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Baroreceptor Stimulation Alters Pain Sensation Depending on Tonic Blood Pressure

 

作者: Thomas Elbert,   Brigitte Rockstroh,   Werner Lutzenberger,   Manfred Kessler,   Reinhard Pietrowsky,   Niels Birbaumer,  

 

期刊: Psychophysiology  (WILEY Available online 1988)
卷期: Volume 25, issue 1  

页码: 25-29

 

ISSN:0048-5772

 

年代: 1988

 

DOI:10.1111/j.1469-8986.1988.tb00953.x

 

出版商: Blackwell Publishing Ltd

 

关键词: Baroreceptors;Pain threshold;Tonic blood pressure;CNV;Hypertension

 

数据来源: WILEY

 

摘要:

ABSTRACTIt has been hypothesized that activation of the baroreceptor reflex arc, by its central nervous inhibitory effects, is involved in an operant learning mechanism of blood pressure elevation. The present study investigated the effects of mechanical stimulation of the baroreceptors in the carotid sinus on pain threshold and electrical brain activity in two groups of humans with different tonic blood pressure levels. In normotensives, baroreceptor stimulation lowered pain threshold as compared to a control condition, while borderline hypertensives tolerated more intense electric stimulation when baroreceptors were activated. A marked reduction of the contingent negative variation in anticipation of the aversive stimulation accompanied baroreceptor stimulation, probably a consequence of baroreceptor afferent impulses exerted via brainstem centers to cerebral cortex. The distribution of the potential change across the scalp depended on the tonic blood pressure, indicating differences in brain functioning between normotensives and borderline hypertensives.The present results suggest that the hypothesis of an operantly‐conditioned blood pressure elevation under stress may be valid only in subjects with a predisposition for essential hypertensio

 

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