Hemodynamic variability and cerebrovascular control after transient cerebral ischemia

Philip D. Allan, James Faulkner, Terrence O'Donnell, Jeremy Lanford, Lai-kin Wong, Saqib Saleem, Brandon Woolley, Danielle Lambrick, Lee Stoner, Yu-Chieh Tzeng

Research output: Contribution to journalArticlepeer-review

Abstract

Abstract We investigated if hemodynamic variability, cerebral blood flow (CBF) regulation, and their interrelationships differ between patients with transient ischemic attack (TIA) and controls. We recorded blood pressure (BP) and bilateral middle cerebral artery flow velocity (MCAv) in a cohort of TIA patients (n = 17), and age-matched controls (n = 15). Spontaneous fluctuations in BP and MCAv were characterized by spectral power analysis, and CBF regulation was assessed by wavelet phase synchronization analysis in the very low- (0.02–0.07 Hz), low- (0.07–0.20 Hz), and high-frequency (0.20–0.40 Hz) ranges. Furthermore, cerebrovascular CO2 reactivity was assessed as a second metric of CBF regulation by inducing hypercapnia with 8 inhalation followed by hyperventilation driven hypocapnia. We found that TIA was associated with higher BP power (group effect, P 
Original languageEnglish
Pages (from-to)e12602
JournalPhysiological Reports
Volume3
Issue number11
DOIs
Publication statusPublished - 5 Nov 2015

Keywords

  • Blood pressure
  • cerebral blood flow
  • cerebral hemodynamics
  • transient ischemic attack
  • 2020

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