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PubMed2005

Relation of aneurysmectomy in patients with advanced left ventricular remodeling to postoperative left ventricular filling pressure, redilatation with ischemic mitral regurgitation.

Left ventricular (LV) volume, mitral E deceleration time, and mitral regurgitation (MR) fraction were measured by echocardiography in 14 patients with surgical LV aneurysmectomy. Late MR developed 3 to 6 months after surgery in 5 of the 14 patients (36%). Compared with patients without late MR, those with late MR had a significantly greater preoperative LV end-diastolic volume index (LVEDVI) (134 +/- 21 vs 93 +/- 19 ml/m(2), p <0.01), surgical reduction in LVEDVI (-51 +/- 14 vs -20 +/- 16 ml/m(2), p <0.01), early postoperative LV diastolic dysfunction with shortened mitral E deceleration time (106 +/- 23 vs 141 +/- 24 ms, p <0.01), and a late postoperative reincrease in LVEDVI (+28 +/- 4 vs +3 +/- 8 ml/m(2), p <0.01), suggesting that surgical LV aneurysmectomy in patients with advanced preoperative LV remodeling may result in postoperative LV diastolic dysfunction, promoting later LV redilation with ischemic MR.

Aged↗
PubMed2005

Usefulness of tissue doppler and color M-mode indexes of left ventricular diastolic function in predicting outcomes in systolic left ventricular heart failure (from the ADEPT study).

The prognostic values of tissue Doppler imaging and color M-mode diastolic indexes were studied in 225 patients who had symptomatic systolic heart failure in the ADEPT study. The primary end point of death, transplantation, or hospitalization due to heart failure occurred in 65 patients and was independently predicted by shorter deceleration time, lower ratio of pulmonary vein systolic to diastolic velocity, and increasing levels of the ratios of early transmitral velocity to early annular velocity or velocity of propagation. For the ratio of early transmitral velocity to early annular velocity, this prediction was additive to deceleration time. Newer diastolic indexes provide an independent prediction of clinical outcomes.

Age Factors↗
PubMed2006

The use of a heel-mounted accelerometer as an adjunct measure of slip distance.

A human-centered measure of floor slipperiness could be useful as an adjunct to conventional tribologic measures. This paper reports on the development and evaluation of a measure of slip distance based on variables derived from the signal of a heel-mounted accelerometer. Twenty-one participants walked on a laboratory runway under several surface slipperiness conditions at three walking speeds during a protocol designed to produce a wide range of slip distances at heel strike. Analysis of variance showed significant effects of slip distance (no-slip, micro-slip and slide), walking speed (1.52, 1.78 and 2.13 m/s) and their interactions on peak forward acceleration, peak vertical acceleration and deceleration time of the heel following heel strike in 704 trials. Regression analysis of slip distance and deceleration time showed the strongest relationship with R2=0.511. Large individual variation in the strength of this relationship was observed. The heel-mounted accelerometer may have utility as an adjunct measure in the evaluation of floor slipperiness, particularly for field applications where direct measurement may not be feasible.

Acceleration↗
PubMed2005

Paradoxical respiratory sinus arrhythmia in the anesthetized rat.

This study examines respiratory sinus arrhythmia (RSA) in the isoflurane-anesthetized rat. In fifteen female Sprague-Dawley rats, we recorded continuous ECG and respiratory airflow before and after bilateral vagotomy. RSA was assessed using power spectral analysis and by plotting the normalised changes in heart period as a function of the time during the respiratory cycle. Contrary to descriptions of RSA in conscious rats, we observed in all rats in the current study a 'reversed' pattern of RSA in which heart rate decelerated during inspiration. Elimination of vagal efferent fibres to the heart by vagotomy did not abolish the presence of reversed RSA suggesting that the pattern of heart period variation is not neural, and may be largely mechanical. Vagotomy altered breathing by increasing respiratory period, tidal volume, and the time to peak inspiratory flow. These changes did not alter the magnitude of RSA but reduced the latency period between inspiratory onset and the onset of respiratory related prolongation of heart period. Periods of positive pressure ventilation were associated with reversal of the inspiratory cardiac-deceleration pattern of RSA to resemble the more widely described pattern of inspiratory cardiac-acceleration. We conclude that RSA is not a suitable measure of vagal tone during anesthesia in the rat and reiterate the caution that needs to be taken when working with anesthetized experimental models of cardiac control.

