論文

査読有り 国際誌
2015年9月1日

The effect of an acute increase in central blood volume on the response of cerebral blood flow to acute hypotension.

Journal of applied physiology (Bethesda, Md. : 1985)
  • Shigehiko Ogoh
  • ,
  • Ai Hirasawa
  • ,
  • Jun Sugawara
  • ,
  • Hidehiro Nakahara
  • ,
  • Shinya Ueda
  • ,
  • J Kevin Shoemaker
  • ,
  • Tadayoshi Miyamoto

119
5
開始ページ
527
終了ページ
33
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1152/japplphysiol.00277.2015

The purpose of the present study was to examine whether the response of cerebral blood flow to an acute change in perfusion pressure is modified by an acute increase in central blood volume. Nine young, healthy subjects voluntarily participated in this study. To measure dynamic cerebral autoregulation during normocapnic and hypercapnic (5%) conditions, the change in middle cerebral artery mean blood flow velocity was analyzed during acute hypotension caused by two methods: 1) thigh-cuff occlusion release (without change in central blood volume); and 2) during the recovery phase immediately following release of lower body negative pressure (LBNP; -50 mmHg) that initiated an acute increase in central blood volume. In the thigh-cuff occlusion release protocol, as expected, hypercapnia decreased the rate of regulation, as an index of dynamic cerebral autoregulation (0.236 ± 0.018 and 0.167 ± 0.025 s(-1), P = 0.024). Compared with the cuff-occlusion release, the acute increase in central blood volume (relative to the LBNP condition) with LBNP release attenuated dynamic cerebral autoregulation (P = 0.009). Therefore, the hypercapnia-induced attenuation of dynamic cerebral autoregulation was not observed in the LBNP release protocol (P = 0.574). These findings suggest that an acute change in systemic blood distribution modifies dynamic cerebral autoregulation during acute hypotension.

リンク情報
DOI
https://doi.org/10.1152/japplphysiol.00277.2015
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26159757
ID情報
  • DOI : 10.1152/japplphysiol.00277.2015
  • PubMed ID : 26159757

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