| Regional, segmental, and temporal heterogeneity of cerebral vascular autoregulation. | |
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MedLine Citation:
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PMID: 3898928 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Autoregulation of cerebral blood flow is heterogeneous in several ways: regional, segmental, and temporal. We have found regional heterogeneity of the autoregulatory response during both acute reductions and increases in systemic arterial pressure. Changes in blood flow are less in brain stem than in cerebrum during decreases and increases in cerebral perfusion pressure. Segmental heterogeneity of autoregulation has been demonstrated in two ways. Direct determination of segmental cerebral vascular resistance indicates that, while small cerebral vessels (less than 200 micron in diameter) make a major contribution to autoregulation during acute increases in pressure between 80 and 100 mm Hg, the role of large cerebral arteries (greater than 200 micron) becomes increasingly important to the autoregulatory response at pressures above 100 mm Hg. Measurement of changes in diameter of pial vessels has shown that, during acute hypotension, autoregulation occurs predominantly in small resistance vessels (less than 100 micron). Finally, there is temporal heterogeneity of autoregulation. Sudden increases in arterial pressure produce transient increases in blood flow, which are not observed under steady-state conditions. In addition, the blood-brain barrier is more susceptible to hypertensive disruption after rapid, compared to step-wise, increases in arterial pressure. Thus, when investigating cerebral vascular autoregulation, regional, segmental, and temporal differences in the autoregulatory response must be taken into consideration. |
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Authors:
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G L Baumbach; D D Heistad |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: Annals of biomedical engineering Volume: 13 ISSN: 0090-6964 ISO Abbreviation: Ann Biomed Eng Publication Date: 1985 |
Date Detail:
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Created Date: 1985-10-09 Completed Date: 1985-10-09 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0361512 Medline TA: Ann Biomed Eng Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 303-10 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Arterioles / physiology Biomedical Engineering Blood Pressure Brain Stem / blood supply Cats Cerebral Arteries / physiology Cerebrovascular Circulation* Dogs Homeostasis* Hypertension / physiopathology Hypotension / physiopathology Regional Blood Flow Vascular Resistance |
| Grant Support | |
ID/Acronym/Agency:
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HL-14230/HL/NHLBI NIH HHS; HL-14388/HL/NHLBI NIH HHS; HL-16066/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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