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Orthostatic intolerance after spaceflight

J C Buckey1, L D Lane, B D Levine

  • 1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235-9034, USA.

Journal of Applied Physiology (Bethesda, Md. : 1985)
|July 1, 1996
PubMed
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Orthostatic intolerance after spaceflight is common. Postflight, crew members showed similar reductions in stroke volume but finishers had a stronger vasoconstrictor response, indicating better cardiovascular adaptation.

Area of Science:

  • Cardiovascular physiology
  • Space medicine
  • Human physiology

Background:

  • Orthostatic intolerance is a frequent issue for astronauts post-spaceflight.
  • The precise physiological mechanisms underlying this condition remain incompletely understood.
  • Understanding these mechanisms is crucial for astronaut health and mission success.

Purpose of the Study:

  • To investigate the hemodynamic differences between astronauts who successfully completed a postflight orthostatic stress test and those who did not.
  • To elucidate the underlying cardiovascular adaptations contributing to orthostatic tolerance after space missions.

Main Methods:

  • Studied 14 astronauts before and after 9-14 day space shuttle missions.
  • Assessed hemodynamic responses during supine and standing positions using a 10-minute stand test.
Keywords:
NASA Discipline CardiopulmonaryNASA Discipline Number 00-00NASA Discipline Number 14-10NASA Discipline Number 93-10NASA Program FlightNASA Program NSCORTNASA Program Space Physiology and CountermeasuresNon-NASA Center

Related Experiment Videos

  • Measured stroke volume, heart rate, cardiac output, and total peripheral resistance.
  • Main Results:

    • 64% of astronauts experienced orthostatic intolerance postflight, unable to complete the stand test.
    • Postflight, both successful and unsuccessful groups exhibited similar reductions in stroke volume and increases in heart rate.
    • Astronauts who completed the stand test demonstrated a significantly greater postflight vasoconstrictor response (increased total peripheral resistance).

    Conclusions:

    • The primary postural decrease in stroke volume is not the differentiating factor in post-spaceflight orthostatic tolerance.
    • Heart rate and cardiac output responses during standing did not significantly differ between groups.
    • A robust vasoconstrictor response is a key compensatory mechanism for maintaining orthostatic tolerance after spaceflight.