For over 30 yr, men and women have lived for various periods of time i
n a weightless (or free-fall) environment while orbiting the Earth. Du
ring these years, we have learned that humans function quite well for
short periods of weightlessness, that is, for up to a little more than
a year. Some space flight missions have provided physiologic data, in
cluding cardiovascular data, from the spacefarers. In fact, some missi
ons have provided laboratories for systematic study of cardiovascular
responses and adaptation to space flight. However, the opportunity to
obtain physiologic data from people in space is a rarity. It is import
ant to remember that the population sample sizes are small, other stre
sses may confound the effects of weightlessness, and in some situation
s the crewmembers are subjects for several experiments at the same tim
e. Furthermore, comparison of cardiovascular data from space flight to
data obtained on the ground is sometimes difficult because the subjec
t's posture on the ground is not always reported; in a gravity environ
ment, posture influences the hydrostatic gradient. This overview descr
ibes what we have learned about cardiovascular functions during flight
and after return to Earth.