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Anxiety and Vagal Control of Heart Rate

Bibliographic Data

ID19309293
AuthorsLana L Watkins (0000-0003-1889-5730, Duke University), Paul Grossman (0000-0002-2754-0344, Hebrew SeniorLife), Ranga Krishnan (0000-0002-3661-8449, Hebrew SeniorLife), Andrew Sherwood (0000-0001-9067-185X, Hebrew SeniorLife)
Year1998
Volume60
Issue4
Pages498-502
Publication date1998-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-199807000-00018
PMID9710297
OpenAlexW2090527247
LanguageEN
Citations received20
References cited28

OBJECTIVE: Prospective studies have demonstrated that anxiety predicts sudden cardiac death, but the mechanism underlying this increased risk is unclear. This study examined whether anxiety is associated with reductions in vagal control of heart rate in healthy volunteers. METHOD: Trait anxiety (T-ANX) was measured, using the Spielberger State-Trait Anxiety Inventory (STAI), in 93 healthy men and women 25 to 44 years of age. Power spectral analysis was used to measure two indices of vagal control: baroreflex control of heart rate (BRC) and respiratory sinus arrhythmia (RSA). RESULTS: High trait anxiety (T-ANX > 41, N = 23) was associated with significantly reduced vagal control of the heart, compared with low trait anxiety (T-ANX < 31, N = 22), as indicated by a 36% reduction in BRC (p< .001) and an 8% reduction in RSA (p<.05). Furthermore, T-ANX scores were negatively correlated with levels of BRC (r = -.30, p<.005), and levels of RSA (r = -.26, p <.05). CONCLUSIONS: These findings provide evidence that trait anxiety is associated with reductions in vagal control of the heart. Additional studies are needed to examine whether low vagal control is involved in the increased risk of sudden cardiac death associated with anxiety

Anxiety · Baroreflex · Blood pressure · Cardiology · Heart rate · Heart rate variability · Psychiatry · Trait anxiety · Vagal tone · Heart rate and cardiovascular health · Heart Rate Variability and Autonomic Control · Internal Medicine · Medicine · Psychology · Vagus Nerve Stimulation Research

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Unique citing works20
Citations per year0,74
Citation span1999 - 2025 (27)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 20

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