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Am J Physiol Regul Integr Comp Physiol 281: R2021-R2028, 2001;
0363-6119/01 $5.00
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Vol. 281, Issue 6, R2021-R2028, December 2001

Evidence for central venous pressure resetting during initial exposure to microgravity

Victor A. Convertino1, David A. Ludwig2, James J. Elliott3
Charles E. Wade4
(With the Technical Assistance of Gary Muniz5 and Richard Owens6)

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 (Delta CVP = 2.7 ± 0.8 mmHg) and control (Delta 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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