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Hyatt, K. H.

Publications and source records attributed to Hyatt, K. H..

Reversal of bedrest-induced orthostatic intolerance by lower body negative pressure and saline

Six healthy male volunteers underwent two 1-week periods of bedrest, each preceded and followed by 2-week control and recovery periods. The daily metabolic diet contained 150 mEq of sodium. Following one 7-day bedrest period, each man was subjected to LBNP at a level of -30 mm Hg for 4 hr while consuming 1000 ml of beef bouillon containing 154 mEq of sodium. After the other bedrest period, each man simply consumed the bouillon without LBNP treatment during 4 hr of continued bedrest. Measurements of plasma volume and orthostatic tolerance were made before and after each treatment period. After combined LBNP and saline therapy, plasma volume and response to LBNP testing showed a return to pre-bedrest levels. Saline consumption alone had a lesser effect. With continuation of bedrest in three subjects, the beneficial effects of these measures appeared to be largely gone after 18 hr.

Hyatt, K. H.↗

Comparison of 70 deg tilt, LBNP, and passive standing as measures of orthostatic tolerance

The present study was performed to assess the reliability of lower body negative pressure (LBNP) as a test of orthostatic tolerance. The need for this assessment arose from the prior observation in this laboratory that some subjects show wide day-to-day variation in heart rate responses to LBNP. The extent of these variations was so great as to raise a serious question as to the value of LBNP as a measure of study-induced alterations (e.g., those produced by bedrest or weightlessness) in orthostatic tolerance. Five healthy volunteers were subjected to a series of tests, consisting of 70 deg tilt, LBNP, and passive standing, on three occasions preceding and three occasions following a 2-week period of bedrest. Study results show that it is possible to subdivide the volunteers into subgroups which show either great or little day-to-day variability in any of the three tests. All three tests revealed bedrest-induced alterations in orthostatic tolerance quite adequately. Of the three tests studied, LBNP most frequently resulted in the largest test-induced heart rate alterations, followed by quiet standing and, finally 70 deg tilt.

Hyatt, K. H.↗

Effect of potassium depletion in normal males - An Apollo 15 simulation

In the course of Apollo 15, physiologic abnormalities, manifested by ectopic activity on the ECG and unusual alterations in exercise tolerance, occurred in the crew of the Lunar Excursion Module. These were associated with decreases in total body potassium, measured by K-42, of 10% and 15%. The possibility of inadequate potassium (K+) intake existed. A simulation study was performed prior to Apollo 16, corresponding in duration to Apollo 15. Subjects endured the same sleep aberrations and caloric expenditure as the Apollo 15 astronauts. Subjects consumed a diet containing only 15 mEq/d of K+ during the entire 12 days of absolute bedrest. Study implications and reasons for discrepancies between K+ loss measured by balance techniques and K-42 are reviewed.

Hyatt, K. H.↗

Effects of simulated weightlessness on responses of untrained men to +Gz acceleration

This study documents bedrest-induced metabolic and physiologic changes in six untrained men exposed, following a two-week period of simulated weightlessness, to possible +Gz acceleration profiles anticipated for Space Shuttle vehicle travel. All subjects demonstrated decreased +Gz tolerance following simulated weightlessness. While only one of six subjects could not tolerate the +Gz profile in the control phase of the study, three of the six could not complete the postbed-rest study. The use of an inflated standard Air Force cutaway G-suit improved +Gz tolerance in all subjects, but two of six subjects still failed to complete the profile. These findings are discussed in reference to the selection of untrained humans for Space Shuttle vehicle travel.

Jacobson, L. B.↗

Unified method for serial study of body fluid compartments

Methods for the simultaneous determination of equilibrium space of I-125/RISA(radio-iodinated serum albumin) (plasma volume), Cr-51 red cell mass, Br-82 space (extracellular fluid volume), and tritiated water space (total body water) are described. Determinations were made on two occasions separated by a 1 week interval in 43 healthy young men who were on a strict metabolic diet. Hourly samples were taken for 6 hours after injection of the radionuclides. Correlation of these values to the inscribed exponential disappearance curve was high. In 15 subjects, earlier and more-frequent sampling led to no improvement in the accuracy of estimation of the I-125/RISA space. Use of this method gave results in 12 subjects for Br-82 space and in 11 subjects for tritiated water space which were not significantly different from those obtained by correction for urine loss.

Spears, C. P.↗

Prevention of bone mineral changes induced by bed rest: Modification by static compression simulating weight bearing, combined supplementation of oral calcium and phosphate, calcitonin injections, oscillating compression, the oral diophosphonatedisodium etidronate, and lower body negative pressure

The phenomenon of calcium loss during bed rest was found to be analogous to the loss of bone material which occurs in the hypogravic environment of space flight. Ways of preventing this occurrence are investigated. A group of healthy adult males underwent 24-30 weeks of continuous bed rest. Some of them were given an exercise program designed to resemble normal ambulatory activity; another subgroup was fed supplemental potassium phosphate. The results from a 12-week period of treatment were compared with those untreated bed rest periods. The potassium phosphate supplements prevented the hypercalciuria of bed rest, but fecal calcium tended to increase. The exercise program did not diminish the negative calcium balance. Neither treatment affected the heavy loss of mineral from the calcaneus. Several additional studies are developed to examine the problem further.

Schneider, V. S.↗

Evaluation of positive G sub Z tolerance following simulated weightlessness (bedrest)

The magnitude of physiologic changes which are known to occur in human subjects exposed to varying levels of + G sub Z acceleration following bed rest simulation of weightlessness was studied. Bed rest effects were documented by fluid and electrolyte balance studies, maximal exercise capability, 70 deg passive tilt and lower body negative pressure tests and the ability to endure randomly prescribed acceleration profiles of +2G sub Z, +3G sub Z, and +4G sub Z. Six healthy male volunteers were studied during two weeks of bed rest after adequate control observations, followed by two weeks of recovery, followed by a second two-week period of bed rest at which time an Air Force cutaway anti-G suit was used to determine its effectiveness as a countermeasure for observed cardiovascular changes during acceleration. Results showed uniform and significant changes in all measured parameters as a consequence of bed rest including a reduced ability to tolerate +G sub Z acceleration. The use of anti-G suits significantly improved subject tolerance to all G exposures and returned measured parameters such as heart rate and blood pressure towards or to pre-bed-rest (control) values in four of the six cases.

Jacobson, L. B.↗

A study of ventricular contractility and other parameters possibly related to vasodepressor syncope

The effects of diminished orthostatic and exercise tolerance resulting from prolonged bedrest were studied by noninvasion methods to determine if alterations in myocardial contractility were induced by bedrest. These methods were apexcardiography, systolic time intervals, and echocardiography. It is concluded that bedrest causes detrimental alterations in the contractile state of the myocardium which accounts for the decreases in maximal oxygen uptaken during exercise after bedrest. Tabulated test data are included.

Hyatt, K. H.↗

Peripheral venous scintillation angiocardiography in determination of left ventricular volume in man.

Left ventricular end-diastolic volume was determined by cardiac visualization after peripheral venous injection of a gamma-emitting isotope in 10 patients with organic heart disease. The left ventricular end-diastolic volume measured by the isotope method consistently averaged 9% less than that determined by the X-ray method. The mean difference in left ventricular end-diastolic volume was 21 ml. Excellent correlation between the two methods was observed. It is pointed out that peripheral venous scintillation angiocardiography compares well with left ventriculography in the determination of left ventricular end-diastolic volume in man.

Sullivan, R. W.↗