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Abstract #1886

The Effect of Hypoxia on Cerebral Arterial Calibre and Flow Velocity - An MRI Study

Ravjit Singh Sagoo 1 , David Bailey 1 , Sarah Wayte 2 , Eddie Ng'andwe 1 , Charles Handford 3 , Sanjoy Nagaraja 1 , Mahmud Saedon 4 , Helen Parsons 5 , Alex Wright 6,7 , Arthur Bradwell 6,7 , Christopher Imray 4,7 , and Charles Hutchinson 1,8

1 Department of Imaging, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, West Midlands, United Kingdom, 2 Department of Medical Physics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, West Midlands, United Kingdom, 3 University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 4 Department of Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, West Midlands, United Kingdom, 5 Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, West Midlands, United Kingdom, 6 University of Birmingham, Birmingham, United Kingdom, 7 Birmingham Medical Research Expeditionary Society, Birmingham, United Kingdom, 8 University of Warwick, Coventry, West Midlands, United Kingdom

One of the processes responsible for maintaining oxygen delivery in high altitude climbers is an increase in cerebral arterial flow velocity. Arterial dilatation has long thought to play no part in maintaining cerebral oxygenation, a theory that has recently been disputed. This study documents changes in middle cerebral artery (MCA) calibre, flow velocity, flow and calculated oxygen delivery in response to a 22-hour period of normobaric hypoxia in 12 subjects. MCA flow velocity significantly increased to maintain cerebral oxygen (p<0.05) while the increase in MCA calibre approached significance (p=0.09). A larger number of subjects may be needed to detect significance.

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