Microgravity and Cardiovascular Health in Astronauts: A Narrative Review

ABSTRACT Background Space exploration has become a major interest for scientific and medical research. With increasing duration and frequency of manned space missions, it is crucial to understand the impact of microgravity on the cardiovascular health of astronauts. We focus on this relationship by...

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Main Authors: John Azariah, Umberto Terranova
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.70316
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author John Azariah
Umberto Terranova
author_facet John Azariah
Umberto Terranova
author_sort John Azariah
collection DOAJ
description ABSTRACT Background Space exploration has become a major interest for scientific and medical research. With increasing duration and frequency of manned space missions, it is crucial to understand the impact of microgravity on the cardiovascular health of astronauts. We focus on this relationship by reviewing literature that explores how microgravity affects several hemodynamic parameters and cardiovascular biomarkers. Methods We conducted a search updated to November 2024 across several databases, including PubMed, Cochrane Library, ESA, NASA and DLR, using relevant MeSH terms and selection criteria. Results The 22 selected articles detail how microgravity impacts the cardiovascular system and its adaptations. We identify some clear patterns, such as loss of ventricular mass and increased QT intervals (corrected for heart rate) indicating increased risk of arrhythmias. Our analysis confirms that head‐down tilt is an accurate analog of microgravity. Conclusions While a direct link between microgravity and cardiovascular disease, such as coronary heart disease and myocardial infarction, remains elusive, the documented physiological changes pose a potential threat to the astronauts' health. We suggest that future research focus on long‐term effects, particularly on female subjects.
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spelling doaj-art-b79eef99d6a64f52b9aadd0c17aa30e12025-01-29T03:42:40ZengWileyHealth Science Reports2398-88352025-01-0181n/an/a10.1002/hsr2.70316Microgravity and Cardiovascular Health in Astronauts: A Narrative ReviewJohn Azariah0Umberto Terranova1Faculty of Medicine and Health Science Crewe Campus, University of Buckingham Crewe UKFaculty of Medicine and Health Science Crewe Campus, University of Buckingham Crewe UKABSTRACT Background Space exploration has become a major interest for scientific and medical research. With increasing duration and frequency of manned space missions, it is crucial to understand the impact of microgravity on the cardiovascular health of astronauts. We focus on this relationship by reviewing literature that explores how microgravity affects several hemodynamic parameters and cardiovascular biomarkers. Methods We conducted a search updated to November 2024 across several databases, including PubMed, Cochrane Library, ESA, NASA and DLR, using relevant MeSH terms and selection criteria. Results The 22 selected articles detail how microgravity impacts the cardiovascular system and its adaptations. We identify some clear patterns, such as loss of ventricular mass and increased QT intervals (corrected for heart rate) indicating increased risk of arrhythmias. Our analysis confirms that head‐down tilt is an accurate analog of microgravity. Conclusions While a direct link between microgravity and cardiovascular disease, such as coronary heart disease and myocardial infarction, remains elusive, the documented physiological changes pose a potential threat to the astronauts' health. We suggest that future research focus on long‐term effects, particularly on female subjects.https://doi.org/10.1002/hsr2.70316astronautscardiovascular adaptationscardiovascular healthmicrogravityspaceflight
spellingShingle John Azariah
Umberto Terranova
Microgravity and Cardiovascular Health in Astronauts: A Narrative Review
Health Science Reports
astronauts
cardiovascular adaptations
cardiovascular health
microgravity
spaceflight
title Microgravity and Cardiovascular Health in Astronauts: A Narrative Review
title_full Microgravity and Cardiovascular Health in Astronauts: A Narrative Review
title_fullStr Microgravity and Cardiovascular Health in Astronauts: A Narrative Review
title_full_unstemmed Microgravity and Cardiovascular Health in Astronauts: A Narrative Review
title_short Microgravity and Cardiovascular Health in Astronauts: A Narrative Review
title_sort microgravity and cardiovascular health in astronauts a narrative review
topic astronauts
cardiovascular adaptations
cardiovascular health
microgravity
spaceflight
url https://doi.org/10.1002/hsr2.70316
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AT umbertoterranova microgravityandcardiovascularhealthinastronautsanarrativereview