Anesthesia↗
PubMed2006

Early mitral filling/diastolic mitral annular velocity ratio is not a reliable predictor of left ventricular filling pressure in the setting of severe mitral regurgitation.

The early mitral filling velocity (E)/early diastolic mitral annular velocity (E') ratio is increasingly being used as a simplified approach to estimate left ventricular (LV) filling pressure. The validity of applying this Doppler parameter to patients with severe mitral regurgitation is unknown. We retrospectively identified 20 patients in sinus rhythm who had LV end-diastolic pressure (LVEDP) invasively measured within 72 hours of a full echocardiogram including diastolic parameters. We observed a poor correlation between E/E' ratio and LVEDP in these patients (r = -0.07, P = not significant). Previously described E/E' cut-off values did not accurately identify patients with low, intermediate, and high LVEDP. Of the diastolic parameters measured, the most significant correlation with LVEDP was found with mitral deceleration time (r = -0.66, P = .002) and systolic/diastolic peak velocity ratio (r = -0.52, P = .02). We conclude that E/E' ratio is not reliable in predicting LV filling pressure in the setting of severe mitral regurgitation, and that in these cases mitral deceleration time or systolic/diastolic peak velocity ratio may be better indicators of LVEDP.

Aged↗
PubMed2004

Assessing myocardial perfusion with the transthoracic Doppler technique in patients with reperfused anterior myocardial infarction: comparison with angiographic, enzymatic and electrocardiographic indices.

AIMS: Doppler guidewire studies demonstrated that the no-reflow phenomenon in acute myocardial infarction is associated with characteristic coronary blood flow pattern. We investigated the potential of coronary flow measurement with transthoracic Doppler technique to detect the no-flow in the patients with reperfused infarction, and compared it to that of other modalities. METHODS AND RESULTS: We performed intracoronary myocardial contrast echocardiography after successful primary coronary intervention in the 94 patients with first, anterior wall infarction. Coronary blood flow in the left anterior descending artery was detected with transthoracic Doppler echocardiography within 24 h after reperfusion in 83 patients (88.3%). Twenty-two patients with the no-reflow had significantly lower systolic peak velocity (5.1 +/- 4.2 vs. 8.1 +/- 6.2 cm/s, p = 0.04), higher diastolic peak velocity (38.2 +/- 10.3 vs. 30.8 +/- 15.7 cm/s; p = 0.04), and shorter diastolic deceleration time (134 +/- 41 vs. 424 +/- 202 ms; p < 0.0001) than those with good-reflow. Systolic flow reversal was more frequently observed in those with no-reflow (18.2% vs. 3.3%, p = 0 .02). Diastolic deceleration time < 185 ms detected the no-reflow with far higher sensitivity/specificity (95.5%/95.1%) than TIMI frame count (45.5%/91.8%), ST resolution (54.5%/73.8%) and creatinine kinase-MB (54.5%/88.5%). CONCLUSION: Analysing coronary blood flow pattern can detect the no-reflow after anterior infarction better than other angiographic, electrocardiographic and enzymatic modalities.

Adult↗
PubMed2006

Evaluation of the myocardial performance index for early detection of mitoxantrone-induced cardiotoxicity in patients with multiple sclerosis.

AIMS: Multiple sclerosis is the most common cause of neurological disability in young adults. Mitoxantrone is a synthetic anthracenedione, recently approved for the treatment of worsening multiple sclerosis, which is known to induce cardiotoxicity. This study was designed to evaluate the early alterations in left ventricular function in patients with multiple sclerosis receiving mitoxantrone, by the use of the myocardial performance index, a new parameter of global (systolic and diastolic) ventricular function. METHODS AND RESULTS: The study included 29 Caucasian patients with multiple sclerosis (mean age 41.8+/-9.3 years, 12 males and 17 females) treated with mitoxantrone (mean cumulative dose 30.8+/-18.2 mg/m(2)) who were compared with 28 healthy subjects (mean age 37.8+/-11.8 years, 13 males and 15 females). Both groups underwent a complete two-dimensional and Doppler echocardiography including assessment of the mitral inflow and left ventricular outflow patterns for estimation of the Doppler-derived myocardial performance index. This parameter is defined as the sum of isovolumic contraction time and isovolumic relaxation time, divided by ventricular ejection time. No differences were observed in blood pressure, heart rate, left ventricular diameters, mass and ejection fraction in multiple sclerosis patients compared to the controls. The mitral flow pattern showed a significant decrease of E wave calculated as peak velocity (E(pv)) (63.3+/-13.4 vs. 77.2+/-17.2, P<0.002) and time velocity integral (E(tvi)) (8.8+/-1.9 vs. 10.3+/-2.4, P<0.02), with a significant decrease of E(pv)/A(pv) ratio and a non-significant decrease of E(tvi)/A(tvi) ratio in the patients. In addition, E-wave deceleration time was significantly increased in multiple sclerosis patients compared to controls (178.2+/-30.2 vs. 137.9+/-14.7, P<0.0001). The mean value of myocardial performance index was 0.55+/-0.1 in patients compared to 0.37+/-0.06 in the controls (P<0.0001). A significant correlation between the given cumulative dose of mitoxantrone and myocardial performance index (r=0.67, P<0.001) and E-wave deceleration time (r=0.45, P<0.001) respectively were demonstrated. CONCLUSION: The myocardial performance index represents a parameter of combined systolic and diastolic myocardial performance strongly correlated with the given cumulative dose of mitoxantrone. The myocardial performance index may be an adjunctive parameter to conventional echocardiography for detecting sub-clinical cardiotoxicity of mitoxantrone in the clinical management of the multiple sclerosis patients.

