學術產出-Periodical Articles

Article View/Open

Publication Export

Google ScholarTM

政大圖書館

Citation Infomation

題名 Cerebral blood flow autoregulation is impaired in schizophrenia: A pilot study
作者 藍亭
Ku, Hsiao-Lun
Wang, Jiunn-Kae
Lee, Hsin-Chien
Lane, Timothy Joseph
Liu, I-Chao
Chen, Yung-Chan
貢獻者 心腦中心
關鍵詞 Cerebral autoregulation; Cerebral blood flow; Cerebrovascular diseases; Schizophrenia
日期 2017-10
上傳時間 21-Nov-2017 17:50:39 (UTC+8)
摘要 Patients with schizophrenia have a higher risk of cardiovascular diseases and higher mortality from them than does the general population; however, the underlying mechanism remains unclear. Impaired cerebral autoregulation is associated with cerebrovascular diseases and their mortality. Increased or decreased cerebral blood flow in different brain regions has been reported in patients with schizophrenia, which implies impaired cerebral autoregulation. This study investigated the cerebral autoregulation in 21 patients with schizophrenia and 23 age- and sex-matched healthy controls. None of the participants had a history of cardiovascular diseases, hypertension, or diabetes. All participants underwent 10-min blood pressure and cerebral blood flow recording through finger plethysmography and Doppler ultrasonography, respectively. Cerebral autoregulation was assessed by analyzing two autoregulation indices: the mean blood pressure and cerebral blood flow correlation coefficient (Mx), and the phase shift between the waveforms of blood pressure and cerebral blood flow determined using transfer function analysis. Compared with the controls, the patients had a significantly higher Mx (0.257 vs. 0.399, p = 0.036) and lower phase shift (44.3° vs. 38.7° in the 0.07–0.20 Hz frequency band, p = 0.019), which indicated impaired maintenance of constant cerebral blood flow and a delayed cerebrovascular autoregulatory response. Impaired cerebral autoregulation may be caused by schizophrenia and may not be an artifact of coexisting medical conditions. The mechanism underlying impaired cerebral autoregulation in schizophrenia and its probable role in the development of cerebrovascular diseases require further investigation.
關聯 Schizophrenia Research, Volume 188, Pages 63-67
資料類型 article
DOI https://doi.org/10.1016/j.schres.2017.01.015
dc.contributor 心腦中心
dc.creator (作者) 藍亭zh_TW
dc.creator (作者) Ku, Hsiao-Lunen_US
dc.creator (作者) Wang, Jiunn-Kaeen_US
dc.creator (作者) Lee, Hsin-Chienen_US
dc.creator (作者) Lane, Timothy Josephen_US
dc.creator (作者) Liu, I-Chaoen_US
dc.creator (作者) Chen, Yung-Chanen_US
dc.date (日期) 2017-10
dc.date.accessioned 21-Nov-2017 17:50:39 (UTC+8)-
dc.date.available 21-Nov-2017 17:50:39 (UTC+8)-
dc.date.issued (上傳時間) 21-Nov-2017 17:50:39 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/114848-
dc.description.abstract (摘要) Patients with schizophrenia have a higher risk of cardiovascular diseases and higher mortality from them than does the general population; however, the underlying mechanism remains unclear. Impaired cerebral autoregulation is associated with cerebrovascular diseases and their mortality. Increased or decreased cerebral blood flow in different brain regions has been reported in patients with schizophrenia, which implies impaired cerebral autoregulation. This study investigated the cerebral autoregulation in 21 patients with schizophrenia and 23 age- and sex-matched healthy controls. None of the participants had a history of cardiovascular diseases, hypertension, or diabetes. All participants underwent 10-min blood pressure and cerebral blood flow recording through finger plethysmography and Doppler ultrasonography, respectively. Cerebral autoregulation was assessed by analyzing two autoregulation indices: the mean blood pressure and cerebral blood flow correlation coefficient (Mx), and the phase shift between the waveforms of blood pressure and cerebral blood flow determined using transfer function analysis. Compared with the controls, the patients had a significantly higher Mx (0.257 vs. 0.399, p = 0.036) and lower phase shift (44.3° vs. 38.7° in the 0.07–0.20 Hz frequency band, p = 0.019), which indicated impaired maintenance of constant cerebral blood flow and a delayed cerebrovascular autoregulatory response. Impaired cerebral autoregulation may be caused by schizophrenia and may not be an artifact of coexisting medical conditions. The mechanism underlying impaired cerebral autoregulation in schizophrenia and its probable role in the development of cerebrovascular diseases require further investigation.en_US
dc.format.extent 343375 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) Schizophrenia Research, Volume 188, Pages 63-67en_US
dc.subject (關鍵詞) Cerebral autoregulation; Cerebral blood flow; Cerebrovascular diseases; Schizophreniaen_US
dc.title (題名) Cerebral blood flow autoregulation is impaired in schizophrenia: A pilot studyen_US
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.1016/j.schres.2017.01.015
dc.doi.uri (DOI) https://doi.org/10.1016/j.schres.2017.01.015