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IEEE Transactions on Biomedical Engineering
Article . 2025 . Peer-reviewed
License: IEEE Copyright
Data sources: Crossref
DBLP
Article . 2025
Data sources: DBLP
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Modeling the Mechanisms of Non-Neurogenic Dynamic Cerebral Autoregulation

Authors: Natali van Zijl; Abhirup Banerjee; Stephen J. Payne;

Modeling the Mechanisms of Non-Neurogenic Dynamic Cerebral Autoregulation

Abstract

Dynamic cerebral autoregulation (dCA) refers to a collection of mechanisms that act to maintain steady state cerebral blood flow (CBF) near constant despite changes in arterial blood pressure (ABP), but which is known to become impaired in various cerebrovascular diseases. Currently, the mechanisms of dCA and how they are affected in different physiological conditions are poorly understood. The objective of this study was to disentangle the magnitudes and time scales of the myogenic and metabolic responses of dCA, in order to investigate how each mechanism is affected in impaired dCA.A physiological model of dCA was developed, where both the myogenic and metabolic responses were represented by a gain and time constant. Model parameters were optimized with pressure-flow impulse responses under normocapnic, thigh cuff, and hypercapnic conditions. The impulse responses were derived by applying transfer function analysis (TFA) to experimental recordings of ABP (Finapres), end-tidal CO2 (capnograph), and CBF velocity (transcranial doppler ultrasound in bilateral middle cerebral arteries).The myogenic gain to time constant ratio was significantly smaller (p-values < 0.001 using both univariate and multivariate TFA), and the metabolic time constant was significantly larger (p-values < 0.001 using both univariate and multivariate TFA) in hypercapnia compared to normocapnia.Both the myogenic and metabolic responses were shown to be affected in impaired dCA, and the metabolic response was shown to be slowed down.This study contributes to the understanding of the complexities of dCA and how it is affected in different physiological conditions.

Country
United Kingdom
Keywords

Male, Hypercapnia, Adult, Ultrasonography, Doppler, Transcranial, Cerebrovascular Circulation, Models, Cardiovascular, Humans, Homeostasis, Blood Pressure, Blood Flow Velocity

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green