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1 United States Army Institute of Surgical Research, Fort Sam Houston 78234; 3 University of Texas Health Science Center, San Antonio 78229; 5 Professional Performance Development Group, Inc., San Antonio 78240; 6 Rothe Development, Inc., San Antonio, Texas 78222; 2 Department of Mathematical Sciences, University of North Carolina, Greensboro, North Carolina 27412; and 4 National Aeronautics and Space Administration-Ames Research Center, Moffett Field, California 95070
We measured central venous pressure (CVP);
plasma volume (PV); urine volume rate (UVR); renal excretion of sodium
(UNa); and renal clearances of creatinine, sodium, and osmolality
before and after acute volume infusion to test the hypothesis that
exposure to microgravity causes resetting of the CVP operating point.
Six rhesus monkeys underwent two experimental conditions in a crossover counterbalance design: 1) continuous exposure to 10°
head-down tilt (HDT) and 2) a control, defined as 16 h/day
of 80° head-up tilt and 8 h prone. After 48 h of exposure
to either test condition, a 120-min course of continuous infusion of
isotonic saline (0.4 ml · kg
1 · min
1 iv) was
administered. Baseline CVP was lower (P = 0.011) in HDT (2.3 ± 0.3 mmHg) compared with the control (4.5 ± 1.4 mmHg)
condition. After 2 h of saline infusion, CVP was elevated
(P = 0.002) to a similar magnitude (P = 0.485) in HDT (
CVP = 2.7 ± 0.8 mmHg) and control
(
CVP = 2.3 ± 0.8 mmHg) conditions and returned to preinfusion levels 18 h postinfusion in both treatments. PV
followed the same pattern as CVP. The response relationships between
CVP and UVR and between CVP and UNa shifted to the left with HDT. The
restoration of CVP and PV to lower preinfusion levels after volume
loading in HDT compared with control supports the notion that lower CVP
during HDT may reflect a new operating point about which vascular
volume is regulated. These results may explain the ineffective fluid
intake procedures currently employed to treat patients and astronauts.
set point; hypovolemia; diuresis; renal function
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