Cardiac atrophy after bed rest and spaceflight

Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas and Department of Internal Medicine and Radiology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75231 Cardiac muscle adapts well to changes in loading conditions. For example, left ventricu...

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Veröffentlicht in:Journal of applied physiology (1985) 2001-08, Vol.91 (2), p.645-653
Hauptverfasser: Perhonen, Merja A, Franco, Fatima, Lane, Lynda D, Buckey, Jay C, Blomqvist, C. Gunnar, Zerwekh, Joseph E, Peshock, Ronald M, Weatherall, Paul T, Levine, Benjamin D
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container_title Journal of applied physiology (1985)
container_volume 91
creator Perhonen, Merja A
Franco, Fatima
Lane, Lynda D
Buckey, Jay C
Blomqvist, C. Gunnar
Zerwekh, Joseph E
Peshock, Ronald M
Weatherall, Paul T
Levine, Benjamin D
description Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas and Department of Internal Medicine and Radiology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75231 Cardiac muscle adapts well to changes in loading conditions. For example, left ventricular (LV) hypertrophy may be induced physiologically (via exercise training) or pathologically (via hypertension or valvular heart disease). If hypertension is treated, LV hypertrophy regresses, suggesting a sensitivity to LV work. However, whether physical inactivity in nonathletic populations causes adaptive changes in LV mass or even frank atrophy is not clear. We exposed previously sedentary men to 6 ( n  = 5) and 12   ( n  = 3) wk of horizontal bed rest. LV and right ventricular (RV) mass and end-diastolic volume were measured using cine magnetic resonance imaging (MRI) at 2, 6, and 12 wk of bed rest; five healthy men were also studied before and after at least 6 wk of routine daily activities as controls. In addition, four astronauts were exposed to the complete elimination of hydrostatic gradients during a spaceflight of 10 days. During bed rest, LV mass decreased by 8.0 ± 2.2% ( P  = 0.005) after 6 wk with an additional atrophy of 7.6 ± 2.3% in the subjects who remained in bed for 12 wk; there was no change in LV mass for the control subjects (153.0 ± 12.2   vs. 153.4 ± 12.1 g, P  = 0.81). Mean wall thickness decreased (4   ± 2.5%, P  = 0.01) after 6 wk of bed rest associated with the decrease in LV mass, suggesting a physiological remodeling with respect to altered load. LV end-diastolic volume decreased by 14 ± 1.7% ( P  = 0.002) after 2 wk of bed rest and changed minimally thereafter. After 6 wk of bed rest, RV free wall mass decreased by 10 ± 2.7% ( P  = 0.06) and RV end-diastolic volume by 16 ± 7.9% ( P  = 0.06). After spaceflight, LV mass decreased by 12 ± 6.9% ( P  = 0.07). In conclusion, cardiac atrophy occurs during prolonged (6 wk) horizontal bed rest and may also occur after short-term spaceflight. We suggest that cardiac atrophy is due to a physiological adaptation to reduced myocardial load and work in real or simulated microgravity and demonstrates the plasticity of cardiac muscle under different loading conditions. magnetic resonance imaging; left ventricular mass; left ventricular end-diastolic volume; right ventricular mass; right ventricular end-diastolic volume
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We exposed previously sedentary men to 6 ( n  = 5) and 12   ( n  = 3) wk of horizontal bed rest. LV and right ventricular (RV) mass and end-diastolic volume were measured using cine magnetic resonance imaging (MRI) at 2, 6, and 12 wk of bed rest; five healthy men were also studied before and after at least 6 wk of routine daily activities as controls. In addition, four astronauts were exposed to the complete elimination of hydrostatic gradients during a spaceflight of 10 days. During bed rest, LV mass decreased by 8.0 ± 2.2% ( P  = 0.005) after 6 wk with an additional atrophy of 7.6 ± 2.3% in the subjects who remained in bed for 12 wk; there was no change in LV mass for the control subjects (153.0 ± 12.2   vs. 153.4 ± 12.1 g, P  = 0.81). Mean wall thickness decreased (4   ± 2.5%, P  = 0.01) after 6 wk of bed rest associated with the decrease in LV mass, suggesting a physiological remodeling with respect to altered load. LV end-diastolic volume decreased by 14 ± 1.7% ( P  = 0.002) after 2 wk of bed rest and changed minimally thereafter. After 6 wk of bed rest, RV free wall mass decreased by 10 ± 2.7% ( P  = 0.06) and RV end-diastolic volume by 16 ± 7.9% ( P  = 0.06). After spaceflight, LV mass decreased by 12 ± 6.9% ( P  = 0.07). In conclusion, cardiac atrophy occurs during prolonged (6 wk) horizontal bed rest and may also occur after short-term spaceflight. We suggest that cardiac atrophy is due to a physiological adaptation to reduced myocardial load and work in real or simulated microgravity and demonstrates the plasticity of cardiac muscle under different loading conditions. magnetic resonance imaging; left ventricular mass; left ventricular end-diastolic volume; right ventricular mass; right ventricular end-diastolic volume</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/jappl.2001.91.2.645</identifier><identifier>PMID: 11457776</identifier><identifier>CODEN: JAPHEV</identifier><language>eng</language><publisher>Legacy CDMS: Am Physiological Soc</publisher><subject>Adult ; Analysis of Variance ; Applied physiology ; Atrophy ; Bed Rest ; Biological and medical sciences ; Blood Pressure ; Cardiac Output ; Heart - physiology ; Heart Rate ; Hemodynamics ; Human physiology applied to population studies and life conditions. Human ecophysiology ; Humans ; Life Sciences (General) ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Myocardium - pathology ; Space Flight ; Space life sciences ; Stroke Volume ; Time Factors ; Transports. Aerospace. Diving. 