A baroreflex mechanism may explain hypertensive hypoalgesia. At rest, arterial baroreceptors are stimulated during the systolic upstroke of the pressure pulse wave. This study examined the effects of naturally occurring variations in baroreceptor activity during the cardiac cycle on an objective measure of pain, the nociceptive flexion reflex (NFR). Two interleaved up–down staircase procedures determined separate NFR thresholds during systole and diastole in 36 healthy, normotensive young adults. On odd-numbered trials, the sural nerve was stimulated electrocutaneously at R + 300 ms whereas on even-numbered trials, stimulation was delivered at R + 600 ms. The NFR threshold was higher at R + 300 ms than R + 600 ms. In contrast, stimulus intensity ratings did not differ between R + 300 ms and R + 600 ms. Stimulation of baroreceptors by natural increases in blood pressure during the systolic phase of the cardiac cycle was associated with dampened nociception.

Carotid baroreceptor stimulation has been shown to dampen pain. This study tested, in 40 normotensive adults, the hypothesis that pain is lower during systole when arterial baroreceptor stimulation is maximal than diastole when stimulation is minimal. The sural nerve was stimulated electrocutaneously to obtain a nociceptive flexion reflex (NFR) threshold, and then stimulation was delivered for 28 trials at 100% NFR threshold at seven intervals after the R-wave. Nociceptive responding was indexed by electromyographic (EMG) activity elicited in the biceps femoris. Significant variations in EMG activity occurred across the cardiac cycle, with less activity midcycle, indicating that the NFR response was attenuated during systole compared to diastole. Stimulation of baroreceptors by natural changes in blood pressure during the cardiac cycle dampened nociception, and accordingly, the data support the arterial baroreflex mechanism of hypertensive hypoalgesia.

This study examined the hypothesis that global and selective inhibition are mediated by distinct mechanisms: respectively, a peripheral mechanism, indexed by heart rate slowing, and a central mechanism, indexed by cortical but not autonomic measures. Three varieties of a Go-NoGo task were presented in which the Go signal required an index finger response rapidly followed by a middle finger response. The NoGo signal required the inhibition of (a) both responses (global inhibition), (b) the middle finger response (simple selective inhibition), or (c) the index finger response of one hand and the middle finger response of the other hand (complex selective inhibition). As anticipated, global inhibition was indexed by heart rate slowing. Most importantly, heart rate slowing was also elicited by selective inhibition and was more pronounced for complex than simple selective inhibition. These findings suggest that global and selective inhibition are mediated by one rather than two mechanisms and that heart rate is sensitive to the demands placed on this inhibition mechanism.