Physicians consider resting variability in physiological systems, such as blood pressure and cerebral blood flow velocity (CBFV), to be a marker of physical and mental health. Recent research indicates that patients with fibromyalgia syndrome have lower CBFV variability, in the low- and high-frequency ranges, than healthy controls. This decreased variability may reflect impaired coordination of cerebral regulatory systems.
Casandra I. Montoro, PhD, researcher at the University of Jaen, Spain, and colleagues found CBFV variability was differentially associated with clinical variables. Their research was the first study to characterize the mean beat-to-beat CBFV variability in the middle cerebral arteries and anterior cerebral arteries during resting state in fibromyalgia patients. The results, which were published in PLos ONE, highlight that short-term CBFV variability—as opposed to long-term variability—was associated with better clinical outcomes.1
The investigators used Fast Fourier transformation to identify a spectral profile with four components: 1) a very low-frequency (VLF) component with the highest amplitude at 0.0024 Hz; 2) a VLF component around 0.01-0.025 Hz; 3) a low-frequency component from 0.075-0.11 Hz; and 4) a high-frequency component with the lowest amplitude from 0.25-0.35 Hz.
“Our results showed overall lower VLF (second component, i.e., 0.01 to 0.025 Hz), low frequency and high frequency CBFV variability in the middle cerebral arteries and anterior cerebral arteries of fibromyalgia syndrome patients than healthy individuals,” write the authors in their conclusion. “However, the first VLF peak occurring at ultra-low frequencies (i.e., 0.0024 Hz) exhibited greater power in patients. The general inverse associations of emotional, clinical and functional impact variables with CBFV variability at low-frequency and high-frequency ranges support the notion that short-term CBFV variability at these frequencies might fulfill a protective role with respect to brain function and may be considered an index of positive health status.”