Adult↗
PubMed2005

Measurement of kinetic energy dissipation with gelatine fissure formation with special reference to gelatine validation.

Various methods for calculating the amount of kinetic energy dissipated by a bullet into ballistic gelatine have been suggested in literature. These methods were compared using the results of thirteen 9 mmx19 mm pistol and five 7.62 mmx 39 mm rifle bullets shot into 10% ballistic gelatine. The Wound Profile Method gave the highest correlation, 0.89, with the measured amounts of dissipated kinetic energy. The Fissure surface area and total crack length method gained 0.51 and 0.52, respectively. The experimental results were also compared with those from pig tests with the same bullet types. Using the z-test at 95% level of confidence no difference between impact velocity normalized bullet decelerations could be determined for the 9 mm bullet used. The same test showed significant difference for 7.62 mm bullets. That, however, can be considered to be the result of the bullet's tendency to tumble in non-homogenous living tissue causing significant dispersion of observed deceleration values. The results add further evidence supporting the validity of 10% gelatine at +4 degrees C as wound ballistic tissue simulant. The study also introduces the use of an elastic "shroud" to hold the gelatine in place, to some extent reduce the effects of asymmetric expansion of the gelatine and to simulate the expansion suppression effect of surrounding tissues.

Forensic Medicine↗
PubMed2006

Influence of rubber compound and tread pattern of retreaded tyres on vehicle active safety.

The aim of the article is to present the results of road tests of original and retreaded tyres, analysed in the aspect of vehicle active safety. The tests covered emergency braking, steady-state circular tests and severe lane-change manoeuvre. The tests were performed in summer and winter conditions. Original Michelin tyres and Michelin tyres retreaded with summer and winter rubber compounds were used. The results of the tests proved that vehicle active safety is affected by retreaded tyres. The differences between braking deceleration of a car with original tyres and braking deceleration of a car with retreaded tyres confirmed the necessity of performing braking tests on the place of accident with the set of tyres with which the vehicle participating in the accident was equipped.

Journal Article↗
PubMed2004

The effect of velocity on the strategies used during gait termination.

The purpose of this study was to examine the changes that occur in gait termination (GT) as cadence increases. Five healthy volunteers walked at three cadences in time to a metronome under the following conditions: normal walking, planned stopping and unplanned stopping. Electromyography and force plate data were collected at 1000 Hz. Peak posterior ground reaction force (deceleration force) was greatest for the lead limb in unplanned stopping and, in general, deceleration force increased as cadence increased. Duration of muscle activity relative to the time to peak loading was unchanged by cadence and was always longest in the lead limb during planned stopping. As cadence increases, the signal to stop must occur earlier during stance phase if a person is to stop in the subsequent step.

Adult↗
PubMed2005

Prevalence, pathophysiology, and clinical significance of post-heart transplant atrial fibrillation and atrial flutter.

