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Journal of Biomedical Optics

Near-infrared diffuse optical monitoring of cerebral blood flow and oxygenation for the prediction of vasovagal syncope
Author(s): Ran Cheng; Yu Shang; Siqi Wang; Joyce M. Evans; Abner Rayapati; David C. Randall; Guoqiang Yu
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Paper Abstract

Significant drops in arterial blood pressure and cerebral hemodynamics have been previously observed during vasovagal syncope (VVS). Continuous and simultaneous monitoring of these physiological variables during VVS is rare, but critical for determining which variable is the most sensitive parameter to predict VVS. The present study used a novel custom-designed diffuse correlation spectroscopy flow-oximeter and a finger plethysmograph to simultaneously monitor relative changes of cerebral blood flow (rCBF), cerebral oxygenation (i.e., oxygenated/deoxygenated/total hemoglobin concentration: r[HbO 2 ]/r[Hb]/rTHC ), and mean arterial pressure (rMAP) during 70 deg head-up tilt (HUT) in 14 healthy adults. Six subjects developed presyncope during HUT. Two-stage physiological responses during HUT were observed in the presyncopal group: slow and small changes in measured variables (i.e., Stage I), followed by rapid and dramatic decreases in rMAP, rCBF, r[HbO 2 ] , and rTHC (i.e., Stage II). Compared to other physiological variables, rCBF reached its breakpoint between the two stages earliest and had the largest decrease (76±8% ) during presyncope. Our results suggest that rCBF has the best sensitivity for the assessment of VVS. Most importantly, a threshold of ∼50% rCBF decline completely separated the subjects from those without presyncope, suggesting its potential for predicting VVS.

Paper Details

Date Published: 8 January 2014
PDF: 10 pages
J. Biomed. Opt. 19(1) 017001 doi: 10.1117/1.JBO.19.1.017001
Published in: Journal of Biomedical Optics Volume 19, Issue 1
Show Author Affiliations
Ran Cheng, Univ. of Kentucky (United States)
Yu Shang, Univ. of Kentucky (United States)
Siqi Wang, Univ. of Kentucky (United States)
Joyce M. Evans, Univ. of Kentucky (United States)
Abner Rayapati, Univ. of Kentucky (United States)
David C. Randall, Univ. of Kentucky (United States)
Guoqiang Yu, Univ. of Kentucky (United States)

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