Losing the dogmatic view of cerebral autoregulation
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Losing the dogmatic view of cerebral autoregulation. / Brassard, Patrice; Labrecque, Lawrence; Smirl, Jonathan D; Tymko, Michael M; Caldwell, Hannah Grace; Hoiland, Ryan L; Lucas, Samuel J E; Denault, André Y; Couture, Etienne J; Ainslie, Philip N.
I: Physiological Reports, Bind 9, Nr. 15, e14982, 2021.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Losing the dogmatic view of cerebral autoregulation
AU - Brassard, Patrice
AU - Labrecque, Lawrence
AU - Smirl, Jonathan D
AU - Tymko, Michael M
AU - Caldwell, Hannah Grace
AU - Hoiland, Ryan L
AU - Lucas, Samuel J E
AU - Denault, André Y
AU - Couture, Etienne J
AU - Ainslie, Philip N
N1 - Publisher Copyright: © 2021 The Authors. Physiological Reports published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society
PY - 2021
Y1 - 2021
N2 - In 1959, Niels Lassen illustrated the cerebral autoregulation curve in the classic review article entitled Cerebral Blood Flow and Oxygen Consumption in Man. This concept suggested a relatively broad mean arterial pressure range (~60–150 mmHg) wherein cerebral blood flow remains constant. However, the assumption that this wide cerebral autoregulation plateau could be applied on a within-individual basis is incorrect and greatly variable between individuals. Indeed, each data point on the autoregulatory curve originated from independent samples of participants and patients and represented interindividual relationships between cerebral blood flow and mean arterial pressure. Nonetheless, this influential concept remains commonly cited and illustrated in various high-impact publications and medical textbooks, and is frequently taught in medical and science education without appropriate nuances and caveats. Herein, we provide the rationale and additional experimental data supporting the notion we need to lose this dogmatic view of cerebral autoregulation.
AB - In 1959, Niels Lassen illustrated the cerebral autoregulation curve in the classic review article entitled Cerebral Blood Flow and Oxygen Consumption in Man. This concept suggested a relatively broad mean arterial pressure range (~60–150 mmHg) wherein cerebral blood flow remains constant. However, the assumption that this wide cerebral autoregulation plateau could be applied on a within-individual basis is incorrect and greatly variable between individuals. Indeed, each data point on the autoregulatory curve originated from independent samples of participants and patients and represented interindividual relationships between cerebral blood flow and mean arterial pressure. Nonetheless, this influential concept remains commonly cited and illustrated in various high-impact publications and medical textbooks, and is frequently taught in medical and science education without appropriate nuances and caveats. Herein, we provide the rationale and additional experimental data supporting the notion we need to lose this dogmatic view of cerebral autoregulation.
KW - Arterial blood pressure
KW - Autoregulatory curve
KW - Cerebral autoregulation
KW - Cerebral blood flow
KW - Lassen
UR - http://www.scopus.com/inward/record.url?scp=85112358382&partnerID=8YFLogxK
U2 - 10.14814/phy2.14982
DO - 10.14814/phy2.14982
M3 - Review
C2 - 34323023
AN - SCOPUS:85112358382
VL - 9
JO - Physiological Reports
JF - Physiological Reports
SN - 2051-817X
IS - 15
M1 - e14982
ER -
ID: 306296029