Source:http://linkedlifedata.com/resource/pubmed/id/10988269
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2000-10-2
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pubmed:abstractText |
Recent studies suggest that activation of the sympathetic nervous system either directly or indirectly influences cerebrovascular tone in humans even within the autoregulatory range. In 6 healthy subjects (aged 29+/-4 years), we used transcranial Doppler sonography to determine cerebral blood flow velocity during sympathetic activation elicited through head-up tilt (HUT) and sympathetic deactivation through ganglionic blockade. PaCO(2) was manipulated through hyperventilation and CO(2) breathing (5%). With subjects in the supine position and during HUT, mean arterial pressure was not influenced by PaCO(2). During ganglionic blockade, mean arterial pressure decreased markedly with hyperventilation (-13+/-1.9 mm Hg). Manipulation of sympathetic tone elicited only mild changes in cerebral blood flow (64+/-5.8 cm/s supine, 58+/-4.9 cm/s upright, and 66+/-6.2 cm/s during ganglionic blockade; P:=0.07 by ANOVA). The slope of the regression between PaCO(2) and mean velocity was 1.6+/-0.18 cm/(s. mm Hg) supine, 1.3+/-0.14 cm/(s. mm Hg) during HUT, and 2.3+/-0.36 cm/(s. mm Hg) during ganglionic blockade (P:<0.05). Spontaneous PaCO(2) and ventilatory response to hypercapnia were also modulated by the level of sympathetic activity. Changes in sympathetic tone have a limited effect on cerebral blood flow at normal PaCO(2) levels. However, the sympathetic nervous system seems to attenuate the CO(2)-induced increase in cerebral blood flow. This phenomenon may indicate a moderate direct effect of the sympathetic nervous system on the cerebral vasculature. Furthermore, sympathetic activation tends to increase ventilation and thus can indirectly increase cerebrovascular tone.
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pubmed:grant | |
pubmed:keyword | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Carbon Dioxide,
http://linkedlifedata.com/resource/pubmed/chemical/Ganglionic Blockers,
http://linkedlifedata.com/resource/pubmed/chemical/Phenylephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Trimethaphan,
http://linkedlifedata.com/resource/pubmed/chemical/Vasoconstrictor Agents
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
1524-4563
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
36
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
383-8
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:10988269-Adult,
pubmed-meshheading:10988269-Analysis of Variance,
pubmed-meshheading:10988269-Baroreflex,
pubmed-meshheading:10988269-Blood Flow Velocity,
pubmed-meshheading:10988269-Blood Pressure,
pubmed-meshheading:10988269-Carbon Dioxide,
pubmed-meshheading:10988269-Cerebrovascular Circulation,
pubmed-meshheading:10988269-Ganglionic Blockers,
pubmed-meshheading:10988269-Humans,
pubmed-meshheading:10988269-Hyperventilation,
pubmed-meshheading:10988269-Hypocapnia,
pubmed-meshheading:10988269-Phenylephrine,
pubmed-meshheading:10988269-Supine Position,
pubmed-meshheading:10988269-Sympathetic Nervous System,
pubmed-meshheading:10988269-Tilt-Table Test,
pubmed-meshheading:10988269-Trimethaphan,
pubmed-meshheading:10988269-Ultrasonography, Doppler, Transcranial,
pubmed-meshheading:10988269-Vascular Resistance,
pubmed-meshheading:10988269-Vasoconstriction,
pubmed-meshheading:10988269-Vasoconstrictor Agents
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pubmed:year |
2000
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pubmed:articleTitle |
Interaction of carbon dioxide and sympathetic nervous system activity in the regulation of cerebral perfusion in humans.
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pubmed:affiliation |
Clinical Research Center, Franz-Volhard Clinic, Humboldt University, Berlin, Germany. jordan@fvk-berlin.de
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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