Prevention & lipids

Cardiac Effects of Long-Duration Space Flight

J Am Coll CardiolPublished Prospective cohort study

Authors' conclusion

The current exercise countermeasures used on the ISS appear effective in offsetting reductions in cardiac mass and volume, despite overall reductions in total cardiac work, during prolonged space flight.

Study context

Population
Astronauts (4 females; age 49 ± 4 years) on prolonged International Space Station (ISS) missions with current exercise countermeasures4 females
Participants
13 participants
Exposure
Postflight vs preflight
Outcome
LV mass (MRI); cardiac atrophy
Follow-up
3 days after flight
Methodological detailspre-post (paired) comparison
  • Pre-post (paired) comparison

Main finding

As reported in the abstract

LV mass · 3 days postflight

P = 0.053

Observational data: associations, not effects.

Further findings

OutcomeP value
Total cardiac work · during space flightLower during space flightP = 0.008

Left ventricular (LV) stroke volume and EF

Marginally higher LV stroke volume postflight
P = 0.074
Marginally higher EF postflight
P = 0.075

Right ventricular (RV) mass, RV EF, ventricular volumes

RV mass not different
P = 0.999
RV EF not different
P = 0.147
End-diastolic volume not different
P = 0.934
End-systolic volume not different
P = 0.145

Correlations with relative change in LV mass

Relative change in total cardiac output
r = 0.73; P = 0.015
Relative change in total cardiac work
r = 0.53; P = 0.112

Original publication

Cardiac Effects of Long-Duration Space Flight. J Am Coll Cardiol. Published 22 August 2023. doi:10.1016/j.jacc.2023.05.058

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