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Investigation of the relationship between coronary flow, heart rate, left ventricular function, and myocardial oxygen consumption at increasing levels of carboxyhemoglobin in conscious dogs. The results demonstrate a linear increase in coronary flow and heart rate as the carboxyhemoglobin increases up to 20%. Myocardial oxygen consumption declined during the same period.
The crew of the Skylab 4 Mission exhibited physiological changes during their 84-day mission that resembled but in several important areas did not reach the magnitude of changes exhibited in crewmen of the two earlier Skylab flights. At rest all three crewmen showed, in comparison to preflight levels, elevated mean systolic and pulse pressures and decreased mean diastolic and mean arterial pressures. Similar changes were seen in most Skylab 2 and Skylab 3 crewmen. While mean resting heart rates of both the Skylab 3 and Skylab 4 crews were elevated, those of the Skylab 2 crew were, however, lower than during preflight tests. Stressed heart rates followed previous patterns in being consistently elevated over preflight values. Postflight changes in cardiovascular parameters for the most part resembled those seen in previous crewmen of space missions. Their recovery to preflight limits occurred rapidly. In-flight data and subjective impressions of the crewmen confirmed that lower body negative pressure in weightlessness imposed a greater stress upon the cardiovascular system than in earth's gravity.
We studied hemodynamic responses to alpha- and beta-receptor agonists in eight men to test the hypothesis that adrenoreceptor responsiveness is altered within 24 h of the performance of maximal exercise. Adrenoreceptor responsiveness was tested under two experimental conditions (with and without maximal exercise). Adrenoreceptor tests were performed 24 h after each subject performed graded upright cycle ergometry to volitional exhaustion. The 2 test days (experimental conditions) were separated by at least 1 wk, and the order of exercise and no-exercise conditions was counterbalanced. Steady-state graded infusions of phenylephrine (PE) and isoproterenol (Iso) were used to assess alpha- and beta-adrenoreceptor responsiveness, respectively. Slopes calculated from linear regressions between Iso and PE doses and changes in heart rate, blood pressure, and leg vascular resistance for each subject were used as an index of alpha- and beta-adrenoreceptor responsiveness. The slope of the relationship between heart rate and Iso with maximal exercise was 1773 +/- 164 beats x microm-1x kg-1x min-1 compared with 1987 +/- 142 beats x microg-1x kg-1x min-1 without exercise (P = 0.158), whereas the slopes of the relationship between vascular resistance to Iso were -438 +/- 123 peripheral resistance units (PRU) x microg-1x kg-1x min-1 with maximal exercise and -429 +/- 105 x microg-1x kg-1 x min-1 without exercise (P = 0.904). Maximal exercise was associated with greater (P < 0.05) vascular resistance (15.1 +/- 2.8 PRU x microg-1 kg-1x min-1) and mean arterial blood pressure (15.8 +/- 2.1 mmHg. microg-1x kg-1x min-1) responses to PE infusion compared with no exercise (9.0 +/- 2.0 PRU x microg-1 kg-1 x min-1 and 10.9 +/- 2.0 mmHg. microg-1x kg-1x min-1, respectively). These results provide evidence that a single bout of maximal exercise increases alpha1-adrenoreceptor responsiveness within 24 h without affecting beta-cardiac and vascular adrenoreceptor responses.
The effects of age and sex on the human-body responses to -50 torr LBNP were investigated in subjects who have undergone LBNP tests at the Kennedy Space Center. The comparison of results obtained on women and age-matched men indicated that men had larger relative increases in calf circumference and greater increases in peripheral resistance during the exposure to LBNP than the women; on the other hand, women displayed greater increases in thoracic impedance and heart rate. The comparison of the results on men of different ages (between 29 and 56 y) indicated that older subjects had greater increases in peripheral resistance and less heart rate elevation in response to LBNP. It is suggested that the age-related circulatory differences were due to a reduction in vagal response and a switch to predominant sympathetic nervous system influence in older men.
In both physiologic and clinical studies, standing is often loosely equated with head-up tilt (HUT) although the cardiovascular effects of these variants of orthostasis have not been formally compared, except for heart rate. The effects of HUT and standing were measured noninvasively in male volunteers satisfying identical criteria for age and normal status. In both postures, there were significant increases in heart rate, pre-ejection period, isovolumic contraction time, and the ratio of pre-ejection to ejection period, and significant decreases in ejection period and ejection time index. All of these changes were greater for standing than for tilt. Pulse transmission time changed significantly (-14%) only with tilt. We conclude that head-up tilt and standing are rather comparable but not physiologically identical forms of orthostasis.