BACKGROUND: Atrial rhythm disturbances, in particular atrial fibrillation (AF) and flutter (AFL), are common in the denervated transplanted heart. However, there is a relative paucity of data in the prevalence, mechanism of arrhythmia, and long-term significance. OBJECTIVES: (1) Determine the prevalence of AF and AFL in heart transplant patients, (2) define the echo/Doppler features associated with arrhythmia, and (3) evaluate the impact of arrhythmia on long-term survival. METHODS: All patients who received an orthotopic heart transplant at the Mayo Clinic, Rochester, Minnesota, between 1988 and 2000 were included. Analysis of serial electrocardiograms and Holter monitor records provided evidence of AF or AFL development. Variables including general patient demographics, histology-proven rejection numbers and grades, results of serial coronary angiography, endomyocardial biopsy specimens, and echocardiographic studies performed at 6 weeks and 3 years after transplant were obtained to determine variables predictive of arrhythmia development. RESULTS: There were 167 heart transplant recipients, of which 16 (9.5%) developed AF and another 25 (15.0%) developed AFL over 6.5 +/- 3.4 years. Patients who developed AF or AFL had lower left ventricular (LV) ejection fractions (56.6% +/- 1.6% vs 62.5% +/- 1.5%, p < 0.05), higher LV end-systolic dimensions (LVESD) (33.6 +/- 1.12 mm vs 29.7 +/- 0.97 mm, p < 0.01), higher right atrial volume indexes (43.2 +/- 12.3 ml vs 35 +/- 5.3 ml, p < 0.03), lower mitral deceleration time (145 +/- 8 msec vs 160 +/- 12 msec, p < 0.05), and lower late mitral annulus tissue a' velocities (0.06 +/- 0.005 cm/sec vs 0.08 +/- 0.01 cm/sec, p < 0.02) compared with an age- and gender-matched Sinus Rhythm Group. Grade 3 rejection was a time-dependent covariate predictor of AFL risk (hazard ratio [HR], 2.95; 95% confidence interval [CI], 1.3-6.6, p < 0.008) but not AF (HR, 2.264; 95% CI, 0.72-7.1; p = 0.10). Thirty-nine of 167 patients died: 13 in the arrhythmia group and 26 in the normal sinus rhythm group. Development of atrial dysrhythmia adversely affected the outcome in the first 5 years (p < 0.001) compared with normal sinus rhythm. Predictors of long-term mortality included AF/AFL (HR, 2.88; 95% CI, 1.38-5.96; p < 0.004), age at transplant (HR, 1.04; 95% CI, 1.00-1.07, p < 0.03), coronary artery disease (HR, 2.655; 95% CI, 1.25-5.64; p = 0.01), pre-transplant cardiac amyloidosis (HR, 5.02; 95% CI 2.37-10.62; p < 0.001), right atrial volume index (HR, 1.03; 95% CI, 1.00-10.7; p = 0.03), mitral deceleration time <160 msec (p < 0.01), and LVESD >30 mm (p < 0.04). CONCLUSION: Development of AF/AFL post-heart transplantation is not uncommon and is associated with decreased long-term survival. Cumulative effects of repeated moderate-to-severe (grade 3 or more) rejections that result in increased cardiac fibrosis are associated with the development of AFL, but not AF. Similarly advanced restrictive diastolic dysfunction caused by fibrosis from repeated moderate-to-severe (grade 3 or more) rejections was predominant in the patients with arrhythmia and was a marker of poor long-term outcome.

Adult↗
PubMed2004

Background visual cues and memory-guided reaching.

Recent research [e.g., Carrozzo, M., Stratta, F., McIntyre, J., & Lacquaniti, F. (2002). Cognitive allocentric representations of visual space shape pointing errors. Experimental Brain Research 147, 426-436; Lemay, M., Bertrand, C. P., & Stelmach, G. E. (2004). Pointing to an allocentric and egocentric remembered target. Motor Control, 8, 16-32] reported that egocentric and allocentric visual frames of reference can be integrated to facilitate the accuracy of goal-directed reaching movements. In the present investigation, we sought to specifically examine whether or not a visual background can facilitate the online, feedback-based control of visually-guided (VG), open-loop (OL), and memory-guided (i.e. 0 and 1000 ms of delay: D0 and D1000) reaches. Two background conditions were examined in this investigation. In the first background condition, four illuminated LEDs positioned in a square surrounding the target location provided a context for allocentric comparisons (visual background: VB). In the second condition, the target object was singularly presented against an empty visual field (no visual background: NVB). Participants (N=14) completed reaching movements to three midline targets in each background (VB, NVB) and visual condition (VG, OL, D0, D1000) for a total of 240 trials. VB reaches were more accurate and less variable than NVB reaches in each visual condition. Moreover, VB reaches elicited longer movement times and spent a greater proportion of the reaching trajectory in the deceleration phase of the movement. Supporting the benefit of a VB for online control, the proportion of endpoint variability explained by the spatial location of the limb at peak deceleration was less for VB as opposed to NVB reaches. These findings suggest that participants are able to make allocentric comparisons between a VB and target (visible or remembered) in addition to egocentric limb and VB comparisons to facilitate online reaching control.

