Cardiac-sympathetic contractility and neural alpha-band power: cross-modal collaboration during approach-avoidance conflict

As evidence mounts that the cardiac-sympathetic system reacts to challenging cognitive settings, we ask if these responses are passive companions or if they are instead fundamentally intertwined with cognitive function. Healthy human participants performed an approach-avoidance paradigm, trading off monetary reward for painful electric shock, while we recorded simultaneous neural and cardiac signals. Participants were reward-sensitive, but also experienced approach-avoidance “conflict” when the subjective appeal of the reward was near equivalent to the revulsion of the cost. Drift-diffusion model parameters revealed that participants managed conflict in part by integrating larger volumes of evidence into choices (wider decision boundaries). Late alpha-band (neural) dynamics suggested that widening decision boundaries served to combat reward-sensitivity and spread attention more fairly to all dimensions of available information. Independently, wider boundaries were also associated with cardiac “contractility” (an index of sympathetically-mediated positive inotropy). We also saw evidence of conflict-specific collaboration between the neural and cardiac-sympathetic signals. Specific to states of conflict, the alignment (i.e., product) of alpha dynamics and contractility were associated with a further widening of the boundary, independent of either signal’s singular influence. Cross-trial coherence analyses provided additional support for a direct role of cardiac-sympathetics in nurturing fair assessment of information streams during conflict by disrupting the prepotent reward signals. We conclude that cardiac-sympathetic activity is not a mere companion, rather it is a critical component collaborating with cognitive processes to combat reward-sensitivity during the approach-avoidance conflict. ### Competing Interest Statement The authors have declared no competing interest.