Cardiovascular Adaptations of Space Travel: A Systematic Review

Introduction: Space travel imposes significant gravitational and radiation stress on both cellular and systemic physiology, resulting in myriad cardiovascular changes that have not been fully characterized. Methods: We conducted a systematic review of the cellular and clinical adaptations of the cardiovascular system after exposure to real or simulated space travel in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The PubMed and Cochrane databases were searched in June 2021 for all peer-reviewed articles published since 1950 related to the following search terms entered in separate pairs: “cardiology and space” and “cardiology and astronaut.” Only cellular and clinical studies in English concerning the investigation of cardiology and space were included. Results: Eighteen studies were identified, comprising 14 clinical and 4 cellular investigations. On the genetic level, pluripotent stem cells in humans and cardiomyocytes in mice displayed increased beat irregularity, with clinical studies revealing a persistent increase in heart rate after space travel. Further cardiovascular adaptations included a higher frequency of orthostatic tachycardia but no evidence of orthostatic hypotension, after return to sea level. Hemoglobin concentration was also consistently decreased after return to Earth. No consistent change in systolic or diastolic blood pressure or any clinically significant arrhythmias were observed during or after space travel. Conclusion: Changes in oxygen carrying capacity, blood pressure, and post-flight orthostatic tachycardia may serve as reasons to further screen for pre-existing anemic and hypotensive conditions among astronauts.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Cardiovascular Adaptations of Space Travel: A Systematic Review ; volume:148 ; number:5 ; year:2023 ; pages:434-440 ; extent:7
Cardiology ; 148, Heft 5 (2023), 434-440 (gesamt 7)

Urheber
Sharma, Shay N.
Meller, Leo L.T.
Sharma, Ajay Nair
Amsterdam, Ezra A.

DOI
10.1159/000531466
URN
urn:nbn:de:101:1-2023101200205672644333
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:49 MESZ

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Beteiligte

  • Sharma, Shay N.
  • Meller, Leo L.T.
  • Sharma, Ajay Nair
  • Amsterdam, Ezra A.

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