Adolescent↗
PubMed2006

The effect of viewing the moving limb and target object during the early phase of movement on the online control of grasping.

Two experiments were conducted to investigate (1) during which phase of the movement vision is most critical for control, and (2) how vision of the target object and the participant's moving limb affect the control of grasping during that movement phase. In Experiment 1, participants, wearing liquid crystal shutter goggles, reached for and grasped a cylinder with a diameter of 4 or 6 cm under a shutting paradigm (SP) and a re-opening paradigm (RP). In SP, the goggles closed (turned opaque) 0 ms, 150 ms, 350 ms, 500 ms, or 700 ms after movement onset, or remained open (transparent) during the prehension movements. In RP, the goggles closed immediately upon movement onset, and re-opened 0 ms (i.e., without initially shutting), 150 ms, 350 ms, 500 ms, or 700 ms after the initial shutting, or remained opaque throughout the prehension movements. The duration of the prehension movements was kept relatively constant across participants and trials at approximately 1100 ms, i.e., the duration of prehension movements typically observed in daily life. The location of the target object was constant during the entire experiment. The SP and RP paradigms were counter-balanced across participants, and the order of conditions within each session was randomized. The main findings were that peak grip aperture (PGA) in the 150 ms-shutting condition was significantly larger than in the 350 ms-shutting condition, and that PGA in the 350 ms-re-opening condition was significantly larger than in the 150 ms-re-opening condition. These results revealed that online vision between 150 ms and 350 ms was critical for grasp control on PGA in typical, daily-life-speeded prehension movements. Furthermore, the results obtained for the time after maximal deceleration (TAMD; movement duration-time to maximal deceleration) demonstrated that early-phase vision contributed to the temporal pattern of the later movement phases (i.e., TAMD). The results thus demonstrated that online vision in the early phase of movement is crucial for the control of grasping. In addition to the apparatus used in Experiment 1, two liquid shutter plates placed in the same horizontal plane (25 cm above the experimental table) were used in Experiment 2 to manipulate the visibility of the target and the participant's moving limb. The plate closest to the participant altered vision of the limb/hand, while the more distant plate controlled vision of the object. The conditions were as follows: (1) both plates were open during movement (full vision condition); (2) both plates were closed 0, 150, or 350 ms following onset of arm movement (front-rear condition: FR); or (3) only the near plate closed 0, 150, or 350 ms following the onset of the arm movement (front condition: F). The results showed that shutting at 0 and 150 ms in the FR condition caused a significantly larger PGA, while the timing of shutting in the F condition had little influence on the PGA. These findings indicated that online vision, especially of the target object, during the early phase of prehension movements is critical to the control of grasping.

Arm↗
PubMed2005

Hostility and sex differences in the magnitude, duration, and determinants of heart rate response to forehead cold pressor: parasympathetic aspects of risk.

Recent models hypothesize that hostility confers increased risk of CHD through weaker parasympathetic dampening of cardiovascular reactivity (CVR). We tested this possibility using the forehead cold pressor task, a common maneuver which elicits the "dive reflex" characterized by a reflexive decrease in HR presumably through cardiac-parasympathetic stimulation. Participants were initially chosen from the outer quartiles of a sample of 670 undergraduates screened using the hostility subscale of the Aggression Questionnaire ([Buss, A.H., Perry, M., 1992. The Aggression Questionnaire. Journal of Personality and Social Psychology, 63, 452-459.]). The final sample of 80 participants was evenly divided between men and women and high and low hostility. Following a 10-min baseline, participants underwent a 3-min forehead cold pressor task. The task evoked a significant HR deceleration that was mediated by PNS activation, as assessed by respiratory sinus arrhythmia (RSA). Replicating prior research, men displayed greater decrease in HR. More important, low hostiles maintained larger HR deceleration over time compared to high hostiles although the autonomic basis for this effect was unclear. The findings broaden understanding of hostility and sex-related cardiovascular functioning and support the task as a method for evoking PNS-cardiac stimulation.

Adolescent↗
PubMed2006

Uncovering the relationship between defence and orienting in emotion: cardiac reactivity to unpleasant pictures.

