Spinal Cord Disruption Is Associated with a Loss of Cushing-Like Blood Pressure Interactions

Allbwn ymchwil: Cyfraniad at gyfnodolynErthygladolygiad gan gymheiriaid

Fersiynau electronig

Dangosydd eitem ddigidol (DOI)

  • Saqib Saleem
    COMSATS University Islamabad
  • Zoe K Sarafis
    University of British Columbia
  • Amanda H X Lee
    University of British Columbia
  • Jordan W Squair
    University of British Columbia
  • Otto F Barak
    University of Novi Sad
  • Elin Sober-Williams
    University of Calgary
  • Rejitha Suraj
    University of Calgary
  • Geoff B Coombs
    University of British Columbia
  • Tanja Mijacika
    University of Split School of Medicine
  • Christopher R West
    University of British Columbia
  • Andrei V Krassioukov
    University of British Columbia
  • Philip N Ainslie
    University of British Columbia
  • Zeljko Dujic
    University of Split School of Medicine
  • Yu-Chieh Tzeng
    University of Otago
  • Aaron A Phillips
    University of Calgary

The capacity of the cerebrovasculature to buffer changes in blood pressure (BP) likely plays an important role in the prevention of stroke, which is three- to fourfold more common after spinal cord injury (SCI). Although the directional relationship between BP and cerebral blood flow (CBF) has traditionally been thought to travel solely from BP to CBF, a Cushing-like mechanism functioning in the inverse direction, in which changes in CBF influence BP, has recently been revealed using Granger causality analysis. Although both CBF buffering of BP and the Cushing-like mechanism are influenced by the sympathetic nervous system, we do not understand the impact of disruption of descending sympathetic pathways within the spinal cord, caused by cervical SCI on these regulatory systems. We hypothesized that people with cervical SCI would have greater BP to CBF transmission, as well as a reduced Cushing-like mechanism. The directional relationships between mean arterial BP (MAP; Finometer® PRO) and middle cerebral artery blood velocity (MCAv; transcranial Doppler) were assessed at rest in 14 cervical SCI subjects and 16 uninjured individuals using Granger causality analysis, while also accounting for end-tidal CO2 tension. Those with SCI exhibited 66% increased forward MAP→MCAv information transmission as compared with the uninjured group (p = 0.0003), indicating reduced cerebrovascular buffering of BP, and did not have a predominant backward Cushing-like MCAv→MAP phenotype. These results indicate that both forward and backward communication between BP and CBF are influenced by SCI, which may be associated with impaired cerebrovascular BP buffering after SCI as well as widespread BP instability.

Allweddeiriau

Iaith wreiddiolSaesneg
Tudalennau (o-i)1487-1490
Nifer y tudalennau4
CyfnodolynJournal of Neurotrauma
Cyfrol36
Rhif y cyfnodolyn9
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - 1 Mai 2019
Cyhoeddwyd yn allanolIe
Gweld graff cysylltiadau