Cardiovascular response to 4 hours of 6 degrees head-down tilt or of 30 degrees head-up tilt bed rest

Abstract

The cardiovascular responses to 4 h of 6 degrees head-down tilt (HDT) were compared to those of 4 h of 30 degrees head-up tilt (HUT) following a period of 1 h baseline in the 30 degrees HUT position. Eight healthy males completed each tilt position. Immediately on assuming HDT, heart rate decreased slightly from baseline, but did not differ from HUT. Stroke volume and cardiac output both increased significantly by as much as 54% and 26%, respectively, in the first minute of HDT. The difference between HDT and HUT was no longer present after 30 min. Mean arterial blood pressure was unchanged throughout 4 h or HUT or HDT. The ratio of pre-injection period to left ventricular ejection time was significantly decreased across all 4 h of HDT. Plasma volume was slightly elevated over the 4 h of HDT, while plasma hemoglobin concentration was significantly reduced. No evidence of a diuresis was found with 4 h HDT. Plasma catecholamines were not different between HDT and HUT. The present results show that the immediate transition from a HUT to a HDT position causes a dramatic change in cardiovascular variables. These changes are generally transient with baseline values resumed by many variables within 30 min of exposure to 6 degrees HDT.