Results of a 4-week head-down tilt with and without LBNP countermeasure: II. Cardiac and peripheral hemodynamics--comparison with a 25-day spaceflight

Abstract

Cardiovascular hemodynamics were assessed by ultrasound echography and Doppler during a 28-d head-down tilt "CNES HDT: 87-88," and during the 25-d French-Soviet spaceflight "Aragatz 88." For both studies we used the same ultrasound methodology. The main hemodynamic parameters of the left heart function and of the peripheral arterial system (cerebral, renal, femoral arteries) were measured four times during the HDT (day 7, 14, 21, 28) and twice post-HDT. The same measurements were performed six times during the flight (day 4, 5, 15, 18, 20, 24) and five times postflight. During the HDT, two groups were studied: six subjects no countermeasures and six subjects with repeated lower body negative pressure (LBNP). In the first group the cardiac volumes and the cardiac output were significantly decreased, whereas in the group with LBNP these parameters were superior to the basal value. In the group without LBNP the cerebral flow was maintained because of a decrease of the brain vascular resistance. In this group the renal vascular resistance was decreased as inflight. In the lower limbs we observed a loss of the vasomotor control. The vascular resistance was decreased after the end of the HDT and the subjects suffered orthostatic intolerance. In the population with LBNP, we did not observe the same decrease of vascular resistance during the HDT, and after the HDT no sign of orthostatic intolerance was observed. During the flight, the left ventricular volume was significantly decreased. The carotid flow was maintained owing to a decrease of the cerebral vascular resistance.(ABSTRACT TRUNCATED AT 250 WORDS)