Reproducibility of Measuring
CO2- Reactivity Index in Cerebral Arteries Using Transcranial Dopplerometry
Ševčík P.1, Polívka J.1, Hess Z.2, Vašta Z.2
1Neurologická klinika, FN Plzeň 2II. interní klinika, dr. E. Beneše, Plzeň |
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Summary:
A number of methods for evaluating cerebrovascular reserves have been used in
patients with atherosclerotic affections of the cervical or cerebral arteries to assess
the integrity of intracranial hemodynamics. A cerebrovascular reserve may be
evaluated by means of CO2-reactivity. At present, no standard and generally
accepted method of measuring the CO2-reactivity index has been applied so far.
The study aimed at finding out the reproducibility of our methods of measurements
using transcranial dopplerometry (TCD). Two measurements of CO2-reactivity
index were carried out in a set of 20 volunteers during one session. The
reproducibility of measuring velocity using TCD was excellent (the mean difference
1.6–1.9 cm/s, variability coefficient 16.7–17.9 %, correlation coefficient 0.99,
and percentage of the average error 2.8–3.3). The reproducibility of measuring
CO2-reactivity index was a little lower (the mean difference of CO2-reactivity
index 2.7–3.4 %/kPa, variability coefficient 13.6–21.3 %, correlation coefficient
0.73–0.89, percentage of error 9.8–12.2 %). The reproducibility of measuring
CO2-reactivity index by means of our methods was comparable with other modifications
of measuring CO2-reactivity index.
Key words:
cerebral arterial reserve, cerebrovascular reactivity, autoregulation,
cerebral blood flow, ultrasonography, transcranial dopplerometry, reproducibility
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