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Acute impact of drinking coffee on the cerebral and systemic vasculature

机译:喝咖啡对大脑和全身血管的急性影响

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Previous studies have suggested that the risk of ischemic stroke increases immediately after drinking coffee. Indeed, drinking coffee, that is, caffeine, acutely increases arterial stiffness as well as blood pressure and peripheral vascular resistance. On the other hand, it has been reported that arterial stiffening is associated with elevation in the pulsatility index (PI) of cerebral blood flow (CBF), which increases the risk of brain disease. However, the effect of drinking coffee on the PI of the CBF and its interaction with arterial stiffness remain unknown. Against this background, we hypothesized that an acute increase in arterial stiffness induced by drinking coffee augments cerebral pulsatile stress. To test this hypothesis, in 10 healthy young men we examined the effects of drinking coffee on the PI of middle cerebral artery blood velocity (MCAv) and brachial?¢????ankle pulse wave velocity (baPWV) as indices of cerebral pulsatile stress and arterial stiffness, respectively. Mean arterial blood pressure and baPWV were higher ( P ????
机译:先前的研究表明,喝咖啡后立即出现缺血性中风的风险增加。的确,喝咖啡,即咖啡因,会急剧增加动脉僵硬度以及血压和周围血管阻力。另一方面,据报道,动脉僵硬与脑血流(CBF)的搏动指数(PI)升高有关,这增加了患脑病的风险。但是,饮用咖啡对CBF的PI及其与动脉僵硬度的相互作用的影响仍然未知。在这种背景下,我们假设喝咖啡引起的动脉僵硬度急剧增加会增强脑搏动性压力。为了验证这一假设,我们在10名健康的年轻人中研究了喝咖啡对脑中动脉PI(PI)和肱动脉脉搏波速度(baPWV)作为脑搏动性应激指标的影响和动脉僵硬度。喝咖啡后,平均动脉血压和baPWV较高(P≤0.01,P≤0.02),而平均MCA V和脑血管电导率较低(P与安慰剂(去咖啡因的咖啡)相比,Δε== 0.02和P≤ε<0.01。然而,喝咖啡和安慰剂之间的MCAv PI没有差异。这些发现表明,尽管全身循环中的动脉僵硬程度升高,但喝咖啡并不会急剧增加脑搏动压力。

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