Results obtained by the investigators in ground-based experiments and
in two parabolic flight series of tests aboard the NASA KC-135 aircraf
t with a hydraulic simulator of the human systemic circulation have co
nfirmed that a simple lack of hydrostatic pressure within an artificia
l ventricle causes a decrease in stroke volume of 20%-50%. A correspon
ding drop in stroke volume (SV) and cardiac output (CO) was observed o
ver a range of atrial pressures (AP), representing a rightward shift o
f the classic CO versus AP cardiac function curve. These results are i
n agreement with echocardiographic experiments performed on space shut
tle flights, where an average decrease in SV of 15% was measured follo
wing a three-day period of adaptation to weightlessness. The similarit
y of behavior of the hydraulic model to the human system suggests that
the simple physical effects of the lack of hydrostatic pressure may b
e an important mechanism for the observed changes in cardiac performan
ce in astronauts during the weightlessness of space flight. (C) 1998 B
iomedical Engineering Society. [S0090-6964(98)00806-6].