Cognición, respuesta electroencefalográfica y su relación con la variabilidad de la frecuencia cardíaca
Cognition, electroencephalographic response and their relation with heart rate variability
Palabras clave:
Sistema nervioso autónomo, Electroencefalografía, Frecuencia cardíaca, Corteza prefrontal (es)Autonomic Nervous System, Electroencephalography, Heart Rate, Prefrontal Cortex (en)
Introducción. La corteza cerebral frontal tiene una mayor actividad teta durante procesos cognitivos de observación y aprendizaje.
Objetivo. Establecer la relación entre actividad electroencefalográfica orbitofrontal y sistema nervioso autónomo en procesos cognitivos.
Materiales y métodos. 20 hombres y 19 mujeres con edad promedio de 21.2 (±2.32) años fueron evaluados mediante electroencefalografía (EGG) FP1-T3, FP2-T4 y electrocardiografía (EKG, del alemán elektrokardiogramm) para determinar frecuencia cardíaca (HR, del inglés heart rate) y variabilidad de la frecuencia cardíaca (HRV, del inglés heart rate variability). La evaluación tuvo cinco fases: reposo, observación, memoria, concentración y juego. Las señales de EGG y EKG fueron analizadas en el dominio de la frecuencia usando la transformada rápida de Fourier (FFT, del inglés fast Fourier transform). Las diferencias por etapa entre las variables se establecieron con el uso de ANOVA de dos vías.
Resultados. Comparado con el reposo, se observó en todas las fases incremento de la actividad teta del EGG (p<0.01), aumento en la baja frecuencia LF (p<0.01) y la HR (p<0.01) y disminución de la alta frecuencia HF (p<0.01). Además, hubo una correlación inversa entre la actividad teta y la potencia de HF (r=-0.86).
Conclusiones. Los datos mostraron una reducción de la actividad parasimpática y un aumento de la actividad simpática asociado a actividad teta de la corteza orbitofrontal, mediante una conexión con el núcleo central de la amígdala.
Introduction: The frontal cortex has a greater theta activity during cognitive observation and learning processes.
Objective: To establish the relation between orbitofrontal electroencephalographic activity and the autonomic nervous system in cognitive processes.
Materials and methods: 20 men and 19 women with a mean age of 21.2 (±2.32) were evaluated by electroencephalography (EGG) FP1-T3, FP2-T4 and electrocardiography (ECG) to determine heart rate (HR) and heart rate variability (HRV). The evaluation was made in five phases during rest, observation, memory, concentration and playing conditions. EGG and ecg signals were analyzed in the frequency domain using the Fast Fourier Transform (FFT). The differences between the variables found during each phase were established through a two-way ANOVA.
Results: When compared to rest conditions, all phases showed an increase of theta activity of the EGG (p <0.01), as well as of the low frequencies LF (p <0.01) and HR (p <0.01), and a decrease in the high frequency HF (P <0.01). In addition, there was an inverse correlation between theta activity and HF power (r=-0.86).
Conclusions: The data showed a reduction in parasympathetic activity and an increased sympathetic activity associated with theta activity in the orbitofrontal cortex, using a connection with the central nucleus of the amygdala.
Descargas
Citas
Schomer DL, Lopez da Silva FH. Niedermeyer’s Electroencephalography: Basic Principles, Clinical Applications, and Related Fields. 6th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2011.
Buzsáki G, Moser EI. Memory, navigation and theta rhythm in the hippocampal-entorhinal system. Nat Neurosci. 2013;16(2):130-8. http://doi.org/f4j6d2.
Suthana N, Haneef Z, Stern J, Mukamel R, Behnke E, Knowlton B, et al. Memory enhancement and deep-brain stimulation of the entorhinal area. N Engl J Med. 2012;366(6):502-10. http://doi.org/b4d3.
Gärtner M, Grimm S, Bajbouj M. Frontal midline theta oscillations during mental arithmetic: effects of stress. Front Behav Neurosci. 2015;9:96. http://doi.org/b4d4.
Gärtner M, Rohde-Liebenau L, Grimm S, Bajbouj M. Working memory-related frontal theta activity is decreased under acute stress. Psychoneuroendocrinology. 2014;43:105-13. http://doi.org/f5zzk5.
Kleiger RE, Stein PK, Bigger JT Jr. Heart rate variability: measurement and clinical utility. Ann Noninvasive Electrocardiol. 2005;10(1):88-101. http://doi.org/dj82kt.
Taelman J, Vandeput S, Spaepen A, Van Huffel S. Influence of Mental Stress on Heart Rate and Heart Rate Variability. In: Vander Sloten J, Verdonck P, Nyssen M, Haueisen J, editors. 4th European Conference of the International Federation for Medical and Biological Engineering. 22nd ed. Springer Berlin Heidelberg; 2009. p. 1366-9.
Thayer JF, Hansen AL, Saus-Rose E, Johnsen BH. Heart rate variability, prefrontal neural function, and cognitive performance: the neurovisceral integration perspective on self-regulation, adaptation, and health. Ann Behav Med. 2009;37(2):141-53. http://doi.org/czs6k3.
