Non-invasive monitoring of cardiac contractility and sympathetic drive: Trans-Radial Electrical Bioimpedance Velocimetry (TREV)

We describe methods and software resources for a bioimpedance measurement technique, “trans-radial electrical bioimpedance velocimetry” that allows for the non-invasive monitoring of relative cardiac contractility and stroke volume, proxies of sympathetic cardiac tone. In addition to describing the general recording methodology, which requires impedance measurements of the forearm, we provide open source Jupyter based software (operable on most computers) for deriving cardiac contractility from the impedance measurements. We demonstrate the ability of this bioimpedance measurement for tracking event related contractility in a maximal grip force production task. Critically, the results demonstrate both a reactive increase in cardiosympathetic drive with force production as well as a learned increase in drive prior to grip onset, consistent with allostatic autonomic regulation. The method and software should be of broad utility for investigations of event related cardio-sympathetic regulation in psychophysical studies.