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Autoregulation is defined as the ability of a vascular bed to adapt its vascular resistance to changes in perfusion pressure. In the eye, several studies have reported that retinal blood flow is autoregulated over a wide range of ocular perfusion pressures. The investigators could recently show that Endothelin-1 is a key metabolite in the regulation of vascular tone in the eye and plays an important role in the blood flow autoregulation of the choroidal circulation. However, no data is yet available for the optic nerve head. Thus, the present study is designed to test the hypothesis that Endothelin-1 plays also a role in optic nerve head blood flow autoregulation.
Therefore, subjects will perform squatting to increase systemic perfusion pressure during administration of either an endothelin A-receptor blocker (BQ-123) or placebo. Optic nerve head blood flow will be continuously measured during the procedure to investigate optic nerve head autoregulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BQ-123 | Active Comparator |
| |
| Physiological saline solution | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BQ-123 | Drug | 60 mcg/min, infusion period: 60 min |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Optic nerve head pressure-flow relationship | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gabriele Fuchsjaeger-Mayrl, MD, Univ.Doz | Department of Clinical Pharmacology, Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Clinical Pharmacology, Medical University of Vienna | Vienna | State of Vienna | 1090 | Austria |
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| ID | Term |
|---|---|
| C072247 | cyclo(Trp-Asp-Pro-Val-Leu) |
| D017078 | Laser-Doppler Flowmetry |
| ID | Term |
|---|---|
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D012212 | Rheology |
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| Physiological saline solution |
| Drug |
infusion period 60 minutes |
|
| Laser Doppler Flowmetry | Device | blood flow measurements at the temporal neuroretinal rim to assess optic nerve head blood flow |
|
| Goldmann Applanation Tonometer | Device | intraocular pressure measurements |
|
| squatting | Other | subjects will perform squatting for 6 minutes while blood flow measurements |
|
| D008919 | Investigative Techniques |