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Departments of Physiology and Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75235
Chronic
microgravity may modify adaptations of the leg circulation to
gravitational pressures. We measured resting calf compliance and blood flow with venous occlusion plethysmography, and arterial blood pressure with sphygmomanometry, in seven subjects before, during,
and after spaceflight. Calf vascular resistance equaled mean arterial
pressure divided by calf flow. Compliance equaled the slope of the calf
volume change and venous occlusion pressure relationship for thigh cuff
pressures of 20, 40, 60, and 80 mmHg held for 1, 2, 3, and 4 min,
respectively, with 1-min breaks between occlusions. Calf blood flow
decreased 41% in microgravity (to 1.15 ± 0.16 ml · 100 ml
1 · min
1) relative to 1-G supine
conditions (1.94 ± 0.19 ml · 100 ml
1 · min
1, P = 0.01), and arterial pressure tended to increase (P = 0.05), such that calf vascular resistance doubled in microgravity
(preflight: 43 ± 4 units; in-flight: 83 ± 13 units;
P < 0.001) yet returned to preflight levels after
flight. Calf compliance remained unchanged in microgravity but tended
to increase during the first week postflight (P > 0.2). Calf vasoconstriction in microgravity qualitatively agrees with
the "upright set-point" hypothesis: the circulation seeks
conditions approximating upright posture on Earth. No calf hemodynamic
result exhibited obvious mechanistic implications for postflight
orthostatic intolerance.
weightlessness; gravity; leg; vascular resistance; blood flow; venous compliance
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