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Cardiorespiratory and Vascular Dynamics Laboratory, Faculty of Applied Health Sciences, University of waterloo, Waterloo, Ontario, Canada N2L 3G1
Cerebrovascular autoregulation is
evaluated from spontaneous fluctuations in mean flow velocity (MFV) by
transcranial Doppler ultrasound of the middle cerebral artery (MCA)
with respect to changes in arterial blood pressure (BPMCA),
but the effects of spontaneous fluctuations in arterial
PCO2 on MFV have been largely ignored.
Autoregressive moving average analysis (ARMA), a closed-loop system
identification technique, was applied to data from nine healthy
subjects during spontaneous breathing, during inspiration of 10%
CO2 for two breaths once per minute for 4 min, and during sustained breathing of 7% CO2. Cerebrovascular resistance
index (CVRi) was calculated (CVRi = BPMCA/MFV).
Reliable estimates of gain for BPMCA
MFV were obtained
for spontaneous breathing and the two-breath method. In contrast,
reliable gain estimates for PCO2
MFV or
PCO2
CVRi were achieved only under the
two-breath method. PCO2
MFV gain was
smaller with the two-breath method than during sustained 7%
CO2 (P < 0.05). BPMCA was
elevated by 7% CO2 but not by the two-breath method. The
closed-loop model provides insight into interactions between
BPMCA and PCO2 on cerebrovascular control, but reliable solutions for PCO2
effects with ARMA analysis require perturbation by the two-breath method.
autoregressive moving average analysis modeling; arterial carbon dioxide partial pressure; Doppler ultrasound; cerebral blood flow; autoregulation
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