1. The effects of acute incremental hypocapnia on the magnitude of neurovascular coupling in healthy participants
- Author
-
Trevor A. Day, Joanna R. G. Keough, Anthony L. Marullo, Jack K. Leacy, Richard J. A. Wilson, Nicholas G. Jendzjowsky, Anna-Maria Ciorogariu-Ivan, Joshua R. Donald, Taylor J Bader, and Ken D. O'Halloran
- Subjects
Adult ,Male ,medicine.medical_specialty ,Ultrasonography, Doppler, Transcranial ,Physiology ,neurovascular coupling ,Posterior cerebral artery ,03 medical and health sciences ,0302 clinical medicine ,Hypocapnia ,Physiology (medical) ,Internal medicine ,medicine.artery ,Hyperventilation ,QP1-981 ,Humans ,Medicine ,respiratory alkalosis ,030304 developmental biology ,0303 health sciences ,business.industry ,Original Articles ,Carbon Dioxide ,Hypoxia (medical) ,medicine.disease ,Healthy Volunteers ,Transcranial Doppler ,Cerebrovascular Circulation ,Respiratory alkalosis ,Cardiology ,Original Article ,Female ,medicine.symptom ,Renal compensation ,business ,Perfusion ,030217 neurology & neurosurgery - Abstract
The high metabolic demand of cerebral tissue requires that local perfusion is tightly coupled with local metabolic rate (neurovascular coupling; NVC). During chronic altitude exposure, where individuals are exposed to the antagonistic cerebrovascular effects of hypoxia and hypocapnia, pH is maintained through renal compensation and NVC remains stable. However, the potential independent effect of acute hypocapnia and respiratory alkalosis on NVC remains to be determined. We hypothesized that acute steady‐state hypocapnia via voluntary hyperventilation would attenuate the magnitude of NVC. We recruited 17 healthy participants and insonated the posterior cerebral artery (PCA) with transcranial Doppler ultrasound. NVC was elicited using a standardized strobe light stimulus (6 Hz; 5 × 30 s on/off) where absolute delta responses from baseline (BL) in peak, mean, and total area under the curve (tAUC) were quantified. From a BL end‐tidal (PET)CO2 level of 36.7 ± 3.2 Torr, participants were coached to hyperventilate to reach steady‐state hypocapnic steps of Δ‐5 Torr (31.6 ± 3.9) and Δ‐10 Torr (26.0 ± 4.0; p, We assessed the NVC response to a visual stimulus, under conditions of normocapnia and two steps of hypocapnia via voluntary hyperventilation.
- Published
- 2021