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At least 109 records · Page 6

Cardiovascular responses of men and women to lower body negative pressure

Changes in blood flow and blood redistribution were measured by impedance plethysmography in the pelvic and leg regions of six male and four female subjects during three 5-min exposures to -20, -40, and -60 mm Hg lower body negative pressure (LBNP). Female subjects demonstrated significantly higher mean heart rate and lower leg blood flow indices than the male subjects during the recumbent control periods. Men had slightly higher mean resting systolic and diastolic blood pressures and higher mean control pelvic blood indices. Women demonstrated significantly less blood pooling in the legs and slightly less in the pelvic region than the men. All of the 18 tests with male subjects at -60 mm Hg were completed without initial signs of syncope, while only two of the tests with women were completed successfully without the subject exhibiting presyncopal conditions. Results indicate that impedance plethysmography can be used to measure segmental cardiovascular responses during LBNP and that females may be less tolerant to -60 mm Hg LBNP than males.

Montgomery, L. D.↗

Cardiovascular studies using the chimpanzee (Pan troglodytes)

Despite the phylogenetic similarities between chimpanzees and man, there exists a paucity of reliable data on normal cardiovascular function and the physiological responses of the system to standard interventions. Totally implanted biotelemetry systems or hardwire analog techniques were used to examine the maximum number of cardiovascular variables which could be simultaneously monitored without significantly altering the system's performance. This was performed in order to acquire base-line data not previously obtained in this species, to determine cardiovascular response to specific forcing functions such as ventricular pacing, drug infusions, and lower body negative pressure. A cardiovascular function profile protocol was developed in order to adjust independently the three major factors which modify ventricular performance, namely, left ventricular performance, left ventricular preload, afterload, and contractility. Cardiac pacing at three levels above the ambient rate was used to adjust end diastolic volume (preload). Three concentrations of angiotensin were infused continuously to evaluate afterload in a stepwide fashion. A continuous infusion of dobutamine was administered to raise the manifest contractile state of the heart.

Hinds, J. E.↗

Contractile function of the myocardium with prolonged hypokinesia in patients with surgical tuberculosis

The changes in the myocardial contractile function with hypokinesia in surgical tuberculosis patients are discussed. The phase nature of the changes is noted, specifically the changes in the various systoles, diastole, and other parts of the cardiac cycle. The data compare these changes during confinement in bed with no motor activity to and with a return to motor activity after leaving the in-bed regimen.

Zakutayeva, V. P.↗

Effect of hypokinesia on cardiac contractile function and nervous regulation of the heart

Longterm hypokinesia caused cardiac deadaptation in rabbits, which resulted in the diminishing of the left ventricular rate of contraction and relaxation, joined later by decreased vascular resistance. As a results, the ejection rate as well as stroke volume and cardiac output were normal. The decrease of the relaxation speed was more obvious at a high heart rate and results in shortening of the diastolic pause and diminishing of cardiac output. Hearts of the hypokinetic animals were characterized by normal maximal pressure developed by a unit of muccardial mass aorta clamping, decreased adrenoreactivity, and increased cholinoreactivity. This complex of changes is contrary to changes observed in adaptation to exercise, but is similar to changes observed in compensatory hypertrophy of the heart.

Meyerson, F. Z.↗

Effects of antiorthostatic bedrest on the cardiorespiratory responses to exercise

The cardiorespiratory changes in exercise performance induced by horizontal and antiorthostatic bed rest are compared in order to determine the physiological changes occurring in the antiorthostatic position and their degree of similarity to those observed in weightlessness. Systolic and diastolic pressures, heart rates, maximum oxygen uptake, ventilation volume during and following 5 min of submaximal exercise in the supine position and body weight and composition were determined in subjects before and following 7 days of bed rest in the horizontal or 6-deg head-down positions. Bed rest is found to result in a general decrease in exercise tolerance as indicated by cardiorespiratory parameters in both groups, with the 6-deg head-down treatment causing greater cardiovascular deconditioning. When compared with space flight data, the antiorthostatic position is shown to simulate the effects of weightlessness more effectively than horizontal bed rest

