Associations Between Positive Affect and Heart Rate Variability: A Systematic Review.

IF 3.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2025-10-23 DOI:10.1007/s11886-025-02299-4

Martha Schneider, Christian Rominger, Andreas R Schwerdtfeger

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引用次数: 0

Abstract

Purpose of review: The relationship between positive affect (PA) and heart rate variability (HRV) has attracted considerable interest due to its potential implications for emotion regulation and cardiovascular health. This systematic review synthesizes current literature on the association between PA and HRV, considering resting-state, stress-reactivity and recovery contexts, as well as variations in PA conceptualization.

Recent findings: A total of 36 studies (N = 5501) were included, spanning experimental, ambulatory, cross-sectional, and mixed designs. Elevated PA was most often associated with higher vagally mediated HRV, measured as RMSSD or high-frequency (HF) power, but results varied by context. Resting-state and trait-like PA measures showed the most consistent positive associations. In stress-induction paradigms, effects depended on the stress phase and arousal level of PA, with RMSSD emerging as a more consistent index than other HRV metrics. In real-life settings, aggregated activated PA was linked to higher RMSSD, while momentary activated PA was linked to lower RMSSD, suggesting short-term allostatic adjustments. Findings for other HRV metrics, such as LF/HF ratio, LF-HRV, and SDNN, were mixed. Overall, this review highlights the complex interplay between PA and cardiac autonomic regulation and provides directions for future research, which should aim for greater methodological consistency and clarify the temporal dynamics of the PA-HRV relationship.

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积极情绪与心率变异性之间的关系：一项系统综述。

综述目的：积极情绪（PA）与心率变异性（HRV）之间的关系因其对情绪调节和心血管健康的潜在影响而引起了人们的广泛关注。这篇系统综述综合了目前关于PA和HRV之间关系的文献，考虑了静息状态、应激反应性和恢复背景，以及PA概念化的变化。最新发现：共纳入36项研究（N = 5501），涵盖实验性、动态、横断面和混合设计。PA升高通常与更高的迷走神经介导的HRV相关，以RMSSD或高频（HF）功率测量，但结果因环境而异。静息状态和特质样PA测量显示最一致的正相关。在应激诱导范式中，影响取决于应激阶段和PA的唤醒水平，RMSSD是一个比其他HRV指标更一致的指标。在现实生活中，聚合激活的PA与较高的RMSSD相关，而瞬时激活的PA与较低的RMSSD相关，这表明短期适应调节。其他HRV指标，如LF/HF比率、LF-HRV和SDNN的结果是混合的。总的来说，这篇综述强调了PA和心脏自主调节之间复杂的相互作用，并为未来的研究提供了方向，这些研究应该以更大的方法一致性和澄清PA- hrv关系的时间动态为目标。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.