The response of the human left ventricle to lower body negative pressure (LBNP) and the relation between left ventricular function and hemodynamic response were investigated. Ventricular function curves relating stroke volume to end-diastolic volume were obtained in 12 normal men. Volume data were derived from echocardiographic measurements of left ventricular end-systolic and end-diastolic diameters at rest and during lower body negative pressure (LBNP) at minus 40 mm Hg. End-diastolic volume decreased by 19% and stroke volume by 22%. There were no significant changes in heart rate, arterial blood pressure, or end-systolic volume. Thus, moderate levels of LBNP significantly reduce preload and stroke volume without affecting contractile state. The absence of significant changes in heart rate and arterial blood pressure in the presence of a significant reduction in stroke volume is consistent with an increase in systemic peripheral resistance mediated by low-pressure baroreceptors.
A pod enclosure system designed by the Environmental Physiology Laboratory at the University of California at Berkeley is found to be eminently suitable for work with monkeys. The pattern of cardiovascular activity is found to vary. In the first half of the exposure, the hourly mean values suggest an initial period of instability, most marked for heart rate, beginning at 'launch.' In the second half of the exposure, the final three days, the responses appear much more ordered, with a stable phase relationship between circadian shifts in heart rate and mean aortic pressure. Since the latter stability is more normal, the assumption is made that the animal had become adjusted to its situation. Imposition of a daily lower body negative pressure (LBNP) stress shows characteristic responses.
Left ventricular end-diastolic volume increased after 4 1/2 to 6 hours of space flight, but was significantly decreased after 5 to 6 days of space flight. To determine the role of acute gravitational effects in this phenomenon, responses to a 6-hour bedrest model of 0 gravity (G; 5 degrees head-down tilt) were compared with those of fractional gravity loads of 1/6 G, 1/3 G, and 2/3 G by using head-up tilts of 10 degrees, 20 degrees, and 42 degrees, respectively. On 4 different days, six healthy male subjects were tilted at one of the four angles for 6 hours. Cardiac dimensions and volumes were determined from two-dimensional and M-mode echocardiograms in the left lateral decubitus position at control (0), 2, 4, and 6 hours. Stroke volume decreased with time (P < .05) for all tilt angles when compared with control. Ejection fraction (EF) at -5 degrees was greater than at +20 degrees and +42 degrees (not significant); EF at +10 degrees was greater than at +42 degrees (not significant). For the tilt angles of -5 degrees, +10 degrees, and +20 degrees, mean heart rate decreased during the first 2 hours, and returned to control or was slightly elevated above control (+20 degrees) by 6 hours (not significant). At the +42 degrees angle of tilt, heart rate was increased above control at hours 2, 4, and 6. There were no significant differences in cardiac output at any time point for any tilt angle.(ABSTRACT TRUNCATED AT 250 WORDS).
The launch and entry suit (LES) is a life support suit worn during Orbiter ascent and descent. The impact of suit weight and restricted mobility on egress from the Orbiter during an emergency is unknown. An alternate suit - the advanced crew escape suite (ACES) - is being evaluated. The physiological responses to ambulatory exercise of six subjects wearing the LES and ACES were measured and compared to those measurements taken while unsuited. Dependent variables included heart rate and metabolic response to treadmill walking at 5.6 km/h (3.5 mph), and also bilateral concentric muscle strength about the knee, shoulder, and elbow. No significant (p greater than 0.06) differences in heart rate or metabolic variables were measured in either suit while walking at 5.6 km/h. Significant (p less than 0.05) decreases in all metabolic variables were remarked when both suits were compared to the unsuited condition. There were no significant (p greater than 0.05) differences among the three suit conditions at 30 or 180 deg/s for muscles about the elbow and knee; however, about the shoulder, a significant (p = 0.0215) difference between the ACES and the unsuited condition was noted. Therefore, wearing a life support suit while performing Orbiter egress imposes a significant metabolic demand on crewmembers. Selective upper body strength movements may be compromised.