Convertino, V. A.↗

Effect of orthostatic stress on exercise performance after bedrest

The cardiorespiratory responses to supine against upright exercise were compared to determine the orthostatic effects of gravity on exercise performance following bedrest. Five healthy male subjects underwent seven days of continuous bedrest. A deconditioning effect was manifested by significant increases in ventilation volume, carbon dioxide production, respiratory exchange ratio, heart rate, heart rate-pressure product, and diastolic blood pressure during submaximal exercise following bedrest. The major finding from this study was that bedrest resulted in a general decrease in exercise tolerance, which was more stressful in the upright posture compared to the supine position, judging from specific submaximal cardiorespiratory responses to cycle ergometry. The data support the hypothesis that there is an orthostatic factor to the reduction in work tolerance following bedrest deconditioning, in addition to the effects caused by increased physical activity.

Convertino, V. A.↗

Fluid shifts in vascular and extravascular compartments of humans during and after simulated weightlessness

A study is presented of the transcapillary pressures and the possible fluid shifts in muscles and subcutaneous tissue of the lower leg before, during, and after head-down tilt. Results showed that the subjects experienced facial edema, headache, nasal congestion, diuresis, and decreased lower-leg volume in response to 8 hours of 5 degree head-down tilt. Also found were significant decreases in systolic and diastolic pressures 2 hours after initiation of tilt, although blood pressure normalized thereafter. The lower-leg volume, urine output and interstitial fluid pressures of the tibialis anterior muscle and overlying subcutaneous tissue also changed significantly. No significant change was found in the colloid osmotic pressures of blood or interstitial fluid. It is concluded that these results indicate the need for countermeasures to maintain precapillary-muscle tone during long space flights in order to prevent swelling of lower-leg tissues upon readjustment to earth's gravity.

Hargens, A. R.↗

Short term /1 and 3 day/ cardiovascular adjustments to suspension antiorthostasis in rats

Antiorthostasis (AO) results in responses reflective of thoracic vessel loading. Initial findings included fluid and electrolyte shifts (diuresis and natriuresis) in AO but not in orthostatic (O) rats. This study aims at obtaining supportive evidence for cardiovascular responses, E.g., blood pressure and related parameters, in light of the original hypothesis. Tilting rats rapidly head-up from either horizontal (O) or head-down (AO) positions was used to assess cardiovascular sensitivities. O and AO rats were used after 1 or 3 days of suspension. Rats were controls (C), pre-tilted O and AO, tilted O and AO (rapid head-up 70-80 deg); post-tilted (to original postures). MAP in C rats was 108 +2 mmHg, in O, (117 + or - 1.02) and AO, (120 + or - 0.58). MAP, diastolic pressure (DP) and pulse pressure were consistently elevated in AO rats on day 3. With rapid head-up tilt, only MAP and DP showed significant increases. These changes were seen as cardiovascular responses to AO and support further use of this rat model for AO studies.

Musacchia, X. J.↗

Increase in whole-body peripheral vascular resistance during three hours of air or oxygen prebreathing

Male and female subjects prebreathed air or 100% oxygen through a mask for 3.0 hours while comfortably reclined. Blood pressures, heart rate, and cardiac output were collected before and after the prebreathe. Peripheral vascular resistance (PVR) was calculated from these parameters and increased by 29% during oxygen prebreathing and 15% during air prebreathing. The oxygen contributed substantially to the increase in PVR. Diastolic blood pressure increased by 18% during the oxygen prebreathe while stystolic blood pressure showed no change under either procedure. The increase in PVR during air prebreathing was attributed to procedural stress common to air and oxygen prebreathing.

Waligora, J. M.↗

Changes in cardiovascular function: Weightlessness and ground-based studies

Echocardiographic measurements were taken on members of four Space Shuttle missions before (F-10 to F-12) and twice after (L+0 and L+7 to 14 days) 7- to 9-day space flight missions. Such recordings allowed for determination of left ventricular chamber dimensions and subsequent calculations of left ventricular volume and stroke volume. Resting ventricular volume could be shown to significantly decrease 23% on L+) and to be associated with a significant 28% decrease in stroke volume. Studies 7 to 14 days layer showed amelioration of effects, but persistence of end diastolic volume change. Such findings occurred despite ability to fully ambulate and exercise during the postflight period. Comparison of findings with bed rested subjects (athletic and nonathletic) showed similar changes, but changes after bed rest were of smaller magnitude compared to the flight crews. It is concluded that space flight induces significant changes in heart volume even after short duration (7-9 days) missions. Heavy athletic conditioning preflight may contribute to the severity of the observed changes in the flight crews and to the apparent slow postflight process of recovery.

