Neuroscience Bulletin

, Volume 28, Issue 6, pp 723–728 | Cite as

Compromised cerebrovascular modulation in chronic anxiety: evidence from cerebral blood flow velocity measured by transcranial Doppler sonography

Original Article

Abstract

Objective

Cerebral autoregulation (CA) is the mechanism by which constant cerebral blood flow is maintained despite changes in cerebral perfusion pressure. CA can be evaluated by dynamic monitoring of cerebral blood flow velocity (CBFV) with transcranial Doppler sonography (TCD). The present study aimed to explore CA in chronic anxiety.

Methods

Subjects with Hamilton anxiety scale scores ≥14 were enrolled and the dynamic changes of CBFV in response to an orthostatic challenge were investigated using TCD.

Results

In both the anxious and the healthy subjects, the mean CBFV was significantly lower in the upright position than when supine. However, the CBFV changes from supine to upright differed between the anxious and the healthy groups. Anxious subjects showed more pronounced decreases in CBFV with abrupt standing.

Conclusion

Our results indicate that cerebrovascular modulation is compromised in chronic anxiety; anxious subjects have some insufficiency in maintaining cerebral perfusion after postural change. Given the fact that anxiety and impaired CA are associated with cardiovascular disease, early ascertainment of compromised cerebrovascular modulation using TCD might suggest interventional therapies in the anxious population, and improve the primary prevention of cardiovascular disease.

Keywords

cardiovascular dysautonomia cerebral blood flow velocity anxiety transcranial Doppler sonography 

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Copyright information

© Shanghai Institutes for Biological Sciences, CAS and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of NeurologyThe First Norman Bethune Hospital of Jilin UniversityChangchunChina
  2. 2.Center for Neurovascular UltrasoundThe First Norman Bethune Hospital of Jilin UniversityChangchunChina
  3. 3.Department of Geriatric MedicineThe Affiliated Hospital of Changchun University of Chinese MedicineChangchunChina

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