Dynamic cerebral autoregulation is compromised acutely following mild ischaemic stroke but not transient ischaemic attack

Cerebrovascular Diseases

Volumn 29, Issue 3, 2010, Pages 228-235

  Atkins, Emily R ^a   Brodie, Fiona G ^a   Rafelt, Suzanne E ^b   Panerai, Ronney B ^c   Robinson, Thompson G ^a  

^a UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST   (United Kingdom)

^b UNIVERSITY OF LEICESTER   (United Kingdom)

^c LEICESTER ROYAL INFIRMARY   (United Kingdom)

Author keywords

Acute ischaemic stroke; Autoregulation; TIA; Transcranial Doppler ultrasound

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; AUTOREGULATION; BLOOD FLOW VELOCITY; BLOOD PRESSURE; BRAIN BLOOD FLOW; CAROTID ARTERY OBSTRUCTION; CEREBROVASCULAR ACCIDENT; CLINICAL ARTICLE; CONTROLLED STUDY; DOPPLER ECHOGRAPHY; DYNAMIC CEREBRAL AUTOREGULATION; FEMALE; FOLLOW UP; HEART RATE; HEMISPHERE; HEMODYNAMICS; HUMAN; MALE; MIDDLE CEREBRAL ARTERY; PRIORITY JOURNAL; SEX DIFFERENCE; TRANSIENT ISCHEMIC ATTACK;

AGED; ANTIHYPERTENSIVE AGENTS; BLOOD PRESSURE; BRAIN ISCHEMIA; CEREBROVASCULAR CIRCULATION; CEREBRUM; DRUG ADMINISTRATION SCHEDULE; FEMALE; HEART RATE; HOMEOSTASIS; HUMANS; ISCHEMIC ATTACK, TRANSIENT; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; SEVERITY OF ILLNESS INDEX; STROKE; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 77149126375     PISSN: 10159770     EISSN: None     Source Type: Journal    
DOI: 10.1159/000267845     Document Type: Article

References (26)

1. Aaslid R, Lindegaard KF, Sorteberg W, Nornes H: Cerebral autoregulation dynamics in humans. Stroke 1989; 20: 45-52.
2. Tiecks FP, Lam AM, Aaslid R, Newell DW: Comparison of static and dynamic cerebral autoregulation measurements. Stroke 1995; 26: 1014-1019.
3. Agnoli A, Fieschi C, Bozzao L, Battistini N, Prencipe M: Autoregulation of cerebral blood flow: studies during drug-induced hypertension in normal subjects and in patients with cerebral vascular diseases. Circulation 1968; 38: 800-812.
4. McHenry LC Jr, West JW, Cooper ES, Goldberg HI, Jaffe ME: Cerebral autoregulation in man. Stroke 1974; 5: 695-706.
5. Panerai RB: Assessment of cerebral pressure autoregulation in humans: a review of measurement methods. Physiol Meas 1998; 19: 305-338.
6. Dawson SL, Blake MJ, Panerai RB, Potter JF: Dynamic but not static cerebral autoregulation is impaired in acute ischaemic stroke. Cerebrovasc Dis 2000; 10: 126-132.
7. Dawson SL, Panerai RB, Potter JF: Serial changes in static and dynamic cerebral autoregulation after acute ischaemic stroke. Cerebrovasc Dis 2003; 16: 69-75.
8. Reinhard M, Roth M, Guschlbauer B, Harloff A, Timmer J, Czosnyka M, Hetzel A: Dynamic cerebral autoregulation in acute ischaemic stroke assessed from spontaneous blood pressure fluctuations. Stroke 2005; 36: 1684-1689.
9. Sare G, Geeganage C, Bath P: High BP in acute stroke, broadening therapeutic horizons. Cerebrovasc Dis 2009; 27(suppl 1):156-161.
10. Wahlgren N, Ahmed N, Davalos A, Ford GA, Grond M, Hacke W, Hennerici MG, Kaste M, Kuelkens S, Larrue V, Lees KR, Roine RO, Soinne L, Toni D, Vanhooren G, SITS-MOST investigators: Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS - MOST): an observational study. Lancet 2007; 369: 275-282.
11. Bamford J, Sandercock P, Dennis M, Burn J, Warlow C: Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet 1991; 337: 1521-1526.
12. Intercollegiate Stroke Working Party: National Clinical Guidelines for the Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack, ed 3. London, Royal College of Physicians incorporating the National Institute of Health and Clinical Excellence, 2008.
13. Panerai RB: Cerebral autoregulation: from models to clinical applications. Cardiovasc Eng 2008; 8: 42-59.
14. Eames PJ, Blake MJ, Dawson SL, Panerai RB, Potter JF: Dynamic cerebral autoregulation and beat to beat blood pressure control are impaired in acute ischaemic stroke. J Neurol Neurosurg Psychiatry 2002; 72: 467-473.
15. Immink RV, van Montfrans GA, Stam J, Karemaker JM, Diamant M, van Lieshout JJ: Dynamic cerebral autoregulation in acute lacunar and middle cerebral artery territory ischemic stroke. Stroke 2005; 36: 2595-2600.
16. Panerai RB: System identification of human cerebral blood flow regulatory mechanisms. Cardiovasc Eng 2004; 4: 59-71.
17. Collins R, Peto R, MacMahon S, Hebert P, Fiebach NH, Eberlein KA, Godwin J, Qizilbash N, Taylor JO, Hennekens CH: Blood pressure, stroke, and coronary heart disease. 2. Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context. Lancet 1990; 335: 827-838.
18. Lawes CMM, Bennett DA, Feigin VL, Rodgers A: Blood pressure and stroke: an overview of published reviews. Stroke 2004; 35: 776-785.
19. Rashid P, Leonardi-Bee J, Bath P: Blood pressure reduction and secondary prevention of stroke and other vascular events: a systematic review. Stroke 2003; 34: 2741-2748.
20. Britton M, Carlsson A, de Faire U: Blood pressure course in patients with acute stroke and matched controls. Stroke 1986; 17: 861-864.
21. Jansen PAF, Schulte BPM, Poels EFJ, Gribnau FWJ: Course of blood pressure after cerebral infarction and transient ischaemic attack. Clin Neurol Neurosurg 1987; 89: 243-246.
22. Chatzikonstantitou A, Willmann O, Jager T, Szabo K, Hennerici M: Transient ischemic attack patients with fluctuations are at highest risk for early stroke. Cerebrovasc Dis 2009; 27: 594-598.
23. Reinhard M, Roth M, Muller T, Czosnyka M, Timmer J, Hetzel A: Cerebral autoregulation in carotid artery occlusive disease assessed from spontaneous blood pressure fluctuations by the correlation coefficient index. Stroke 2003; 34: 2138-2144.
24. White RP, Markus HS: Impaired dynamic cerebral autoregulation in carotid artery stenosis. Stroke 1997; 28: 1340-1344.
25. Serrador JM, Picot PA, Rutt BK, Shoemaker JK, Bondar RL: MRI measures of middle cerebral artery diameter in conscious humans during stimulated orthostasis. Stroke 2000; 31: 1672-1678.
26. Bishop CC, Powell S, Rutt D, Browse NL: Transcranial Doppler measurement of middle cerebral artery blood flow velocity: a validation study. Stroke 1986; 17: 913-915.