The results of the lower body negative pressure (LBNP) and passive stand tests are presented, and the efficacy of the experimental antihypotensive garments is evaluated. Results of the tests are presented in tabular form. Postflight orthostatic evaluations during the Apollo program indicate that reduction in orthostatic tolerance is a consequence of space flight exposure. Heart rate, the most reliable index, was increased, while systolic and pulse pressures were decreased during immediate postflight evaluations using lower body negative pressure and passive standing as the orthostatic stress. Elevation in resting heart rate was a less frequent finding. There was considerable variability in the magnitude of these changes between individual crewmembers and in the persistence of the changes over subsequent postflight evaluations. Postflight changes in leg volume during LBNP were equal to or less than those seen during preflight baseline evaluations. Body weight, resting calf girth, supine leg volume, and cardiothoracic ratios were all diminished immediately postflight, and return to preflight values was not complete within the postflight testing time frame.
A full mission simulation of a civil air transport scenario that had two levels of workload was used to observe the actions of the crews and the basic aircraft parameters and to record heart rates. The results showed that the number of errors was very variable among crews but the mean increased in the higher workload case. The increase in errors was not related to rise in heart rate but was associated with vigilance times as well as the days since the last flight. The recorded data also made it possible to investigate decision time and decision order. These also varied among crews and seemed related to the ability of captains to manage the resources available to them on the flight deck.
Bedrest deconditioning is suspected to reduce cardiac function. However, quantitation of subtle decreases in cardiac reserve may be difficult. Normal subjects show considerable variability in heart rate response, reflected by a relatively broadband interbeat interval power spectrum. We hypothesized that the deconditioning effects of bedrest would induce narrowing of this spectrum, reflecting a reduction in the autonomically-modulated variability in heart rate. Ten aerobically conditioned men (average 35-50 years) underwent orthostatic tolerance testing with lower body negative pressure pre-bedrest and after 10 days of bedrest, while on placebo and after intravenous atropine. Spectra were derived by Fourier analysis of 128 interbeat interval data sets from subjects with sufficient numbers of beats during matched periods of the protocol. Data suggest that atropine unmasks the deconditioning effect of bedrest in athletic men, evidenced by a reduction in interbeat interval spectral power compared with placebo. Spectral analysis offers a new means of quantitating the effects of bedrest deconditioning and autonomic perturbations on cardiac dynamics.
Radiotelemetry was used to measure arterial pressure and mesenteric and renal blood flows from nine unrestrained, conscious baboons during periods of rest, moderate exercise, and extreme excitement. A description of the experiments hardware is presented, including artificial depressants phenylcyclidine hydrochloride, 0.5-1.0 mg/kg, and pentobarbital sodium, 15 mg/kg, and an ultrasonic telemetry flow meter. Results showed rising heart rate and arterial pressure coupled with a reduction of mesenteric and renal flows as the level of exercise was increased. These findings are compared with mesenteric and renal flows somewhat above control level, but relatively stable heart rate and arterial pressure, postprandially. Attention is given to a quantitative analysis of the experimental results.
A classic problem in physics is the analysis of highly nonstationary time series that typically exhibit long-range correlations. Here we test the hypothesis that the scaling properties of the dynamics of healthy physiological systems are more stable than those of pathological systems by studying beat-to-beat fluctuations in the human heart rate. We develop techniques based on the Fano factor and Allan factor functions, as well as on detrended fluctuation analysis, for quantifying deviations from uniform power-law scaling in nonstationary time series. By analyzing extremely long data sets of up to N = 10(5) beats for 11 healthy subjects, we find that the fluctuations in the heart rate scale approximately uniformly over several temporal orders of magnitude. By contrast, we find that in data sets of comparable length for 14 subjects with heart disease, the fluctuations grow erratically, indicating a loss of scaling stability.
Results are presented of echocardiographic investigations and hemodynamic measurements performed on 24 astronauts before and after short-duration (4-5 days) spaceflight, including data on the heart rate, blood pressure, and cardiac volumes. Cardiovascular changes which were found to occur after 4-5 day long spaceflight included decreased the left ventricular end-diastolic volume and the stroke volume indices, with a compensatory increased heart rate and the cardiac output being maintained; in addition, altered total peripheral vascular resistance was found to occur, with an apparent reduction in the ability to augment the peripheral vascular tone upon assuming the standing position. These cardiovascular characteristics normalized within 48 hrs of landing.
