The stability of cerebrovascular CO2 reactivity following attainment of physiological steady-state

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Jay M J R Carr
  • Caldwell, Hannah Grace
  • Howard Carter
  • Kurt Smith
  • Michael M Tymko
  • Daniel J Green
  • Philip N Ainslie
  • Ryan L Hoiland

This study assessed cerebrovascular CO2 reactivity (CVR) and examined data extraction time points and durations with the hypotheses that: (1) there would be no difference in CVR values when calculated with cerebral blood flow (CBF) measures at different time points following the attainment of physiological steady-state, (2) once steady-state was achieved there would be no difference in CVR values derived from 60 to 30 s extracted means, and (3) that changes in (Formula presented.) would not be associated with any changes in CVR. We conducted a single step iso-oxic hypercapnic CVR test using dynamic end-tidal forcing (end-tidal (Formula presented.), +9.4 ± 0.7 mmHg), and transcranial Doppler and Duplex ultrasound of middle cerebral artery (MCA) and internal carotid artery (ICA), respectively. From the second minute of hypercapnia onwards, physiological steady-state was apparent, with no subsequent changes in end-tidal (Formula presented.), (Formula presented.) or mean arterial pressure. Therefore, CVR measured in the ICA and MCA was stable following the second minute of hypercapnia onwards. Data extraction durations of 30 or 60 s did not give statistically different CVR values. No differences in CVR were detected following the second minute of hypercapnia after accounting for mean arterial pressure via calculated conductance or covariation of mean arterial pressure. These findings demonstrate that, provided the (Formula presented.) stimulus remains in a steady-state, data extracted from any minute of a CVR test during physiological steady-state conditions produce equivalent CVR values; any change in the CVR value would represent a failure of CVR mechanisms, a change in the magnitude of the stimulus, or measurement error.

OriginalsprogEngelsk
TidsskriftExperimental Physiology
Vol/bind106
Udgave nummer12
Sider (fra-til)2542-2555
Antal sider14
ISSN0958-0670
DOI
StatusUdgivet - 2021
Eksternt udgivetJa

Bibliografisk note

(Ekstern)
Funding Information:
P.N.A. was funded by the Natural Sciences and Engineering Research Council of Canada and a Canada Research Chair. R.L.H. is funded through a Michael Smith Foundation for Health Research Trainee fellowship and a Craig H. Neilsen Foundation Postdoctoral Fellowship. K.J.S. was funded by a Natural Science and Engineering Research Council of Canada Early Career Discovery Grant.

Publisher Copyright:
© 2021 The Authors. Experimental Physiology © 2021 The Physiological Society

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