This research was aimed at studying the relationship between the cardiovascular reactivity to an intense auditory stimulus and the subsequent cardiac response evoked by affective visual stimuli in fifty-five subjects who underwent a cardiac reactivity task (presentation of an intense acoustic stimulus), followed by a picture viewing task (54 pictures selected from the International Affective Picture System). Heart rate (HR), electrodermal activity and corrugator supercilii electromyographic activity were recorded. Subjects were divided into two groups - high accelerators and low accelerators - on the basis of the first heart rate acceleration obtained in the cardiac reactivity task. Pictures evoked different cardiac response patterns in each subject group. Unpleasant pictures promoted a lower initial HR deceleration and a higher final acceleration in high accelerators than in low accelerators. This pattern of response was more marked with body damage pictures. Moreover, a relationship was found between the first acceleration promoted by the acoustic stimulus and the HR response waveform to the body damage pictures. These results show that, in an unselected sample of subjects, a subgroup tended to respond to loud stimuli with higher HR acceleration and sympathetic activation and to respond defensively to unpleasant pictures (as found by less initial HR deceleration and higher final HR acceleration), rather than manifesting an orienting response. The elicitation of the defence response by a brain fear system, in which the amygdala is a key structure, is also discussed.

Acoustic Stimulation↗
PubMed2006

Psychophysiological responses of adults who do not stutter while listening to stuttering.

The present study examined the psychophysiological responses of fluent listeners to stuttered speech. Specifically, skin conductance and heart rate changes were measured from adults who do not stutter while watching one-minute video speech samples of persons stutter read aloud. Fifteen adult participants observed three stuttered and three fluent speech samples, presented in random order with a two-minute interstimulus intervals. Results revealed that observing stuttered speech evoked a significant increase in skin conductance and a significant deceleration in heart rate relative to watching fluent speech samples. These findings suggest that listeners are physiologically aroused by stuttering and appear to maintain feelings of unpleasantness to stuttered speech. Further, deceleration in heart rate during stuttered samples also suggest that listeners may be paying more attention to the stuttered speech samples as compared to the fluent speech samples. We speculate that aberrant and anomalous stuttering behaviors probably simulate the mirror neuronal mechanism eliciting the emotional arousal associated within them. Such physiological arousal may provide the emotional genesis to the listener's negative stereotypical perceptions towards people who stutter.

Acoustic Stimulation↗
PubMed2006

Cardiac responses induced during thought-based control of a virtual environment.

Cardiac responses induced by motor imagery were investigated in 3 subjects in a series of experiments with a synchronous (cue-based) Brain-Computer Interface (BCI). The cue specified right hand vs. leg/foot motor imagery. After a number of BCI training sessions reaching a classification accuracy of at least 80%, the BCI experiments were carried out in an immersive virtual environment (VE), commonly referred as a "CAVE". In this VE, the subjects were able to move along a virtual street by motor imagery alone. The thought-based control of VE resulted in an acceleration of the heart rate in 2 subjects and a heart rate deceleration in the other subject. In control experiments in front of a PC, all 3 subjects displayed a significant heart rate deceleration of the order of about 3-5%. This heart rate decrease during motor imagery in a normal environment is similar to that observed during preparation for a voluntary movement. The heart rate acceleration in the VE is interpreted as effect of an increased mental effort to walk as far as possible in VE.

Adult↗
PubMed2006

Instrumental and vocal music effects on EEG and EKG in neonates of depressed and non-depressed mothers.

Neonates (M age=16 days) born to depressed and non-depressed mothers were randomly assigned to hear an audiotaped lullaby of instrumental music with vocals or without vocals. Neonatal EEG and EKG were recorded for 2min (baseline) of silence and for 2min of one or the other music presentation. Neonates of non-depressed mothers showed greater relative right frontal EEG asymmetry to both types of music, suggesting a withdrawal response. Neonates of depressed mothers on the other hand showed greater relative left frontal EEG asymmetry to the instrumental without vocal segment, suggesting an approach response, and greater relative right frontal EEG asymmetry to the instrumental with vocal segment, suggesting a withdrawal response. Heart rate decelerations occurred following the music onset for both groups of infants, however, compared to infants of non-depressed mothers, infants of depressed mothers showed a delayed heart rate deceleration, suggesting slower processing and/or delayed attention. These findings suggest that neonates of depressed and non-depressed mothers show different EKG and EEG responses to instrumental music with versus without vocals.

Adult↗