Cerebrovascular Perfusion among Older Adults with and Without Cardiovascular Disease

Bindal Makwana1, Ariana Tart-Zelvin1,2, Xiaomeng Xu1

  • 1Department of Psychology, Idaho State University, Pocatello, ID.

Insights

Mild cardiovascular disease (CVD) minimally impacts cerebrovascular perfusion in older adults. Sex differences in cerebral blood flow were observed, but patient status did not significantly alter perfusion levels.

Area of Science:

  • Neuroscience
  • Cardiology
  • Gerontology

Background:

  • Cardiovascular disease (CVD) affects older adults, with cognitive decline linked to cardiovascular and cerebral blood flow.
  • Neurovascular mechanisms may protect cerebrovascular perfusion despite cardiovascular health status.

Purpose of the Study:

  • To investigate differences in cerebrovascular perfusion between older adults with and without diagnosed CVD.
  • To examine if sex differences in cerebral perfusion are replicated in this cohort.

Main Methods:

  • Recruited 20 CVD patients and 39 healthy controls for comprehensive assessment.
  • Utilized echocardiogram and magnetic resonance imaging (MRI) with arterial spin labeling to quantify cerebral blood perfusion.

Main Results:

  • Both groups maintained normal left ventricular ejection fractions.
  • Women showed significantly higher cerebral perfusion than men.
  • No significant differences in whole brain, regional, or white matter perfusion were found based on CVD status, after controlling for sex and age.

Conclusions:

  • Mild CVD appears to have minimal effects on cerebrovascular perfusion.
  • Further research is needed to understand mechanisms maintaining perfusion in mild CVD and its impact in more severe cases.
Abstract