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Dependency of Blood Flow Velocity in the Middle Cerebral Artery on End-Tidal Carbon Dioxide Partial Pressure—A Transcranial Ultrasound Doppler Study
Author(s) -
Thomas-Marc Markwalder,
P. Grolimund,
Rolf W. Seiler,
Fritz Roth,
Rune Aaslid
Publication year - 1984
Publication title -
journal of cerebral blood flow and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.167
H-Index - 193
eISSN - 1559-7016
pISSN - 0271-678X
DOI - 10.1038/jcbfm.1984.54
Subject(s) - middle cerebral artery , pco2 , transcranial doppler , cerebral blood flow , blood flow , cerebral arteries , medicine , anesthesia , carbon dioxide , ultrasound , hemodynamics , cardiology , ischemia , radiology , chemistry , organic chemistry
The end-tidal carbon dioxide partial pressure (PCO 2 ) response curves for the flow velocity in the middle cerebral artery were studied in 31 normal subjects with transcranial Doppler techniques. An exponential curve with an exponent of 0.034 mm Hg −1 was found to be a good fit to the recorded data. By means of this relationship, recordings of flow velocity in cerebral arteries can be normalized to a standard value of PCO 2 . Physiological aspects of cerebrovascular reactivity to PCO 2 and the clinical implications of the PCO 2 response curve are discussed. The normal material provides a reference for assessing pathological responses.

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