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However, whether physical inactivity in nonathletic populations causes adaptive changes in LV mass or even frank atrophy is not clear. We exposed previously sedentary men to 6 ( n  = 5) and 12   ( n  = 3) wk of horizontal bed rest. LV and right ventricular (RV) mass and end-diastolic volume were measured using cine magnetic resonance imaging (MRI) at 2, 6, and 12 wk of bed rest; five healthy men were also studied before and after at least 6 wk of routine daily activities as controls. In addition, four astronauts were exposed to the complete elimination of hydrostatic gradients during a spaceflight of 10 days. During bed rest, LV mass decreased by 8.0 ± 2.2% ( P  = 0.005) after 6 wk with an additional atrophy of 7.6 ± 2.3% in the subjects who remained in bed for 12 wk; there was no change in LV mass for the control subjects (153.0 ± 12.2   vs. 153.4 ± 12.1 g, P  = 0.81). Mean wall thickness decreased (4   ± 2.5%, P  = 0.01) after 6 wk of bed rest associated with the decrease in LV mass, suggesting a physiological remodeling with respect to altered load. LV end-diastolic volume decreased by 14 ± 1.7% ( P  = 0.002) after 2 wk of bed rest and changed minimally thereafter. After 6 wk of bed rest, RV free wall mass decreased by 10 ± 2.7% ( P  = 0.06) and RV end-diastolic volume by 16 ± 7.9% ( P  = 0.06). After spaceflight, LV mass decreased by 12 ± 6.9% ( P  = 0.07). In conclusion, cardiac atrophy occurs during prolonged (6 wk) horizontal bed rest and may also occur after short-term spaceflight. 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Gunnar</au><au>Zerwekh, Joseph E</au><au>Peshock, Ronald M</au><au>Weatherall, Paul T</au><au>Levine, Benjamin D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac atrophy after bed rest and spaceflight</atitle><jtitle>Journal of applied physiology (1985)</jtitle><addtitle>J Appl Physiol (1985)</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>91</volume><issue>2</issue><spage>645</spage><epage>653</epage><pages>645-653</pages><issn>8750-7587</issn><eissn>1522-1601</eissn><coden>JAPHEV</coden><abstract>Institute for Exercise and Environmental Medicine, Presbyterian Hospital of Dallas and Department of Internal Medicine and Radiology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75231 Cardiac muscle adapts well to changes in loading conditions. For example, left ventricular (LV) hypertrophy may be induced physiologically (via exercise training) or pathologically (via hypertension or valvular heart disease). If hypertension is treated, LV hypertrophy regresses, suggesting a sensitivity to LV work. However, whether physical inactivity in nonathletic populations causes adaptive changes in LV mass or even frank atrophy is not clear. We exposed previously sedentary men to 6 ( n  = 5) and 12   ( n  = 3) wk of horizontal bed rest. LV and right ventricular (RV) mass and end-diastolic volume were measured using cine magnetic resonance imaging (MRI) at 2, 6, and 12 wk of bed rest; five healthy men were also studied before and after at least 6 wk of routine daily activities as controls. In addition, four astronauts were exposed to the complete elimination of hydrostatic gradients during a spaceflight of 10 days. During bed rest, LV mass decreased by 8.0 ± 2.2% ( P  = 0.005) after 6 wk with an additional atrophy of 7.6 ± 2.3% in the subjects who remained in bed for 12 wk; there was no change in LV mass for the control subjects (153.0 ± 12.2   vs. 153.4 ± 12.1 g, P  = 0.81). Mean wall thickness decreased (4   ± 2.5%, P  = 0.01) after 6 wk of bed rest associated with the decrease in LV mass, suggesting a physiological remodeling with respect to altered load. LV end-diastolic volume decreased by 14 ± 1.7% ( P  = 0.002) after 2 wk of bed rest and changed minimally thereafter. After 6 wk of bed rest, RV free wall mass decreased by 10 ± 2.7% ( P  = 0.06) and RV end-diastolic volume by 16 ± 7.9% ( P  = 0.06). After spaceflight, LV mass decreased by 12 ± 6.9% ( P  = 0.07). In conclusion, cardiac atrophy occurs during prolonged (6 wk) horizontal bed rest and may also occur after short-term spaceflight. We suggest that cardiac atrophy is due to a physiological adaptation to reduced myocardial load and work in real or simulated microgravity and demonstrates the plasticity of cardiac muscle under different loading conditions. magnetic resonance imaging; left ventricular mass; left ventricular end-diastolic volume; right ventricular mass; right ventricular end-diastolic volume</abstract><cop>Legacy CDMS</cop><pub>Am Physiological Soc</pub><pmid>11457776</pmid><doi>10.1152/jappl.2001.91.2.645</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Physiological Society; NASA Technical Reports Server; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Analysis of Variance
Applied physiology
Atrophy
Bed Rest
Biological and medical sciences
Blood Pressure
Cardiac Output
Heart - physiology
Heart Rate
Hemodynamics
Human physiology applied to population studies and life conditions. Human ecophysiology
Humans
Life Sciences (General)
Magnetic Resonance Imaging
Male
Medical sciences
Myocardium - pathology
Space Flight
Space life sciences
Stroke Volume
Time Factors
Transports. Aerospace. Diving. Altitude
Vascular Resistance
Weightlessness
title Cardiac atrophy after bed rest and spaceflight
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