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. 2017 Aug 7;6(8):e005564.
doi: 10.1161/JAHA.117.005564.

Incidence Rate of Cardiovascular Disease End Points in the National Aeronautics and Space Administration Astronaut Corps

Carl J Ade  1 , Ryan M Broxterman  2 , Jacqueline M Charvat  3 , Thomas J Barstow  4
Affiliations

Incidence Rate of Cardiovascular Disease End Points in the National Aeronautics and Space Administration Astronaut Corps

Carl J Ade et al. J Am Heart Assoc. .

Abstract

Background: It is unknown whether the astronaut occupation or exposure to microgravity influences the risk of long-term cardiovascular disease (CVD). This study explored the effects of being a career National Aeronautics and Space Administration (NASA) astronaut on the risk for clinical CVD end points.

Methods and results: During the Longitudinal Study of Astronaut Health, data were collected on 310 NASA astronauts and 981 nonastronaut NASA employees. The nonastronauts were matched to the astronauts on age, sex, and body mass index, to evaluate acute and chronic morbidity and mortality. The primary outcomes were composites of clinical CVD end points (myocardial infarction, congestive heart failure, stroke, and coronary artery bypass surgery) or coronary artery disease (CAD) end points (myocardial infarction and coronary artery bypass surgery). Of the astronauts, 5.2% had a clinical CVD end point and 2.9% had a CAD end point compared with the nonastronaut comparisons with 4.7% and 3.1% having CVD and CAD end points, respectively. In the multivariate models adjusted for traditional risk factors, astronauts had a similar risk of CVD compared with nonastronauts (adjusted hazard ratio, 1.08; 95% CI, 0.60-1.93; P=0.80). Risk of a CAD end point was similar between groups (hazard ratio, 0.97; CI, 0.45-2.08; P=0.93). In astronauts with early spaceflight experience, the risk of CVD (hazard ratio, 0.80; CI, 0.25-2.56; P=0.71) and CAD (hazard ratio, 1.23; CI: 0.27-5.61; P=0.79) compared with astronauts with no experience were not different.

Conclusions: These findings suggest that being an astronaut is not associated with increased long-term risk of CVD development.

Keywords: cardiovascular disease; heart failure; myocardial infarction; spaceflight; stroke.

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Figures

Figure 1
Figure 1
Kaplan–Meier curves of CVD end points (A) and CAD end points (B) in astronauts and nonastronaut comparisons. CAD indicates coronary artery disease; CVD, cardiovascular disease.
Figure 2
Figure 2
Kaplan–Meier curves of CVD end points (A) and CAD end points (B) in astronauts with and without a history of spaceflight experience at the fifth decade of life (age 40–49 years). CAD indicates coronary artery disease; CVD, cardiovascular disease.
See this image and copyright information in PMC

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