Respiratory and hemodynamic contributions to emotion-related pre-syncopal vasovagal symptoms.
Identifieur interne : 000B68 ( Main/Corpus ); précédent : 000B67; suivant : 000B69Respiratory and hemodynamic contributions to emotion-related pre-syncopal vasovagal symptoms.
Auteurs : Johanna M. Harrison ; Philippe T. Gilchrist ; Tiana S. Corovic ; Curtis Bogetti ; Yuqing Song ; Simon L. Bacon ; Blaine DittoSource :
- Biological psychology [ 1873-6246 ] ; 2017.
English descriptors
- KwdEn :
- Adult (MeSH), Blood Pressure (physiology), Carbon Dioxide (analysis), Cardiovascular System (physiopathology), Cerebrovascular Circulation (physiology), Emotions (physiology), Female (MeSH), Healthy Volunteers (MeSH), Hemodynamics (physiology), Humans (MeSH), Hyperventilation (complications), Hyperventilation (physiopathology), Hypocapnia (etiology), Hypocapnia (physiopathology), Phobic Disorders (physiopathology), Photic Stimulation (methods), Prodromal Symptoms (MeSH), Respiration (MeSH), Surgical Procedures, Operative (psychology), Sympathetic Nervous System (physiopathology), Syncope, Vasovagal (physiopathology), Syncope, Vasovagal (psychology), Vascular Resistance (MeSH), Vasoconstriction (MeSH), Young Adult (MeSH).
- MESH :
- chemical , analysis : Carbon Dioxide.
- complications : Hyperventilation.
- etiology : Hypocapnia.
- methods : Photic Stimulation.
- physiology : Blood Pressure, Cerebrovascular Circulation, Emotions, Hemodynamics.
- physiopathology : Cardiovascular System, Hyperventilation, Hypocapnia, Phobic Disorders, Sympathetic Nervous System, Syncope, Vasovagal.
- psychology : Surgical Procedures, Operative, Syncope, Vasovagal.
- Adult, Female, Healthy Volunteers, Humans, Prodromal Symptoms, Respiration, Vascular Resistance, Vasoconstriction, Young Adult.
Abstract
Vasovagal reactions are conventionally understood as resulting from systemic changes in cardiovascular activity; however, there exists a complementary perspective focused on specific changes in cerebral vasoconstriction associated with hyperventilation-induced hypocapnia. The present study investigated the role of cardiovascular and respiratory activity in self-reported pre-syncopal vasovagal reactions to a surgery video in a sample of 49 healthy women. Participants who indicated more previous real-life episodes of dizziness reported experiencing significantly more symptoms in the laboratory consistent with a vasovagal response. They also showed lower total peripheral resistance and higher pre-ejection period in general, suggesting lower sympathetic nervous system activity. Significant decreases in end-tidal carbon dioxide (PETCO2) occurred during the surgery video among susceptible participants, without significant increases in respiration rate. Further, participants who experienced reductions from the neutral video in PETCO2, systolic blood pressure, or both, reported vasovagal symptoms during the surgery video. The results suggest that patterns of respiration associated with decreases in PETCO2 may contribute to vasovagal symptoms reported in non-clinical groups as well as those with blood-injection-injury phobia and are associated with susceptibility to dizziness.
