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Experimental studies indicate that cold-water immersion is associated with incidence of supraventricular and ventricular arrhythmia in young, seemingly, healthy subjects [1]. We recently hypothesised that the sudden and simultaneous sympathetic and parasympathetic activity, termed autonomic conflict (AC), may be a cause of arrhythmias associated with cold-water immersion and, when combined with other risk factors, may explain immersion-related sudden death. The aim of the present study was to investigate the arrhythmic consequences of AC in normal healthy rabbit hearts.

Concomitant vagal and adrenergic stimulation does not precipitate ventricular arrhythmias in a healthy rabbit heart model of autonomic conflict