Sandler, H.↗

Transpulmonary passage of venous air emboli

Twenty-seven paralyzed anesthetized dogs were embolized with venous air to determine the effectiveness of the pulmonary vasculature for bubble filtration or trapping. Air doses ranged from 0.05 to 0.40 ml/kg min in 0.05-ml increments with ultrasonic Doppler monitors placed over arterial vessels to detect any microbubbles that crossed the lungs. Pulmonary vascular filtration of the venous air infusions was complete for the lower air doses ranging from 0.05 to 0.30 ml/kg min. When the air doses were increased to 0.35 ml/kg min, the filtration threshold was exceeded with arterial spillover of bubbles occurring in 50 percent of the animals and reaching 71 percent for 0.40 ml/kg min. Significant elevations were observed in pulmonary arterial pressure and pulmonary vascular resistance. Systemic blood pressure and cardiac output decreased, whereas left ventricular end-diastolic pressure remained unchanged. The results indicate that the filtration of venous bubbles by the pulmonary vasculature was complete when the air infusion rates were kept below a threshold value of 0.30 ml/kg min.

Butler, B. D.↗

Role of cardiac volume receptors in the control of ADH release during acute simulated weightlessness in man

Hemodynamic responses and antidiuretic hormone (ADH) were measured during body position changes, designed to induce central blood volume shifts in ten cardiac and one heart-lung transplant recipients, to assess the contribution of cardiac volume receptors in the control of ADH release during the initial acute phase of exposure to weightlessness. Each subject underwent 15 min of a sitting-control period (C) followed by 30 min of 6 deg headdown tilt (T) and 30 min of resumed sitting (S). Venous blood samples and cardiac dimensions were taken at 0 and 15 min of C; 5, 15, and 30 min of T; and 5, 15, and 30 min of S. Blood samples were analyzed for hematocrit, plasma osmolality, plasma renin activity (PRA), and ADH. Heart rate and blood pressure were recorded every two min. Plasma osmolality was not altered by posture changes. Mean left ventricular end-diastolic volume increased (P less than 0.05) from 90 ml in C to 106 ml in T and returned to 87 ml in S. Plasma ADH was reduced by 20 percent (P less than 0.05) with T, and returned to control levels with S. These responses were similar in six normal cardiac-innervated control subjects. These data may suggest that cardiac volume receptors are not the primary mechanism for the control of ADH release during acute central volume shifts in man.

Convertino, V. A.↗

The human cardiovascular system in the absence of gravity

The data collected from a Space Shuttle crew to investigate cardiovascular changes due to microgravity are presented. The experimental procedures which involved preflight, immediate postflight, and one week following postflight echocardiograms of 13 individuals are described. The immediate postflight results reveal a 20 percent decrease in stroke volume, a 16 percent decrease in left ventricular diastolic volume index (LVDVI), no change in systolic volume, blood pressure, or cardiac index, and a 24 percent increase in heart rate. One week later a 17 percent stroke volume increase, a 29 percent increase in cardiac index, and normal blood pressure, and LVDVI were observed. It is concluded that upon reexposure to gravity a readaptation process for the cardiovascular system occurs.

Bungo, M. W.↗

Cardiovascular dynamics associated with tolerance to lower body negative pressure

The purpose of this investigation was to identify cardiovascular responses associated with tolerance to lower body negative pressure (LBNP). Eighteen men, ages 29-51 years, were categorized as high (HT) or low (LT) LBNP-tolerant based on a graded presyncopal-limited LBNP exposure criterion of -60 mm Hg relative to ambient pressure. Groups were matched for physical characteristics and pre-LBNP cardiovascular measurements, with the exceptions of greater (p less than 0.05) end-diastolic volume and cardiac output in the HT group. During peak LBNP, cardiac output was similar in both groups, although the HT group displayed a greater heart rate (p less than 0.05). In both groups, venous return appeared to limit cardiac output resulting in decreased arterial pressure. Tolerance to LBNP did not appear solely dependent on the absolute amount of blood pooled in the legs since the HT group demonstrated a greater (p less than 0.05) peak LBNP-induced increase in midthigh-leg volume. Greater tolerance to LBNP was associated with a larger pre-LBNP cardiac output reserve and higher compensatory increases in heart rate and peripheral resistance.