DOI: 10.1016/j.biopsycho.2017.04.011
PubMed: 28456564
Links to Exploration step
pubmed:28456564Le document en format XML
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Gilchrist</name><affiliation><nlm:affiliation>Wolfson College, University of Cambridge, Cambridge CB3 9BB, United Kingdom; MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, 2 Wort's Causeway, Cambridge, CB1 8RN, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Corovic, Tiana S" sort="Corovic, Tiana S" uniqKey="Corovic T" first="Tiana S" last="Corovic">Tiana S. Corovic</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Bogetti, Curtis" sort="Bogetti, Curtis" uniqKey="Bogetti C" first="Curtis" last="Bogetti">Curtis Bogetti</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Song, Yuqing" sort="Song, Yuqing" uniqKey="Song Y" first="Yuqing" last="Song">Yuqing Song</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Bacon, Simon L" sort="Bacon, Simon L" uniqKey="Bacon S" first="Simon L" last="Bacon">Simon L. 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Harrison</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada. Electronic address: johanna.harrison@mail.mcgill.ca.</nlm:affiliation></affiliation></author><author><name sortKey="Gilchrist, Philippe T" sort="Gilchrist, Philippe T" uniqKey="Gilchrist P" first="Philippe T" last="Gilchrist">Philippe T. Gilchrist</name><affiliation><nlm:affiliation>Wolfson College, University of Cambridge, Cambridge CB3 9BB, United Kingdom; MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, 2 Wort's Causeway, Cambridge, CB1 8RN, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Corovic, Tiana S" sort="Corovic, Tiana S" uniqKey="Corovic T" first="Tiana S" last="Corovic">Tiana S. Corovic</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Bogetti, Curtis" sort="Bogetti, Curtis" uniqKey="Bogetti C" first="Curtis" last="Bogetti">Curtis Bogetti</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Song, Yuqing" sort="Song, Yuqing" uniqKey="Song Y" first="Yuqing" last="Song">Yuqing Song</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Bacon, Simon L" sort="Bacon, Simon L" uniqKey="Bacon S" first="Simon L" last="Bacon">Simon L. Bacon</name><affiliation><nlm:affiliation>Department of Exercise Science, Concordia University, 7141 Sherbrooke St. West, Montreal, Quebec, H4 B 1R6, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Ditto, Blaine" sort="Ditto, Blaine" uniqKey="Ditto B" first="Blaine" last="Ditto">Blaine Ditto</name><affiliation><nlm:affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Biological psychology</title><idno type="eISSN">1873-6246</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Blood Pressure (physiology)</term><term>Carbon Dioxide (analysis)</term><term>Cardiovascular System (physiopathology)</term><term>Cerebrovascular Circulation (physiology)</term><term>Emotions (physiology)</term><term>Female (MeSH)</term><term>Healthy Volunteers (MeSH)</term><term>Hemodynamics (physiology)</term><term>Humans (MeSH)</term><term>Hyperventilation (complications)</term><term>Hyperventilation (physiopathology)</term><term>Hypocapnia (etiology)</term><term>Hypocapnia (physiopathology)</term><term>Phobic Disorders (physiopathology)</term><term>Photic Stimulation (methods)</term><term>Prodromal Symptoms (MeSH)</term><term>Respiration (MeSH)</term><term>Surgical Procedures, Operative (psychology)</term><term>Sympathetic Nervous System (physiopathology)</term><term>Syncope, Vasovagal (physiopathology)</term><term>Syncope, Vasovagal (psychology)</term><term>Vascular Resistance (MeSH)</term><term>Vasoconstriction (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Carbon Dioxide</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Hyperventilation</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypocapnia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Photic Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Pressure</term><term>Cerebrovascular Circulation</term><term>Emotions</term><term>Hemodynamics</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cardiovascular System</term><term>Hyperventilation</term><term>Hypocapnia</term><term>Phobic Disorders</term><term>Sympathetic Nervous System</term><term>Syncope, Vasovagal</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Surgical Procedures, Operative</term><term>Syncope, Vasovagal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Healthy Volunteers</term><term>Humans</term><term>Prodromal Symptoms</term><term>Respiration</term><term>Vascular Resistance</term><term>Vasoconstriction</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vasovagal reactions are conventionally understood as resulting from systemic changes in cardiovascular activity; however, there exists a complementary perspective focused on specific changes in cerebral vasoconstriction associated with hyperventilation-induced hypocapnia. The present study investigated the role of cardiovascular and respiratory activity in self-reported pre-syncopal vasovagal reactions to a surgery video in a sample of 49 healthy women. Participants who indicated more previous real-life episodes of dizziness reported experiencing significantly more symptoms in the laboratory consistent with a vasovagal response. They also showed lower total peripheral resistance and higher pre-ejection period in general, suggesting lower sympathetic nervous system activity. Significant decreases in end-tidal carbon dioxide (P<sub>ET</sub>CO<sub>2</sub>) occurred during the surgery video among susceptible participants, without significant increases in respiration rate. Further, participants who experienced reductions from the neutral video in P<sub>ET</sub>CO<sub>2</sub>, systolic blood pressure, or both, reported vasovagal symptoms during the surgery video. The results suggest that patterns of respiration associated with decreases in P<sub>ET</sub>CO<sub>2</sub> may contribute to vasovagal symptoms reported in non-clinical groups as well as those with blood-injection-injury phobia and are associated with susceptibility to dizziness.