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Stability in neurovascular function at 3800m.

Hannah G Caldwell1, Philip N Ainslie1, Lindsay A Ellis1

  • 1Centre for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, University of British Columbia, Okanagan, Kelowna, Canada.

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|October 3, 2017
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Summary
This summary is machine-generated.

High altitude exposure did not impair cerebral blood flow (CBF) responses during cognitive tasks. This suggests that intact neurovascular function at altitude may not explain hypoxia-induced cognitive impairments.

Keywords:
CerebrovasculatureHigh altitudeHypoxiaNeurocognitionNeurovascular coupling

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Area of Science:

  • Neuroscience
  • Physiology
  • Altitude Medicine

Background:

  • Hypoxia at high altitudes can cause neurocognitive impairments, but the underlying mechanisms remain unclear.
  • A potential mechanism involves the uncoupling of neural activity and cerebral blood flow (CBF), known as functional hyperemia.

Purpose of the Study:

  • To investigate the impact of high altitude exposure on cerebral blood flow (CBF) responses during cognitive tasks.
  • To determine if impaired functional hyperemia contributes to altitude-induced neurocognitive deficits.

Main Methods:

  • Transcranial Doppler was used to measure CBF in 11 healthy individuals at sea level and after 3 and 7 days at 3800m.
  • Three tasks were employed: visual stimulation, verbal fluency, and a visuospatial task, each designed to evoke functional hyperemia.

Main Results:

  • All three cognitive tasks successfully evoked significant increases in CBF, demonstrating functional hyperemia.
  • The magnitude of the CBF response was task-specific, with greater responses observed in brain regions associated with each task (e.g., posterior for visual, left for verbal, right for visuospatial).
  • Crucially, high altitude exposure for 3 and 7 days did not alter these cerebral functional hyperemia responses.

Conclusions:

  • Neurovascular function, as measured by functional hyperemia during cognitive tasks, remains intact after short-term exposure to 3800m.
  • Impaired functional hyperemia is unlikely to be the primary cause of neurocognitive impairments reported at high altitudes.