Document Detail


Dissociation between cortical activation and cognitive performance under pharmacological blood pressure elevation in chronic hypotension.
MedLine Citation:
PMID:  17481800     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present study explored the impact of pharmacological blood pressure elevation on cortical activation and reaction time in chronic hypotension. Effects of the sympathomimetic etilefrine were investigated in 50 hypotensive persons based on a randomized, placebo-controlled double blind design. As an indicator of cortical excitability, the contingent negative variation (CNV), induced by a constant foreperiod reaction time task, was assessed at frontal (F3, Fz, F4) and central (C3, Cz, C4) scalp sites. Etilefrine provoked a decrease in the frontal and central CNV. In contrast, shorter reaction times were observed following drug administration. The degree of pharmacologically induced blood pressure elevation was correlated to CNV attrition as well as to performance enhancement. Inhibitory effects of baroreceptor activation on cortical excitability and enhanced cerebral blood flow are considered to be involved in mediating the effects of blood pressure elevation on cerebral functioning. Implications for the treatment of chronic hypotension are discussed.
Authors:
Stefan Duschek; Miriam Hadjamu; Rainer Schandry
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2007-04-05
Journal Detail:
Title:  Biological psychology     Volume:  75     ISSN:  0301-0511     ISO Abbreviation:  Biol Psychol     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-20     Completed Date:  2007-09-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375566     Medline TA:  Biol Psychol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  277-85     Citation Subset:  IM    
Affiliation:
University of Munich, Germany. duschek@psy.uni-muenchen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Arousal / drug effects,  physiology
Cerebral Cortex / blood supply,  drug effects*,  physiopathology
Cognition / drug effects*,  physiology
Contingent Negative Variation / drug effects,  physiology
Double-Blind Method
Electroencephalography / drug effects*
Etilefrine / therapeutic use*
Female
Humans
Hypotension / drug therapy*,  physiopathology
Male
Pressoreceptors / drug effects,  physiopathology
Psychomotor Performance / drug effects,  physiology
Reaction Time / drug effects,  physiology
Regional Blood Flow / drug effects,  physiology
Sympathomimetics / therapeutic use*
Chemical
Reg. No./Substance:
0/Sympathomimetics; 709-55-7/Etilefrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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