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1 Clinic of Anaesthesiology and 4 Institute of Surgical Research, University of Munich, 81366 Munich, Germany; 2 Department of Paediatrics, Imperial College School of Medicine, London SW10 9NH, Great Britain; and 3 Institute of Biomedical Problems, Moscow 123007, Russia
We used venous congestion strain
gauge plethysmography (VCP) to measure the changes in fluid filtration
capacity (Kf), isovolumetric venous pressure
(Pvi), and blood flow in six volunteers before, on the
118th day (D118) of head-down tilt (HDT), and 2 days after remobilization (Post). We hypothesized that 120 days of HDT cause significant micro- and macrovascular changes. We observed a significant increase in Kf from 3.6 ± 0.4 × 10
3 to 5.7 ± 0.9 × 10
3
ml · min
1 · 100 ml
1 · mmHg
1 (+51.4%;
P < 0.003), which returned to pretilt values (4.0 + 0.4 × 10
3
ml · min
1 · 100 ml
1 · mmHg
1) after remobilization.
Similarly, Pvi increased from 13.4 ± 2.1 mmHg
to 28.9 ± 2.8 mmHg (+105.8%; P < 0.001) at D118
and was not significantly different at Post (12.4 ± 2.6 mmHg).
Blood flow decreased significantly from 2.3 ± 0.3 to
1.3 ± 0.2 ml · min
1 · 100 ml
tissue
1 at D118 and was found elevated to 3.4 ± 0.7 ml · min
1 · 100 ml tissue
1
at Post. We believe that the increased Kf is
caused by a higher microvascular water permeability. Because this may
result in edema formation, it could contribute to the alterations in
fluid homeostasis after exposure to microgravity.
microgravity; fluid filtration capacity; microvascular permeability; head-down tilt
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