Autoregulation of brain blood flow during hypotension and hypertension in infant lambs. 1991

B W Arnold, and C G Martin, and B J Alexander, and T Chen, and L R Fleming
Department of Pediatrics, Baylor College of Medicine, Houston, Texas 77030.

To determine the limits of aortic blood pressure in infant lambs for autoregulation of global and regional brain blood flow, we studied 10 unsedated lambs during hypotension and 10 unsedated lambs during hypertension. In lambs 6 to 13 d old, we produced graded changes in aortic blood pressure by inflating a balloon occluder placed around either the inferior vena cava or the descending aorta. Using radiolabeled microspheres, we measured global and regional brain blood flow at the baseline, and then with each graded change in aortic blood pressure. In an additional step, we administered atropine to determine if its antimuscarinic properties alter the fall in brain blood flow with severe hypotension, or alter the rise in brain blood flow with severe hypertension. We concluded that in the unsedated infant lamb, global brain blood flow remains stable between mean aortic blood pressures of 6.0 to 10.0 kPa (45 to 82 torr), a range from approximately 38% below to 12% above normal mean aortic blood pressure. We noted that this autoregulatory range is essentially unchanged from that described for the fetal lamb at 80% of term gestation--even though the mean aortic blood pressure rises during this period of maturation by more than 2.7 kPa (20 torr). We found that the lower limit of autoregulation varies among the different brain regions and is lowest in the thalamus, pons, and medulla. We saw little variation of the upper limit among the brain regions. Finally, we determined that atropine does not alter brain blood flow during severe hypotension or severe hypertension.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D006973 Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. Blood Pressure, High,Blood Pressures, High,High Blood Pressure,High Blood Pressures
D007022 Hypotension Abnormally low BLOOD PRESSURE that can result in inadequate blood flow to the brain and other vital organs. Common symptom is DIZZINESS but greater negative impacts on the body occur when there is prolonged depravation of oxygen and nutrients. Blood Pressure, Low,Hypotension, Vascular,Low Blood Pressure,Vascular Hypotension
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D002560 Cerebrovascular Circulation The circulation of blood through the BLOOD VESSELS of the BRAIN. Brain Blood Flow,Regional Cerebral Blood Flow,Cerebral Blood Flow,Cerebral Circulation,Cerebral Perfusion Pressure,Circulation, Cerebrovascular,Blood Flow, Brain,Blood Flow, Cerebral,Brain Blood Flows,Cerebral Blood Flows,Cerebral Circulations,Cerebral Perfusion Pressures,Circulation, Cerebral,Flow, Brain Blood,Flow, Cerebral Blood,Perfusion Pressure, Cerebral,Pressure, Cerebral Perfusion
D006706 Homeostasis The processes whereby the internal environment of an organism tends to remain balanced and stable. Autoregulation
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000831 Animals, Newborn Refers to animals in the period of time just after birth. Animals, Neonatal,Animal, Neonatal,Animal, Newborn,Neonatal Animal,Neonatal Animals,Newborn Animal,Newborn Animals
D001011 Aorta The main trunk of the systemic arteries. Aortas
D012756 Sheep Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS. Ovis,Sheep, Dall,Dall Sheep,Ovis dalli

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