Autonomic Nervous System

Involuntary nervous system consisting of the sympathetic and parasympathetic nervous systems.

The autonomic nervous system has dramatic effects on the cardiovascular system. When regards to the heart, sympathetic stimulation can yield a positive chronotropic (rate) effect, increasing heart rate. In contrast, the Vagus nerve produces a negative chronotropic effect slowing the heart rate. The Vagus nerve also slows the conductivity across the AV node. This is called a negative dromotropic (speed of conduction) effect. Sympathetic stimulation – particularly beta 1 stimulation – causes a positive inotropic (force of contraction) response, meaning that the force of contraction has increased. The medication Dopamine is known as a positive inotrope because it has the effect of increasing cardiac contractility.

Figure 3.5 The Autonomic Nervous System and the Heart

While sympathetic stimulation innervates most of the heart, parasympathetic stimulation via the Vagus nerve is more specific, innervating the SA and AV nodes.

1. Six Second ECG Guidebook (2012), T Barill, p. 53-54

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