Normalizing internal carotid artery dilation to the total increased shear stimulus from baseline may improve the validity of cerebrovascular endothelial function assessments.
This study demonstrated that shear-mediated dilation of the internal carotid artery (ICA), an index of cerebrovascular endothelial function, increased with the increase of shear stimulus induced by different degrees of transient hypercapnia. However, when ICA dilation was normalized to the total increased shear stimulus above baseline, the vasodilation became comparable across different hypercapnia levels. Thus, normalizing ICA dilation to the total shear stimulus increased from baseline may enhance the validity of assessing cerebrovascular endothelial function.
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Sakamoto et al. (2024) studied this question.
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