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Cardiovascular disease risk and cerebral blood flow velocity
Matthew P Pase1, Natalie A Grima, Con K Stough
1Centre for Human Psychopharmacology, Swinburne University of Technology, 400 Burwood Road, Hawthorn, Australia. matthewpase@gmail.com
Insights
Higher cardiovascular disease risk is linked to altered blood flow in the brain
Area of Science:
- Neuroscience
- Cardiology
- Public Health
Background:
- Cardiovascular disease (CVD) risk is a known predictor of cognitive decline.
- The precise mechanisms linking CVD risk to cognitive impairment are not fully understood.
- Elevated CVD risk may negatively impact cerebral blood flow, leading to cerebrovascular damage and dementia.
Purpose of the Study:
- To investigate the association between cardiovascular risk and cerebral blood flow velocity.
- To determine how cardiovascular risk influences blood flow in the common carotid and middle cerebral arteries.
Main Methods:
- Examined 160 healthy middle-aged adults.
- Utilized the Framingham General Cardiovascular Risk Profile to assess cardiovascular risk.
- Measured blood flow velocity in the common carotid and middle cerebral arteries using Doppler ultrasonography.
Main Results:
- Cardiovascular risk predicted higher pulsatile flow and lower mean flow velocity in both arteries.
- These associations remained significant even after adjusting for age and sex.
- Cardiovascular risk significantly predicted pulsatile, but not mean, flow velocity in the middle cerebral artery when controlling for age and sex.
Conclusions:
- Cardiovascular risk exerts differential effects on mean and pulsatile blood flow velocity.
- These alterations in cerebral blood flow may independently contribute to brain pathology and cognitive deficits.
- Understanding these mechanisms could inform strategies for preventing cognitive decline in at-risk individuals.
Background And Purpose:
Cardiovascular disease risk predicts cognitive decline although the mechanisms underpinning this association remain unclear. Increasing cardiovascular risk may impair cerebral blood flow predisposing to cerebrovascular damage, cognitive decline, and dementia.
Methods:
This study examined the association between the Framingham General Cardiovascular Risk Profile and cerebral blood flow velocity in 160 healthy middle-aged adults. Blood flow velocity was assessed in both the common carotid and middle cerebral arteries using Doppler.
Results:
In adjusted linear regression models, cardiovascular risk predicted higher pulsatile (common carotid artery β=0.56, ΔR(2)=0.19, P<0.001; middle cerebral artery β=0.40, ΔR(2)=0.09, P<0.001) and lower mean flow velocity (common carotid artery β=-0.49, ΔR(2)=0.14, P<0.001; middle cerebral artery β=-0.27, ΔR(2)=0.04, P<0.05). Cardiovascular risk predicted common carotid artery mean and pulsatile flow over and above the effects of age (ΔR(2)=0.11-0.19, P<0.001) and sex (ΔR(2)=0.03-0.03, P<0.05). In contrast, cardiovascular risk remained a significant predictor of middle cerebral artery pulsatile, but not mean flow velocity, when controlling for age (ΔR(2)=0.05, P<0.05) and sex (ΔR(2)=0.06, P<0.01).
Conclusions:
Cardiovascular risk has divergent effects on mean and pulsatile blood flow velocity, each of which may independently contribute to cerebral pathology and cognitive impairment.
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