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-  2019 

Blunted cerebrovascular response is associated with elevated beta

DOI: 10.1177/0271678X17732449

Keywords: Alzheimer's disease,cerebrovascular,cognitive aging,vascular dementia,ultrasound

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Abstract:

The goal of this study was to explore the association of beta-amyloid accumulation and cerebrovascular response (CVR) in cognitively normal older adults. Beta-amyloid accumulation was characterized with [18F] Florbetapir positron emission tomography scans. CVR was calculated as middle cerebral artery blood flow velocity change from rest to moderate intensity exercise. We found that individuals with elevated beta-amyloid aggregation had a blunted CVR (n?=?25, age 70.1?±?4.8; 3.3?±?3.7?cm/s) compared to non-elevated individuals (n?=?45, age 72.0?±?4.9; 7.2?±?5.0?cm/s, p?<?0.001). Further, greater beta-amyloid burden was linearly associated with less CVR across all participants (b?=??11.7, p?<?0.001). Greater CVR and less beta-amyloid burden were associated with processing speed (p?<?0.05). This study is the first to show that CVR from rest to exercise is blunted across increased global beta-amyloid burden

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