Specific effect of hypobaria on cerebrovascular hypercapnic responses in hypoxia.

Détails

Ressource 1Demande d'une copie Sous embargo indéterminé.
Accès restreint UNIL
Etat: Public
Version: de l'auteur⸱e
Licence: CC BY 4.0
ID Serval
serval:BIB_8A7E5FAA115D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Specific effect of hypobaria on cerebrovascular hypercapnic responses in hypoxia.
Périodique
Physiological reports
Auteur⸱e⸱s
Aebi M.R., Bourdillon N., Kunz A., Bron D., Millet G.P.
ISSN
2051-817X (Electronic)
ISSN-L
2051-817X
Statut éditorial
Publié
Date de publication
02/2020
Peer-reviewed
Oui
Volume
8
Numéro
4
Pages
e14372
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
It remains unknown whether hypobaria plays a role on cerebrovascular reactivity to CO <sub>2</sub> (CVR). The present study evaluated the putative effect of hypobaria on CVR and its influence on cerebral oxygen delivery (cDO <sub>2</sub> ) in five randomized conditions (i.e., normobaric normoxia, NN, altitude level of 440 m; hypobaric hypoxia, HH at altitude levels of 3,000 m and 5,500 m; normobaric hypoxia, NH, altitude simulation of 5,500 m; and hypobaric normoxia, HN). CVR was assessed in nine healthy participants (either students in aviation or pilots) during a hypercapnic test (i.e., 5% CO <sub>2</sub> ). We obtained CVR by plotting middle cerebral artery velocity versus end-tidal CO <sub>2</sub> pressure (P <sub>ET</sub> CO <sub>2</sub> ) using a sigmoid model. Hypobaria induced an increased slope in HH (0.66 ± 0.33) compared to NH (0.35 ± 0.19) with a trend in HN (0.46 ± 0.12) compared to NN (0.23 ± 0.12, p = .069). P <sub>ET</sub> CO <sub>2</sub> was decreased (22.3 ± 2.4 vs. 34.5 ± 2.8 mmHg and 19.9 ± 1.3 vs. 30.8 ± 2.2 mmHg, for HN vs. NN and HH vs. NH, respectively, p < .05) in hypobaric conditions when compared to normobaric conditions with comparable inspired oxygen pressure (141 ± 1 vs. 133 ± 3 mmHg and 74 ± 1 vs. 70 ± 2 mmHg, for NN vs. HN and NH vs. HH, respectively) During hypercapnia, cDO <sub>2</sub> was decreased in 5,500 m HH (p = .046), but maintained in NH when compared to NN. To conclude, CVR seems more sensitive (i.e., slope increase) in hypobaric than in normobaric conditions. Moreover, hypobaria potentially affected vasodilation reserve (i.e., MCAv autoregulation) and brain oxygen delivery during hypercapnia. These results are relevant for populations (i.e., aviation pilots; high-altitude residents as miners; mountaineers) occasionally exposed to hypobaric normoxia.
Mots-clé
cerebral blood flow autoregulation, cerebral oxygen delivery, hypobaria, hypoxia
Pubmed
Open Access
Oui
Création de la notice
27/02/2020 13:36
Dernière modification de la notice
22/02/2021 9:42
Données d'usage