Harris DV, Harris BL. The athlete’s guide to sports psychology: Mental skills for physical people. New York: Leisure Press; 1984.
Tarvainen MP, Niskanen JP, Lipponen JA, Ranta-Aho PO, Karjalainen PA. Kubios HRV--heart rate variability analysis software. Comput Methods Programs Biomed. 2014;113(1):210-20. http://doi.org/b4d6.
Tarvainen MP, Ranta-Aho PO, Karjalainen PA. An advanced detrending method with application to HRV analysis. IEEE Trans Biomed Eng. 2002;49(2):172-5. http://doi.org/cfc247.
Beltrame T, Karsten M, Chacon-Mikahil MPT, Madruga VA, Silva E, Borghi-Silva A, et al. Age influence on the heart rate behavior on the rest-exercise transition: an analysis by deltas and linear regression. Rev Bras Med Esporte. 2012;18(5):300-4. http://doi.org/b4d7.
Petrowski K, Herold U, Joraschky P, Mück-Weymann M, Siepmann M. The effects of psychosocial stress on heart rate variability in Panic Disorder. German J Psychiatry. 2010;13(2):66-73.
Hedger N, Adams WJ, Garner M. Autonomic arousal and attentional orienting to visual threat are predicted by awareness. J Exp Psychol Hum Percept Perform. 2015;41(3):798-806. http://doi.org/f7fngz.
Sara SJ. The locus coeruleus and noradrenergic modulation of cognition. Nat Rev Neurosci. 2009;10(3):211-23. http://doi.org/cx34qb.
Brown RA, Walling SG, Milway JS, Harley CW. Locus ceruleus activation suppresses feedforward interneurons and reduces beta-gamma electroencephalogram frequencies while it enhances theta frequencies in rat dentate gyrus. J Neurosci. 2005;25(8):1985-91. http://doi.org/ffvrk9.
Euston DR, Gruber AJ, McNaughton BL. The role of medial prefrontal cortex in memory and decision making. Neuron. 2012;76(6):1057-70. http://doi.org/f4jhv4.
Hsieh LT, Ranganath C. Frontal midline theta oscillations during working memory maintenance and episodic encoding and retrieval. Neuroimage. 2014;85 Pt 2:721-9. http://doi.org/f5mhk8.
Barbas H, Saha S, Rempel-Clower N, Ghashghaei T. Serial pathways from primate prefrontal cortex to autonomic areas may influence emotional expression. BMC Neurosci. 2003;4:25. http://doi.org/dncqg7.
Chapp AD, Gui L, Huber MJ, Liu J, Larson RA, Zhu J, et al. Sympathoexcitation and pressor responses induced by ethanol in the central nucleus of amygdala involves activation of NMDA receptors in rats. Am J Physiol Heart Circ Physiol. 2014;307(5):H701-9. http://doi.org/f6fsj4.
Saha S. Role of the central nucleus of the amygdala in the control of blood pressure: descending pathways to medullary cardiovascular nuclei. Clin Exp Pharmacol Physiol. 2005;32(5-6):450-6. http://doi:.org/dhnkhw.
Kumagai H, Oshima N, Matsuura T, Iigaya K, Imai M, Onimaru H, et al. Importance of rostral ventrolateral medulla neurons in determining efferent sympathetic nerve activity and blood pressure. Hypertens Res. 2012;35(2):132-41. http://doi.org/d7x3c2.
Albaghdadi M. Baroreflex control of long-term arterial pressure. Rev Bras Hipertens. 2007;14(4):212-25.
Moreira TS, Takakura AC, Damasceno RS, Falquetto B, Totola LT, Sobrinho CR, et al. Central chemoreceptors and neural mechanisms of cardiorespiratory control. Braz J Med Biol Res. 2011;44(9):883-9. http://doi.org/dtn9hd.
Yasuma F, Hayano J. Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm? Chest. 2004;125(2):683-90. http://doi.org/dtd8gm.
Gladwell VF, Fletcher J, Patel N, Elvidge LJ, Lloyd D, Chowdhary S, et al. The influence of small fibre muscle mechanoreceptors on the cardiac vagus in humans. J Physiol. 2005;567(2):713-21. http://doi.org/chjk2f.
Sajadieh A, Nielsen OW, Rasmussen V, Hein HO, Abedini S, Hansen JF. Increased heart rate and reduced heart-rate variability are associated with subclinical inflammation in middle-aged and elderly subjects with no apparent heart disease. Eur Heart J. 2004;25(5):363-70. http://doi.org/dd939s.
Marsland AL, Gianaros PJ, Prather AA, Jennings JR, Neumann SA, Manuck SB. Stimulated production of proinflammatory cytokines covaries inversely with heart rate variability. Psychosom Med. 2007;69(8):709-16. http://doi.org/ffns2t.
Kuo TB, Chen CY, Hsu YC, Yang CC. EEG beta power and heart rate variability describe the association between cortical and autonomic arousals across sleep. Auton Neurosci. 2016;194:32-7. http://doi.org/f776kf.
Licencia
Derechos de autor 2017 Revista de la Facultad de Medicina

Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.
-