Bone and Joint Institute
Document Type
Article
Publication Date
2019
Journal
PHYSIOLOGICAL REPORTS
Issue
20
URL with Digital Object Identifier
10.14814/phy2.14212
Abstract
ndividuals with osteoarthritis (OA) are at greater risk of cardiovascular and cerebrovascular incidents; yet, cerebrovascular control remains uncharacter- ized. Our primary outcome was to acquire cerebrovascular control metrics in patients with OA and compare measures to healthy control adults (CTL) without OA or cardiovascular complications. Our primary covariate was a 10- year risk factor for cardiovascular and stroke incidents, and secondary covari- ates were other cardiovascular disease risk factors (i.e., body mass index, caro- tid intima media thickness, and brachial flow-mediated dilation). Our secondary outcomes were to assess anatomical and functional changes that may be related to cerebrovascular reactivity were also acquired such as white matter lesion volume and brief cognitive assessments. In 25 adults (n = 13 CTL, n = 12 OA), under hypercapnia, magnetic resonance imaging (3T) was used to acquire a “Global Cerebrovascular Reactivity” index across the larger intracranial cerebral arteries and white matter lesions, and transcranial Doppler was used for both middle cerebral artery hemodynamic responses to hypercapnia and to assess autoregulation via a sit-to-stand task. Compared to CTL, OA had lower “Global Cerebrovascular Reactivity” index responses to hypercapnia, autoregulatory responses, and greater white matter lesions (P < 0.05). These differences persisted after covarying for the outlined primary and secondary covariates. Patients with OA, in the absence of known cardio- vascular disease, can exhibit pre-clinical and impaired (compared to CTL) peripheral and cerebrovascular control metrics.
Notes
Baraa K. Al-Khazraji 1,4 , Mark B. Badrov 1 , Mason Kadem 2 , Navena R. Lingum 1 , Trevor B. Birmingham 3,4 & 1