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

Stroke
|August 11, 2012
PubMed

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.
Abstract

Related Concept Videos

Vascular Resistance01:20

Vascular Resistance

Vascular resistance is a critical concept in understanding blood flow dynamics in the circulatory system. It refers to the resistance that blood encounters as it flows through the blood vessels. This resistance is a key factor in determining blood pressure and cardiac workload.
The primary determinants of vascular resistance are vessel diameter, blood viscosity, and vessel length. Among these, vessel diameter plays the most significant role due to the fourth power relationship described by...
Blood Flow01:29

Blood Flow

Blood is pumped by the heart into the aorta, the largest artery in the body, and then into increasingly smaller arteries, arterioles, and capillaries. The velocity of blood flow decreases with increased cross-sectional blood vessel area. As blood returns to the heart through venules and veins, its velocity increases. The movement of blood is encouraged by smooth muscle in the vessel walls, the movement of skeletal muscle surrounding the vessels, and one-way valves that prevent backflow.
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However, frequent irregular...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
Cardiac Output and Stroke Volume01:11

Cardiac Output and Stroke Volume

Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac output averages...