Relationship between anxiety and autonomic heart modulation

Main Article Content

Giovanni Vieira Pinheiro
Eli Carlos Martiniano
Guilherme Correia Alcântara
José Ramon Alcântara da Silva
Maria do Socorro da Silva
Larissa Raylane Lucas Monteiro
Luana Bezerra Mangueira
Yasmim Mota de Moraes
Vitor Engrácia Valenti
Milana Drumond Ramos Santana

Abstract

The anxiety is characterized by the sensation of tension, nervousness, apprehension and worry that can alter the modulation of autonomic nervous system on the electrical conduction linked to the heart, determining the intensity in the heart beats modifying the heart rate variability, which is an important indicator of conditions normal and pathological. Thus, the study objective is to analyze the relationship between anxiety and the process of autonomic cardiac regulation. This study is an integrative review developed through searches in the databases of Lilacs, Medline and SciELO, with the descriptors in health sciences and boolean operator: anxiety AND heart rate and anxiety AND autonomic nervous system. The search was performed during the month of September of 2017, being included articles available in full; in Portuguese and English and; published in the last 6 years. Was excluded articles that were not original, theses, dissertations and monographs. Was obtained a total of 10 articles, in which it was observed that anxiety alters the autonomic response, so when the body is in tension, increases your heart rate, the predominance of the sympathetic system and in the relaxation occurs the domain of the parasympathetic. Thus, individuals with anxiety present lower variation in heart rate and have a lower capacity for social interaction. With this, it is evident a low adaptation of the autonomic nervous system in cases of anxiety, being that the variability of the heart rate is reduced; condition that can be classified as pathological.

Downloads

Download data is not yet available.

Article Details

How to Cite
Pinheiro, G. V., Martiniano, E. C., Alcântara, G. C., Silva, J. R. A. da, Silva, M. do S. da, Monteiro, L. R. L., Mangueira, L. B., Moraes, Y. M. de, Valenti, V. E., & Santana, M. D. R. (2018). Relationship between anxiety and autonomic heart modulation. ABCS Health Sciences, 43(3). https://doi.org/10.7322/abcshs.v43i3.1092
Section
Review Articles

References

Medeiros LA, Ramiro FMS, Lima CAA, Souza LMA, Fortes TMV, Groppo FC. Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores. Rev Odontol UNESP. 2013;42(5):357-63. http://dx.doi.org/10.1590/S1807-25772013000500007

Lantyer AS, Varanda CC, Souza FG, Padovani RC, Viana MB. Ansiedade e qualidade de vida entre estudantes universitários ingressantes: avaliação e intervenção. Rev Bras Terapia Comp Cog. 2016;18(2):4-19.

Vanderlei LCM, Pastre CM, Hoshi RA, Carvalho TD, Godoy MF. Noções básicas de variabilidade da freqüência cardíaca e sua aplicabilidade clínica. Rev Bras Cir Cardiovasc. 2009;24(2):205-17. http://dx.doi.org/10.1590/S0102-76382009000200018

Santana MDR, Souza ACA, Abreu LC, Valenti VE. Association between oral variables and heart rate variability. Int Arch Med. 2013;6:49. http://dx.doi.org/10.1186/1755-7682-6-49

Silva JDA, Padovani RC, Viana MB. O emprego do Biofeedback como Estratégia de Manejo do Estresse e da Ansiedade em Atletas: um Ensaio Clínico. Rev Bras Terapia Comp Cog. 2016;18(3):17-29.

Alvares GA, Quintana DS, Kemp AH, Van Zwieten A, Balleine BW, Hickie IB, et al. Reduced heart rate variability in social anxiety disorder: associations with gender and symptom severity. PLoS One. 2013;8(7):e70468. http://dx.doi.org/10.1371/journal.pone.0070468

Chalmers JA, Heathers JAJ, Abbott MJ, Kemp AH, Quintana DS. Worry is associated with robust reductions in heart rate variability: a transdiagnostic study of anxiety psychopathology. BMC Psychol. 2016;4:32. http://dx.doi.org/10.1186/s40359-016-0138-z

Stratford T, Meara A, Psychotherapy MG, Lal S. Heart rate variability and the anxious client: cardiac autonomic and behavioral associations with therapeutic alliance. J Nerv Ment Dis. 2014;202(8):613-9. http://dx.doi.org/10.1097/NMD.0000000000000163

Suh S, Ellis RJ, Sollers JJ, Thayer JF, Yang HC, Emery CF. The effect of anxiety on heart rate variability, depression, and sleep in chronic obstructive pulmonary disease. J Psychosom Res. 2013;74(5):407-13. http://dx.doi.org/10.1016/j.jpsychores.2013.02.007

Chen HC, Yang CCH, Kuo TBJ, Su TP, Chou P. Cardiac vagal control and theoretical models of co-occurring depression and anxiety: A cross-sectional psychophysiological study of community elderly. BMC Psychiatry. 2012;12:93. https://dx.doi.org/10.1186/1471-244X-12-93

Wells R, Outhred T, Heathers JAJ, Quintana DS, Kemp AH. Matter over mind: a randomised-controlled trial of single-session biofeedback training on performance anxiety and heart rate variability in musicians. PLoS One. 2012;7(10):e46597. https://dx.doi.org/10.1371/journal.pone.0046597

Kemp AH, Quintana DS, Felmingham KL, Matthews S, Jelinek HF, Hashimoto K. Depression, comorbid anxiety disorders, and heart rate variability in physically healthy, unmedicated patients: implications for cardiovascular risk. PLoS One. 2012;7(2):e30777. https://dx.doi.org/10.1371/journal.pone.0030777

Sanchez-Gonzalez MA, Guzik P, May RW, Koutnik AP, Hughes R, Muniz S, et al. Trait anxiety mimics age-related cardiovascular autonomic modulation in young adults. J Hum Hypertens. 2015;29(4):274-80. https://dx.doi.org/10.1038/jhh.2014.72

Yu X, Zhang C, Zhang J. Causal interactions between the cerebral cortex and the autonomic nervous system. Sci China Life Sci. 2014;57(5):532-38. https://dx.doi.org/10.1007/s11427-014-4627-0

Griffiths KR, Quintana DS, Hermens DF, Spooner C, Tsang TW, Clarke S, et al. Sustained Attention and Heart Rate Variability in children and adolescents with ADHD. Biol Psychol. 2017;124;11-20. https://dx.doi.org/10.1016/j.biopsycho.2017.01.004