Sather, T. M.↗

Effect of hydration on some orthostatic and haematological responses to head-up tilt

Experiments were undertaken to determine the effects of hydration status on: (1) orthostatic responses, and on (2) relative changes in intravascular volume and protein content, during 70 deg head-up tilt (HUT). Six men underwent 45 min of HUT, preceded by 45 min supine, first dehydrated, and again 105 min later after rehydration with water. Heart rate was consistently lower following rehydration (p less than 0.01), while supine diastolic pressure was higher (p less than 0.02). Systolic pressure fell during dehydrated HUT (p less than 0.01), but not during rehydrated HUT. Postural haemoconcentration, which was reduced after rehydration (p less than 0.001), was accompanied by a decrease in intravascular albumin content (p less than 0.05). Two subjects experienced severe presyncopal symptoms during dehydrated HUT, but not during rehydrated HUT. Thus, it appears that rehydration after fluid restriction improves orthostatic tolerance. Furthermore, extravascular hydration status may be more important than intravascular hydration status in determining orthostatic tolerance.

Harrison, M. H.↗

Echocardiographic evaluation of Space Shuttle crewmembers

Echocardiographic measurements of left ventricular volume were obtained from 17 members of four Space Shuttle crews before and after 5- to 8-day space flights. Measurements obtained 1 h after landing indicated increases in the heart rate (HR), mean arterial pressure, and systemic vascular resistance values. On the other hand, the end-diastolic volume index (EDVI) fell 17 ml/sq m, and the stroke volume index (SVI) fell 15 ml/sq m. Measurements taken 1-2 weeks later demonstrated that the HR values returned to normal, but the EDVI and SVI values remained significantly below preflight levels, despite the ability of the subjects to ambulate and exercise. The results indicate that a space flight induces significant changes in heart volume affecting the left-ventricle function. It is suggested that the prolonged recovery period is related to the high level of aerobic conditioning in these subjects.

Bungo, M. W.↗

Relationships between coronary heart disease risk factors and serum ionized calcium in Kennedy Space Center Cohort

Kennedy Space Center (KSC) employees are reported to be at high risk for coronary heart disease (CHD). Risk factors for CHD include high serum total cholesterol levels, low levels of high-density lipoprotein cholesterol (HDLC), elevated triglyceride, smoking, inactivity, high blood pressure, being male, and being older. Higher dietary and/or serum calcium Ca(++) may be related to a lower risk for CHD. Fifty men and 37 women participated. Subjects were tested in the morning after fasting 12 hours. Information relative to smoking and exercise habits was obtained; seated blood pressures were measured; and blood drawn. KCS men had higher risk values than KCS women as related to HDLC, triglycerides, systolic blood pressure, and diastolic blood pressure. Smoking and nonsmoking groups did not differ for other risk factors or for serum Ca(++) levels. Exercise and sedentary groups differed in total cholesterol and triglyceride levels. Serum Ca(++) levels were related to age, increasing with age in the sedentary group and decreasing in the exercisers, equally for men and women. It is concluded that these relationships may be significant to the risk of CHD and/or the risk of bone demineralization in an aging population.

Goodwin, Lisa Ann↗

Fluid particle motion and Lagrangian velocities for pulsatile flow through a femoral artery branch model

A flow visualization study using selective dye injection and frame by frame analysis of a movie provided qualitative and quantitative data on the motion of marked fluid particles in a 60 degree artery branch model for simulation of physiological femoral artery flow. Physical flow features observed included jetting of the branch flow into the main lumen during the brief reverse flow period, flow separation along the main lumen wall during the near zero flow phase of diastole when the core flow was in the downstream direction, and inference of flow separation conditions along the wall opposite the branch later in systole at higher branch flow ratios. There were many similarities between dye particle motions in pulsatile flow and the comparative steady flow observations.

Cho, Y. I.↗