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Cerebral Blood Flow in Patients With Chronic Heart Failure Before and After Heart Transplantation
Author(s) -
Nicolai Gruhn,
Fin Stolze Larsen,
S. Boesgaard,
Gitte M. Knudsen,
Svend Mortensen,
G Thomsen,
Jan Aldershvile
Publication year - 2001
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/hs1101.098360
Subject(s) - medicine , heart failure , cardiology , cerebral blood flow , heart transplantation , perfusion , transplantation , cardiac output , hemodynamics , blood flow , anesthesia
Arterial blood pressure and cardiac output are often reduced in patients with chronic heart failure (CHF). Counterregulatory mechanisms with increased neurohormonal activation and changes in the distribution of cardiac output are assumed to secure vital organ perfusion. However, clinical examination of patients with CHF frequently reveals neurological symptoms with dizziness and memory problems, suggesting altered brain perfusion. In this study we determined whether cerebral blood flow (CBF) is reduced in patients with New York Heart Association (NYHA) functional class III and IV (n=12) compared with healthy control subjects (n=12). Furthermore, we examined whether heart transplantation (n=5) could restore CBF.

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