The arterial baroreflex and inherent G tolerance.

PURPOSE: High G tolerance is based on the capacity to maintain a sufficient level of arterial pressure (AP) during G load; therefore, we hypothesized that subjects with high G tolerance (H group) would have stronger arterial baroreflex responses compared to subjects with low G tolerance (L group). The carotid baroreflex was evaluated using the neck pressure method (NP), which assesses open-loop responses. METHODS: The carotid baroreflex was tested in 16 subjects, n = 8 in the H and L group, respectively, in the supine and upright posture. Heart rate and AP were measured. RESULTS: There were no differences between groups in the maximum slopes of the carotid baroreflex curves. However, the H group had a larger systolic and mean AP (SAP, MAP) increase to the initial hypotensive stimuli of the NP sequence in the upright position compared to the L group, 7.5 ± 6.6 vs 2.0 ± 2.4 and 4.1 ± 3.4 vs 1.1 ± 1.1 mmHg for SAP and MAP, respectively. Furthermore, the L group exhibited an increased latency between stimuli and response in AP in the upright compared to supine position, 4.1 ± 1.0 vs 3.1 ± 0.9 and 4.7 ± 1.1 vs 3.6 ± 0.9 s, for SAP and MAP. No differences in chronotropic responses were observed between the groups. CONCLUSIONS: It is concluded that the capacity for reflexive vasoconstriction and maintained speed of the vascular baroreflex during orthostatic stress are coupled to a higher relaxed GOR tolerance.

Dysfunctional vestibular system causes a blood pressure drop in astronauts returning from space.

It is a challenge for the human body to maintain stable blood pressure while standing. The body's failure to do so can lead to dizziness or even fainting. For decades it has been postulated that the vestibular organ can prevent a drop in pressure during a position change--supposedly mediated by reflexes to the cardiovascular system. We show--for the first time--a significant correlation between decreased functionality of the vestibular otolith system and a decrease in the mean arterial pressure when a person stands up. Until now, no experiments on Earth could selectively suppress both otolith systems; astronauts returning from space are a unique group of subjects in this regard. Their otolith systems are being temporarily disturbed and at the same time they often suffer from blood pressure instability. In our study, we observed the functioning of both the otolith and the cardiovascular system of the astronauts before and after spaceflight. Our finding indicates that an intact otolith system plays an important role in preventing blood pressure instability during orthostatic challenges. Our finding not only has important implications for human space exploration; they may also improve the treatment of unstable blood pressure here on Earth.

Perception of verticality and cardiovascular responses during short-radius centrifugation.

BACKGROUND: Artificial gravity using short-radius centrifugation has been proposed as an integrative countermeasure during spaceflight. OBJECTIVE: To determine the rotation parameters of a short-radius centrifuge so that subjects rotating in the dark would feel as if they were standing upright. METHODS: Twelve subjects were lying supine in a nacelle on a 2.8 m-radius centrifuge with their head closer to the axis of rotation and their feet pointing radially outwards. Subjects verbally reported body orientation for 26 combinations of centrifuge rotation rate and nacelle pitch tilt. ECG and respiratory responses were also recorded. RESULTS: Five subjects felt like they were vertical when centrifugation elicited 1 g at their center of mass along their body longitudinal axis, whereas seven subjects felt they were vertical when they experienced about 1 g at ear level, regardless of the nacelle tilt angle. Heart rate variability varied with the subjects' perception of verticality. CONCLUSIONS: These results suggest that one group of subject was relying principally on the otolith organs for the perception of verticality, whereas the other group was also relying on extravestibular somatosensory receptors. The crewmember's perception of verticality might be a factor to take into account for the prescription for artificial gravity during spaceflight.

3D-ballistocardiography in microgravity: comparison with ground based recordings.

3D-Ballistocardiograms ECG and Impedancecardiograms (ICG) were recorded on 5 healthy volunteers participating to the European Space Agency (ESA) 57(th) parabolic flights campaigns. Comparisons are made between the baseline recordings performed on the ground and the recordings made during the microgravity phases of a parabolic flight. The spatial curves of the displacement, velocity and acceleration vectors, instead of their individual components are used to compute the magnitude of the force vector, kinetic energy and work during the cardiac cycle. Our hypothesis is that the 3D-BCG provides parameters correlated with the timings of ejection (PEP, LVET). Although our subject population is limited (N=5), this is the first study of BCG to be performed with N>1. Our results suggest that microgravity decrease the complexity of the 3D displacement curve and that peaks in curvature are consistently present in microgravity and on the ground. However they do not seem to be perfectly related to the classical cardiac ejection timings from ICG.