Phase-dependent heartbeat modulation by muscle contractions during dynamic handgrip in humans.

The influence of cardiac phase on the response of the cardiac pacemaker to dynamic hand contraction in eight healthy young men was studied to determine whether heart rate response to muscle contraction varied as a function of timing within the cardiac cycle. Changes in R-R interval (RRI) in response to muscle contraction were measured at various cardiac phases during heartbeat-synchronized handgrip at a rate of one contraction per two heartbeats. To extract the direct effect of the muscle contraction on the RRI, spontaneous slow variations and respiratory sinus arrhythmia were removed from the total RRI fluctuations in the frequency domain. Cross-correlograms between the extracted RRI fluctuations and muscle contraction showed that the coupling was strong when the muscle contraction occurred at the middle phase of the cardiac cycle. Muscle contraction at the systolic phase of the cardiac cycle had a tendency to produce a phase advance (shortening of RRI), whereas muscle contraction at the middle phase or later had a tendency to produce a phase delay (prolongation of RRI). The results showed the presence of a neuronal circuit that modulates the cardiac pacemaker activity depending on the timing of muscle contraction in the cardiac cycle.