleep and ventricular premature beats. Circulation 48:691–701.

    PubMed  CAS  Google Scholar 

  36. Monti, J.M., Folle, L.E., Peluffo, C., et al. 1975. The incidence of premature contractions in coronary patients during the sleep-awake cycle. Cardiology 60:257–264.

    Article  PubMed  CAS  Google Scholar 

  37. Pickering, T.G., Goulding, L., and Cobern B.A. 1977. Diurnal variations in ventricular ectopic beats and heart rate. Cardiovasc. Med. 2:1013–1022.

    Google Scholar 

  38. Pickering, T.G., Johnston, J. and Honour, A.J. 1978. Comparison of the effects of sleep, exercise and autonomic drugs on ventricular extrasystoles, using ambulatory monitoring of electrocardiogram and electroencephalogram. Am. J. Med. 65:575–583.

    Article  PubMed  CAS  Google Scholar 

  39. Rosenblatt, G., Zwilling, G., and Hartmann, E. 1969. Electrocardiographic changes during sleep in patients with cardiac abnormalities [abstr.]. Psychophysiology 6:233.

    Google Scholar 

  40. Smith, R., Johnson, L., Rothfeld, D., et al. 1972. Sleep and cardiac arrhythmias. Arch. Intern. Med. 130:751–753.

    Article  PubMed  CAS  Google Scholar 

  41. Winkle, R.A., Lopes, M.G., Fitzgerald, J.W., et al. 1975. Arrhythmias in patients with mitral valve prolapse. Circulation 52:73–81.

    PubMed  CAS  Google Scholar 

  42. Friedman, M., Manwaring, J.H., Rosenman, R.H., et al. 1973. Instantaneous and sudden deaths. Clinical and pathological differentiation in coronary artery disease. JAMA 225:1319–1328.

    Article  PubMed  CAS  Google Scholar 

  43. Myers, A. and Dewar, H.A. 1975. Circumstances attending 100 sudden deaths from coronary artery disease with coroners’ necropsies. Br. Heart J. 37:1133–1143.

    Article  PubMed  CAS  Google Scholar 

  44. Lown, B., Temte, J.V., Reich, P., et al. 1976. Basis for recurring ventricular fibrillation in the absence of coronary heart disease and its management. N. Engl. J. Med. 294:623–629.

    Article  PubMed  CAS  Google Scholar 

  45. Skinner, J.E. and Verrier, R.L. 1982. Task force report on sudden cardiac death and arrhythmias. In Circulation, Neurobiology, and Behavior, O.A. Smith, R.A. Galosy, and S.M. Weiss, eds., pp. 309–316, New York, Elsevier Science Publishing Co.

    Google Scholar 

  46. Skinner, J.E., Mohr, D.N., and Kellaway, P. 1975. Sleep-stage regulation of ventricular arrhythmias in the unanesthetized pig. Circ. Res. 37:342–349.

    PubMed  CAS  Google Scholar 

  47. Baust, W. and Bohnert, B. 1969. The regulation of heart rate during sleep. Exp. Brain Res. 7:169–180.

    Article  PubMed  CAS  Google Scholar 

  48. Snyder, F., Hobson, J.A., and Goldfrank, F. 1963. Blood pressure changes during human sleep. Science 142:1313–1314.

    Article  PubMed  CAS  Google Scholar 

  49. Baccelli, G., Guazzi, M., Mancia, G., and Zanchetti, A. 1969. Neural and non-neural mechanisms influencing circulation during sleep. Nature 223:184–185.

    Article  PubMed  CAS  Google Scholar 

  50. Coccagna, G., Mantovani, M., Brignani, F., et al. 1971. Arterial pressure changes during spontaneous sleep in man. Electroencephalogr. Clin. Neurophysiol. 31:277–281.

    Article  PubMed  CAS  Google Scholar 

  51. Francis, G.C., Hagestad, E.L., and Verrier, R.L. 1986. Influence of sleep stage on ventricular refractoriness [abstr.] Physiologist 29:163.

    Google Scholar 

  52. Deanfield, J.E., Maseri, A., Selwyn, A.P., et al. 1983. Myocardial ischaemia during daily life in patients with stable angina: its relation to symptoms and heart rate changes. Lancet 2:753–758.

    Article  PubMed  CAS  Google Scholar 

  53. King, M.J., Zir, L.M., Kaltman, A.J., and Fox, A.C. 1973. Variant angina associated with angiographically demonstrated coronary artery spasm and REM sleep. Am. J. Med. Sci. 265:419–422.

    Article  PubMed  CAS  Google Scholar 

  54. Vatner, S.F., Franklin, D., Higgins, C.B., et al. 1971. Coronary dynamics in unrestrained conscious baboons. Am. J. Physiol. 221:1396–1401.

    PubMed  CAS  Google Scholar 

  55. Kirby, D.A. and Verrier, R.L. 1987. Differential effects of rapid eye movement and slow wave sleep on coronary hemodynamic function [abstr.] Society for Neuroscience Abstracts 13:740.