There is substantial evidence that anatomical connections exist between vestibular and autonomic nuclei. Animal studies have shown functional interactions between the vestibular and autonomic systems. The nature of these interactions, however, is complex and has not been fully defined. Vestibular stimulation has been consistently found to reduce blood pressure in animals. Given the potential interaction between vestibular and autonomic pathways this finding could be explained by a reduction in sympathetic activity. However, rather than sympathetic inhibition, vestibular stimulation has consistently been shown to increase sympathetic outflow in cardiac and splanchnic vascular beds in most experimental models. Several clinical observations suggest that a link between vestibular and autonomic systems may also exist in humans. However, direct evidence for vestibular/autonomic interactions in humans is sparse. Motion sickness has been found to induce forearm vasodilation and reduce baroreflex gain, and head down neck flexion induces transient forearm and calf vasoconstriction. On the other hand, studies using optokinetic stimulation have found either very small, variable, or inconsistent changes in heart rate and blood pressure, despite substantial symptoms of motion sickness. Furthermore, caloric stimulation severe enough to produce nystagmus, dizziness, and nausea had no effect on sympathetic nerve activity measured directly with microneurography. No effect was observed on heart rate, blood pressure, or plasma norepinephrine. Several factors may explain the apparent discordance of these results, but more research is needed before we can define the potential importance of vestibular input to cardiovascular regulation and orthostatic tolerance in humans.
BACKGROUND: Exercise is a fundamental component of maintaining astronaut health on long-duration space missions, where the microgravity environment poses unique challenges to physiological homeostasis. Accurate quantification of energy expenditure during such exercises is crucial for optimizing nutritional and physical health strategies for spacefarers. OBJECTIVE: This study aims to develop a comprehensive model to estimate caloric expenditure during exercise in a microgravity environment, employing a combination of spirometry, heart rate data, and other relevant parameters. By assessing energy utilization under these conditions, we seek to facilitate enhanced health management protocols for astronauts in space. METHODS & OUTCOMES: A multivariate predictive model will be constructed, utilizing spirometry and heart rate data, coupled with additional physiological and environmental parameters. A systematic approach will be applied to analyze the relationship between these variables and energy expenditure during various exercises. The proposed model will subsequently undergo rigorous validation to ensure accuracy and reliability. This research is expected to yield a precise and reliable predictive model, contributing to improved strategies for exercise prescription and nutritional intake, addressing the unique challenges presented by microgravity environments. We anticipate that our findings will support the development of more effective health maintenance protocols for astronauts during extended space missions, mitigating the adverse effects of space travel on the human body. SIGNIFICANCE: The development of an accurate and adaptable model to quantify caloric expenditure during exercise in space represents a pivotal advancement in space medicine. The insights gained from this study have the potential to inform the design of enhanced health and wellness strategies, ensuring the well-being and operational effectiveness of astronauts in long-duration space missions.
During adaptation to novel gravitational environments, sensorimotor disturbances have the potential to disrupt the ability of astronauts to perform required mission tasks. The goal of this project is to develop a sensorimotor adaptability (SA) training program to facilitate rapid adaptation. We have developed a unique training system comprised of a treadmill placed on a motion-base facing a virtual visual scene that provides an unstable walking surface combined with incongruent visual flow designed to enhance sensorimotor adaptability. The goal of our present study was to determine if SA training improved both the locomotor and cognitive responses to a novel sensory environment and to quantify the extent to which training would be retained. Methods: Twenty subjects (10 training, 10 control) completed three, 30-minute training sessions during which they walked on the treadmill while receiving discordant support surface and visual input. Control subjects walked on the treadmill but did not receive any support surface or visual alterations. To determine the efficacy of training all subjects performed the Transfer Test upon completion of training. For this test, subjects were exposed to novel visual flow and support surface movement, not previously experienced during training. The Transfer Test was performed 20 minutes, 1 week, 1, 3 and 6 months after the final training session. Stride frequency, auditory reaction time, and heart rate data were collected as measures of postural stability, cognitive effort and anxiety, respectively. Results: Using mixed effects regression methods we determined that subjects who received SA training showed less alterations in stride frequency, auditory reaction time and heart rate compared to controls. Conclusion: Subjects who received SA training improved performance across a number of modalities including enhanced locomotor function, increased multi-tasking capability and reduced anxiety during adaptation to novel discordant sensory information. Trained subjects maintained their level of performance over six months.