Autoregulation of cerebral circulation in progressive heart failure and its relationship to seizure readiness

Cover Page


Cite item

Full Text

Abstract

In the early stage of cardiac decompensation does not change the blood flow in the carotid and basilar arteries, but seizure readiness (SR) of the animals increased. Preservation of reactivity to hypercapnic and compression tests, suggests that the increase in SR is not associated with circulatory disorders in the brain. Exacerbation of heart failure (HF) leads to severe decompensation, including a decrease in blood flow in the carotid and basilar arteries. Metabolic cascade of autoregulation in these animals areaktiven and myogenic greatly reduced. In this case revealed a progressive increase in the SR. Inefficiency of the heart at different stages of HF is not the same effect on the reserves of the autoregulation of cerebral hemodynamics, which affects the formation and aggravation of SR. Moreover, its rise in various stages of decompensation is not always caused by cerebral ischemia.

 

About the authors

M. L. Mamalyga

Moscow State Pedagogical University, chair of anatomy and physiology of human and animals

Author for correspondence.
Email: mamalyga_49@mail.ru
Russian Federation, Moscow

References

  1. Аронов Д.М., Лупанов В.П. Функциональные пробы в кардиологии. М. МЕДпресс-информ, 2007.
  2. Верещагин Н. В., Ганнушкина И. В., Cуслина З. А. и др. Очерки ангионеврологии. М.: Атмосфера, 2005.
  3. Ерохина И.Л., Шуленин С.Н., Оковитый С.В. и др. Cравнительная характеристика некоторых фармакологических моделей хронической сердечной недостаточности. Экспер. и клинич. фарм. 2008; 6: 16–19.
  4. Крыжановский Г.Н. Общая теория патофизиологических механизмов неврологических и психопатологических синдромов. Журн. неврол. и психиатр. 2002; 11: 4–13.
  5. Мамалыга М.Л. Обмен моноаминов в головном мозге крыс с хронической сердечной недостаточностью неишемического генеза. Нейрохимия 2012; 1: 45–51.
  6. Непомнящих Л.М., Лушникова Е.Л., Клинникова М.Г., Молодых О.П. Влияние препаратов с противоопухолевой активностью – доксорубицина и циклофосфана – на структурную реорганизацию миокарда крыс и численность кардиомиоцитов. Сибирский онкологический журнал 2011; 4: 30–35.
  7. Симоненко В.Б., Широков Е.А. Основы кардионеврологии (Руководство для врачей). М.: Медицина, 2001.
  8. Ackerman R.H. Cerebral blood flow and neurological change in chronic heart failure. Stroke 2001; 32: 2462–2464.
  9. Boycott H.E., Dallas M., Boyle J.P. et al. Hypoxia suppresses astrocyte glutamate transport independently of amyloid formation. Biochem.. Biophys. Res. Comm. 2007; 364: 100–104.
  10. Dallas M., Boycott H.E., Atkinson L. et al. Hypoxia Suppresses Glutamate Transport in Astrocytes. . J. Neuros. 2007; 27: 3946–3955.
  11. Eicke BM, von Schlichting J, Mohr-Ahaly S. et al. Lack of association between carotid artery volume blood flow and cardiac output. J. Ultrasound Med. 2001; 20: 1293–1298.
  12. Halaris A. Comorbidity between depression and cardiovascular disease. Int. Angiol. 2009; 28: 92–99.
  13. Hotta H., Watanabe N., Orman R., Stewart M. Efferent and afferent vagal actions on cortical blood flow and kainic acid-induced seizure activity in urethane anesthetized rats. Auton. Neurosci. 2010; 156: 144–148.
  14. Iwasaki K., Ogawa Y., Shibata S., Aoki K. Acute exposure to normobaric mild hypoxia alters dynamic relationships between blood pressure and cerebral blood flow at very low frequency. J. Cereb Blood Flow Metab. 2007; 27: 776–784.
  15. Iwasaki K., Zhang R., Zuckerman J.H. et al. Impaired dynamic cerebral autoregulation at extreme high altitude even after acclimatization. J. Cereb Blood Flow Metab. 2011; 31: 283–292.
  16. Lepic T., Loncar G., Bozic B. et al. Cerebral blood flow in the chronic heart failure patients. Perspectives in Medicine. 2012; 1: 304–308.
  17. Lucas S.J.E., Burgess K.R., Thomas K.N. et al. Alterations in cerebral blood flow and cerebrovascular reactivity during 14 days at 5050 m. J. Physiol. 2011; 589: 741–753.
  18. Montepietra S., Cattaneo L., Granella F. et al. Myocardial infarction convulsive and nonconvulsive seizures. Seizure. 2009; 18: 379–381.
  19. Nishimura N, Iwasaki K, Ogawa Y, Aoki K. Decreased steady-state cerebral blood flow velocity and altered dynamic cerebral autoregulation during 5-h sustained 15% O2 hypoxia. J. Appl. Physiol. 2010; 108: 1154–1161.
  20. Parfenova H., Fedinec A., Leffler C.W. Ionotropic glutamate receptors in cerebral microvascular endothelium are functionally linked to heme oxygenase. J. Cereb Blood Flow Metab. 2003; 23: 190–197.
  21. Patel K.P., Zhang K., Kenney M.J. et al. Neuronal expression of Fos protein in the hypothalamus of rats with heart failure. Brain Res. 2000; 865: 27–34.
  22. Saha M., Muppala M.R., Castaldo J.E. et al. The impact of cardiac index on cerebral hemodynamics. Stroke. 1993; 24:1686–1690.
  23. Stewart M. Autonomic Consequences of seizures, including sudden unexpected death in epilepsy. In: Schwartzkroin Ph.A (eds.) Encyclopedia of basic epilepsy research. ed. University of California, Davis, USA, 2009: 1289–1294.
  24. Viapiano M.S., Novara A.M.M., Plazas S.F., Bozzini C.E. Prolonged exposure to hypobaric hypoxia transiently reduces GABAA receptor number in mice cerebral cortex. Brain Res. 2001; 894: 31–36.
  25. Zhang K., Zucker I.H., Patel K.P. Altered number of diaphorase (NOS) positive neurons in the hypothalamus of rats with heart failure. Brain Res. 1998; 786: 219–225.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2013 Mamalyga M.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-83204 от 12.05.2022.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies