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Am J Physiol Regul Integr Comp Physiol 284: R853-R859, 2003; doi:10.1152/ajpregu.00601.2002
0363-6119/03 $5.00
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Vol. 284, Issue 3, R853-R859, March 2003

SPECIAL COMMUNICATION
A new two-breath technique for extracting the cerebrovascular response to arterial carbon dioxide

Michael R. Edwards, Zigniew L. Topor, and Richard L. Hughson

Cardiorespiratory and Vascular Dynamics Laboratory, Faculty of Applied Health Sciences, University of waterloo, Waterloo, Ontario, Canada N2L 3G1

Cerebrovascular autoregulation is evaluated from spontaneous fluctuations in mean flow velocity (MFV) by transcranial Doppler ultrasound of the middle cerebral artery (MCA) with respect to changes in arterial blood pressure (BPMCA), but the effects of spontaneous fluctuations in arterial PCO2 on MFV have been largely ignored. Autoregressive moving average analysis (ARMA), a closed-loop system identification technique, was applied to data from nine healthy subjects during spontaneous breathing, during inspiration of 10% CO2 for two breaths once per minute for 4 min, and during sustained breathing of 7% CO2. Cerebrovascular resistance index (CVRi) was calculated (CVRi = BPMCA/MFV). Reliable estimates of gain for BPMCA right-arrow MFV were obtained for spontaneous breathing and the two-breath method. In contrast, reliable gain estimates for PCO2 right-arrow MFV or PCO2 right-arrow CVRi were achieved only under the two-breath method. PCO2 right-arrow MFV gain was smaller with the two-breath method than during sustained 7% CO2 (P < 0.05). BPMCA was elevated by 7% CO2 but not by the two-breath method. The closed-loop model provides insight into interactions between BPMCA and PCO2 on cerebrovascular control, but reliable solutions for PCO2 effects with ARMA analysis require perturbation by the two-breath method.

autoregressive moving average analysis modeling; arterial carbon dioxide partial pressure; Doppler ultrasound; cerebral blood flow; autoregulation


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