Resting Cerebral Blood Flow and Ethnic Differences in Heart Rate Variability: Links to Self-Reports of Affect and

Julian F Thayer1, Julian Koenig2

  • 1Department of Psychological Science, The University of California, Irvine, Irvine, CA, USA.

Neuroimage
|September 7, 2019
PubMed

Insights

African Americans (AA) exhibit higher high-frequency heart rate variability (HF-HRV) despite greater cardiovascular disease (CVD) risk. Cerebral blood flow (CBF) in the anterior cingulate cortex (ACC) shows opposite associations with HF-HRV in AA versus European Americans (EA).

Area of Science:

  • Neuroscience
  • Cardiovascular Physiology
  • Psychophysiology

Background:

  • Reduced high-frequency heart rate variability (HF-HRV) is a known risk factor for cardiovascular disease (CVD).
  • African Americans (AA) have a higher CVD risk but paradoxically exhibit greater HF-HRV than European Americans (EA).
  • The "Cardiovascular Conundrum" suggests differences in regional cerebral blood flow (CBF) associations with HF-HRV may explain this disparity.

Purpose of the Study:

  • To investigate ethnic differences in the association between regional cerebral blood flow (CBF) and HF-HRV.
  • To explore the relationship between CBF, HF-HRV, and affect regulation strategies in European Americans (EA) and African Americans (AA).

Main Methods:

  • Pooled data from 452 EA and 102 AA participants.
  • Examined associations between CBF in 8 regions of interest (cingulate, insula, amygdala) with HF-HRV, mean heart rate (HR), and Coefficient of Variation (CoV).
  • Utilized Bayesian statistics and analyzed self-reported affect and emotion regulation.

Main Results:

  • CBF, particularly in the anterior cingulate cortex (ACC), positively correlated with HF-HRV and CoV in EA.
  • Conversely, CBF in the ACC was negatively associated with HF-HRV and CoV in AA.
  • Emotion regulation strategies showed ethnic differences: reappraisal positively correlated with HF-HRV in AA; anger suppression/non-expression associated with higher HF-HRV in AA, while outward anger direction was linked to lower HF-HRV in AA.

Conclusions:

  • The anterior cingulate cortex (ACC) plays a differential role in regulating HF-HRV between EA and AA.
  • Higher HF-HRV in AA may represent a compensatory mechanism, potentially linked to emotion regulation differences.
  • Findings highlight the importance of considering ethnicity in understanding cardiovascular health and neural regulation.

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