We examined the heart rate response to gastric distension, the involvement
of vagal and sympathetic eas sensory afferents, adrenergic and cholinergic
neural pathways, and the effects of capsaicin on this response in anestheti
zed rats. Gastric distension volume dependently decreased heart rate by 24.
5% (resting rate = 219.87 +/-: 14.06 beats/min, mean rate during gastric di
stension with 15 mi = 165.97 +/- 17.36 beats/min, P < 0.05). The bradycardi
c response was significantly decreased after removal of the celiac plexus (
9.71 +/- 1.77 vs. 38.03 +/- 7.06% in controls, P < 0.05) or after bilateral
subdiaphragmatic vagotomy (6.38 +/- 2.65%, P = 0.05). The response to gast
ric distension was largely prevented by systemic capsaicin (29.92 +/- 4.93%
in controls, 2.58 +/- 4.19% after systemic capsaicin, P < 0.05) and decrea
sed by perivagal capsaicin (18.72 +/- 4.75%, P < 0.05). Atropine almost com
pletely prevented the cardiac response to distension, while propranolol and
bretylium partially blocked it, implying the response is primarily mediate
d by cholinergic efferents but also involves adrenergic pathways. We conclu
de that unmyelinated, capsaicin-sensitive vagal afferents are essential to
the pseudoaffective cardioautonomic response to a noxious gastric stimulus.