    Google Scholar 

  56. Verrier, R.L., Kirby, D.A., and Pflugheber, J.D. 1988. Phasic decreases in coronary blood flow (CBF) during rapid eye movement (REM) sleep in the stenosed canine circulation [abstr.] FASEB J. 2:A326.

    Google Scholar 

  57. Skinner, J.E. and Reed, J.C. 1981. Blockade of frontocortical-brain stem pathway prevents ventricular fibrillation of ischemic heart. Am. J. Physiol. 240:H156-H163.

    PubMed  CAS  Google Scholar 

  58. Skinner, J.E. 1985. Regulation of cardiac vulnerability by the cerebral defense system. J. Am. Coll. Cardiol. 5:88B–94B.

    Article  PubMed  CAS  Google Scholar 

  59. Holtz, J., Sommer, O., and Bassenge, E. 1986. Sympatho-adrenal activity inhibited by atrial natriuretic factor (alpha-ANF) at physiological release rates in conscious dogs [abstr.]. Circulation 74:II425.

    Google Scholar 

  60. Sander, G.E., Giles, T.D., Kastin, A.J., et al. 1981. Cardiopulmonary pharmacology of enkephalins in the conscious dog. Peptides 2:403–407.

    Article  PubMed  CAS  Google Scholar 

  61. Carr, D.B., Saini, V., and Verrier, R.L. 1988. Opioids and cardiovascular function: neuromodulation of ventricular ectopy. In Neurocardiology, H.E. Kulbertus, and G. Franck, eds., pp. 223–245, Mt. Kisco, NY, Futura.

    Google Scholar 

  62. Saini, V., Carr, D.B., Hagestad, E.L., et al. 1988. Antifibrillatory mechanism of the narcotic agonist fentanyl. Am. Heart J. 115:598–605.

    Article  PubMed  CAS  Google Scholar 

  63. Burgess, M.J. 1982. Ventricular repolarization and electrocardiographic T wave form and arrhythmia vulnerability. In Excitation and Neural Control of the Heart, M.N. Levy and M. Vassalle, eds., pp. 181–202, Bethesda, American Physiological Society.

    Google Scholar 

  64. Kramer, J.B., Saffitz, J.E., Witkowski, F.X., and Corr, P.B. 1985. Intramural reentry as a mechanism of ventricular tachycardia during evolving canine myocardial infarction. Circ. Res. 56:736–754.

    PubMed  CAS  Google Scholar 

  65. Janse, M.J., Wilms-Schopman, F., Wilensky, R.J., and Tranum-Jensen, J. 1985. Role of the subendocardium in arrhythmogenesis during acute ischemia. In Cardiac Electrophysiology and Arrhythmias, D.P. Zipes and J. Jalife, eds., pp. 353–362, Orlando, FL, Grune & Stratton, Inc.

    Google Scholar 

  66. Wit, A.L. and Josephson, M.E. 1985. Fractionated electrograms and continuous electrical activity: fact or artifact. In Cardiac Electrophysiology and Arrhythmias, D.P. Zipes and J. Jalife, eds., pp. 343–351, Orlando, FL, Grune & Stratton, Inc.

    Google Scholar 

  67. Karagueuzian, H.S., Fenoglio, J.J., Jr., Weiss, M.B., and Wit, A.L. 1979. Protracted ventricular tachycardia induced by premature stimulation of the canine heart after coronary artery occlusion and reperfusion. Circ. Res. 44:833–846.

    PubMed  CAS  Google Scholar 

  68. Michelson, E.L., Spear, J.F., and Moore, E.N. 1980. Electrophysiologic and anatomic correlates of sustained ventricular tachyarrhythmias in a model of chronic myocardial infarction. Am. J. Cardiol. 45:583–590.

    Article  PubMed  CAS  Google Scholar 

  69. Michelson, E.L. 1982. Recent advances in antiarrhythmic drug research: studies in chronic canine myocardial infarction-ventricular tachyarrhythmia models. PACE 5:90–99.

    Article  PubMed  CAS  Google Scholar 

  70. Patterson, E., Holland, K., Eller, B.T., and Lucchesi, B.R. 1982. Ventricular fibrillation resulting from ischemia at a site remote from previous myocardial infarction. A conscious canine model of sudden coronary death. Am. J. Cardiol. 50:1414–1423.

    Article  PubMed  CAS  Google Scholar 

  71. Inoue, H. and Zipes, D.P. 1987. Results of sympathetic denervation in the canine heart: supersensitivity that may be arrhythmogenic. Circulation 75:877–887.

    Article  PubMed  CAS  Google Scholar 

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© 1989 Kluwer Academic Publishers, Boston/Dordrecht/London

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Verrier, R.L. (1989). Central Nervous System Modulation of Cardiac Rhythm. In: Rosen, M.R., Palti, Y. (eds) Lethal Arrhythmias Resulting from Myocardial Ischemia and Infarction. Developments in Cardiovascular Medicine, vol 94. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1649-7_12

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