Key result
Threat anticipation is linked to increased cardiac contractility, tracking frontoparietal and cerebellar activation.
Why the study?
How sympathetic signals dynamically couple with neural systems supporting emotional experience and behavior remains poorly understood, partly because common indices lack sufficient temporal resolution.
Observational (n=60)
No
TREV-derived beat-to-beat cardiac contractility provides a sensitive physiological index linking sympathetic drive with neural responding and emotional experience during threat anticipation, outperforming traditional skin conductance measures.
Answers are grounded in this paper and cite their sources.
TREV may index sympathetic threat responses; leaves open clinical translation pending patient validation and outcome trials.
The sympathetic nervous system prepares the organism for adaptive action by shaping physiological, affective, and behavioral responses to environmental demands. Yet, how sympathetic signals dynamically couple with neural systems supporting emotional experience and behavior remains poorly understood, in part because common indices such as skin conductance responses lack sufficient temporal resolution to track these dynamics. Here, we evaluated trans-radial electrical bioimpedance velocimetry (TREV), a non-invasive measure of beat-to-beat cardiac contractility, and compared it with skin conductance responses during threat anticipation and simultaneous fMRI. Participants (n=60) completed a threat-of-shock paradigm requiring goal-directed action. Cardiac contractility increased during threat anticipation, covaried with skin conductance responses, and independently predicted self-reported emotional intensity. Critically, threat-related increases in contractility-but not skin conductance-tracked threat-related modulation of activation in dorsomedial prefrontal cortex, posterior parietal cortex, and cerebellum, with contractility-modulated cerebellar activation predicting faster motor responses under threat. These findings establish TREV-derived cardiac contractility as a physiological signal linking sympathetic drive with neural responding, emotional experience, and adaptive behavioral mobilization during emotion-guided action.
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Stasiak et al. (2026) conducted an observational in Healthy volunteers (n=60). Unpleasant threat anticipation vs. Mild threat anticipation was evaluated on TREV-derived cardiac contractility (B = 0.030, p=0.004). Anticipation of unpleasant threat robustly increased TREV-derived cardiac contractility, which tracked threat-related modulation of activation in the dorsomedial prefrontal cortex, posterior parietal cortex, and cerebellum.
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