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28456564</PMID><DateCompleted><Year>2018</Year><Month>04</Month><Day>23</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6246</ISSN><JournalIssue CitedMedium="Internet"><Volume>127</Volume><PubDate><Year>2017</Year><Month>07</Month></PubDate></JournalIssue><Title>Biological psychology</Title><ISOAbbreviation>Biol Psychol</ISOAbbreviation></Journal><ArticleTitle>Respiratory and hemodynamic contributions to emotion-related pre-syncopal vasovagal symptoms.</ArticleTitle><Pagination><MedlinePgn>46-52</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0301-0511(17)30080-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.biopsycho.2017.04.011</ELocationID><Abstract><AbstractText>Vasovagal reactions are conventionally understood as resulting from systemic changes in cardiovascular activity; however, there exists a complementary perspective focused on specific changes in cerebral vasoconstriction associated with hyperventilation-induced hypocapnia. The present study investigated the role of cardiovascular and respiratory activity in self-reported pre-syncopal vasovagal reactions to a surgery video in a sample of 49 healthy women. Participants who indicated more previous real-life episodes of dizziness reported experiencing significantly more symptoms in the laboratory consistent with a vasovagal response. They also showed lower total peripheral resistance and higher pre-ejection period in general, suggesting lower sympathetic nervous system activity. Significant decreases in end-tidal carbon dioxide (P<sub>ET</sub>CO<sub>2</sub>) occurred during the surgery video among susceptible participants, without significant increases in respiration rate. Further, participants who experienced reductions from the neutral video in P<sub>ET</sub>CO<sub>2</sub>, systolic blood pressure, or both, reported vasovagal symptoms during the surgery video. The results suggest that patterns of respiration associated with decreases in P<sub>ET</sub>CO<sub>2</sub> may contribute to vasovagal symptoms reported in non-clinical groups as well as those with blood-injection-injury phobia and are associated with susceptibility to dizziness.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Harrison</LastName><ForeName>Johanna M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada. Electronic address: johanna.harrison@mail.mcgill.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gilchrist</LastName><ForeName>Philippe T</ForeName><Initials>PT</Initials><AffiliationInfo><Affiliation>Wolfson College, University of Cambridge, Cambridge CB3 9BB, United Kingdom; MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, 2 Wort's Causeway, Cambridge, CB1 8RN, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Corovic</LastName><ForeName>Tiana S</ForeName><Initials>TS</Initials><AffiliationInfo><Affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bogetti</LastName><ForeName>Curtis</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Song</LastName><ForeName>Yuqing</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bacon</LastName><ForeName>Simon L</ForeName><Initials>SL</Initials><AffiliationInfo><Affiliation>Department of Exercise Science, Concordia University, 7141 Sherbrooke St. West, Montreal, Quebec, H4 B 1R6, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ditto</LastName><ForeName>Blaine</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Laboratory for Cardiovascular Psychophysiology, Department of Psychology, McGill University, 1205 Ave. Docteur Penfield, Montreal, Quebec, H3A 1B1, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>MR/L003120/1</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>RG/08/014/24067</GrantID><Agency>British Heart Foundation</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>133459</GrantID><Agency>CIHR</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>04</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Biol Psychol</MedlineTA><NlmUniqueID>0375566</NlmUniqueID><ISSNLinking>0301-0511</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>142M471B3J</RegistryNumber><NameOfSubstance UI="D002245">Carbon Dioxide</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001794" MajorTopicYN="N">Blood Pressure</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002245" MajorTopicYN="N">Carbon Dioxide</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002319" MajorTopicYN="N">Cardiovascular System</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002560" MajorTopicYN="N">Cerebrovascular Circulation</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004644" MajorTopicYN="N">Emotions</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064368" MajorTopicYN="N">Healthy Volunteers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006439" MajorTopicYN="N">Hemodynamics</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006985" MajorTopicYN="N">Hyperventilation</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016857" MajorTopicYN="N">Hypocapnia</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010698" MajorTopicYN="N">Phobic Disorders</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010775" MajorTopicYN="Y">Photic Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062706" MajorTopicYN="Y">Prodromal Symptoms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012119" MajorTopicYN="Y">Respiration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013514" MajorTopicYN="N">Surgical Procedures, Operative</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013564" MajorTopicYN="N">Sympathetic Nervous System</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019462" MajorTopicYN="N">Syncope, Vasovagal</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014655" MajorTopicYN="N">Vascular Resistance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014661" MajorTopicYN="N">Vasoconstriction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">End-tidal CO(2)</Keyword><Keyword MajorTopicYN="Y">Hyperventilation</Keyword><Keyword MajorTopicYN="Y">Hypocapnia</Keyword><Keyword MajorTopicYN="Y">Impedance cardiography</Keyword><Keyword MajorTopicYN="Y">Presyncope</Keyword><Keyword MajorTopicYN="Y">Vasovagal symptoms</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>12</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>04</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>04</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>4</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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