期刊
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM
卷 42, 期 12, 页码 2354-2356出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/0271678X221123442
关键词
Asymmetry; cerebral autoregulation; cerebral blood flow; cerebral haemodynamics; transcranial Doppler
Studies have shown evidence of asymmetry in the response of cerebral autoregulation (CA) to increasing and decreasing pressure challenges. CA appears to be stronger during transient increases in arterial blood pressure and weaker during decreases. The measurement of this effect and its relevance in clinical settings remain questionable.
Over the past years, a wide range of studies have provided evidence of asymmetry in the response of static and dynamic cerebral autoregulation (CA) during increasing and decreasing pressure challenges. The main message is that CA is stronger during transient increases of arterial blood pressure rather than decreases. Here we do not argue against the presence of CA asymmetry but we seek to raise questions regarding the measurement of the effect and whether this effect needs to be taken into account, especially in clinical settings.
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