Static autoregulation in humans

Author:

Paulson Olaf B12ORCID,Strandgaard Svend3,Olesen Jes24,Baron Jean-Claude5ORCID

Affiliation:

1. Neurobiology Research Unit, Department of Neurology, Rigshospitalet Blegdamsvej, Copenhagen, Denmark

2. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

3. Department of Nephrology, Copenhagen University Hospital at Herlev, Copenhagen, Denmark

4. Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Copenhagen, Denmark

5. Department of Neurology, GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, Universite Paris Cite, Inserm U1266, FHU NeuroVasc, Paris, France

Abstract

A recent publication in JCBFM, “Static autoregulation in humans” gives rise to critical comments. Autoregulation of cerebral blood flow implies that flow is rather constant within a certain blood pressure (BP) range with a lower and an upper pressure limit. The physiology at the two limits is very different, making comparison of the brain’s vulnerability at the limits questionable. The recent publication in JCBFM claims a narrow autoregulatory range based on pooling of data from several studies. However, we argue that such pooling blurs the autoregulatory limits. We summarize the classical literature, therefrom we argue for a broad autoregulatory range.

Publisher

SAGE Publications

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