MINI REVIEW article

Front. Cardiovasc. Med.

Sec. Cardioneurology

Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1526017

Brain Compliance: A New Assessment for Clinical Practice?

Provisionally accepted
Laura  Smaniotto SaraivaLaura Smaniotto Saraiva1Gustavo  FrigieriGustavo Frigieri2Bruna  EibelBruna Eibel3Eduardo  Costa Duarte BarbosaEduardo Costa Duarte Barbosa4,5*
  • 1Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
  • 2Brain4care (Brazil), São Paulo, São Paulo, Brazil
  • 3Instituto Cardiologia RS/ Fundação Universitdade de cardiologia., Porto Alegre, Rio de Janeiro, Brazil
  • 4Feevale University, Novo Hamburgo, Brazil
  • 5Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil

The final, formatted version of the article will be published soon.

The correlation between pulse wave velocity (PWV) and brain compliance acquired using Brain4care (B4C) monitors is an emerging field of study that aims to better understand cerebrovascular health and its implications for cognitive function and brain aging. Increased arterial stiffness, often due to aging or hypertension, impairs brain compliance, which is crucial for maintaining cerebral homeostasis. This impairs cerebral perfusion, causing microvascular brain damage, which may contribute to long-term cognitive impairment.The B4C sensors monitor cerebral compliance through the analysis of pulsatile waves derived from the cardiac cycle and has already demonstrated a significant correlation with invasive intracranial pressure (ICP) parameters, with the advantage of being non-invasive, reusable, portable, and can be used in several clinical conditions, such as intracranial hypertension (ICH) and hydrocephalus.These methods have the potential to improve the monitoring of cerebral compliance and ICP, with the benefit of avoiding the risks associated with invasive methods. The correlation between PWV and brain compliance acquired using B4C monitors highlights the importance of monitoring vascular health to preserve brain function.Increased arterial stiffness, reflected by increased PWV, is associated with decreased brain compliance, which may have significant implications for cognitive health and the risk of cerebrovascular disease.

Keywords: pulse wave velocity, Brain compliance, Brain4care, Arterial stiffiness, Vascular damage

Received: 28 Jan 2025; Accepted: 24 Apr 2025.

Copyright: © 2025 Saraiva, Frigieri, Eibel and Barbosa. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Eduardo Costa Duarte Barbosa, Feevale University, Novo Hamburgo, Brazil

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