Simulated Stand Tests and Centrifuge Training to Prevent Orthostatic Intolerance on Earth, Moon, and Mars

Associate Editor Jennifer West oversaw the review of this article. Abstract—One proposed method to overcome postflight orthostatic intolerance is for astronauts to undergo inflight centrifugation. Cardiovascular responses were compared between centrifuge and gravitational conditions using a seven-compartment cardiovascular model. Vascular resis-tance, heart rate, and stroke volume values were adopted from literature, while compartmental volumes and compli-ances were derived from impedance plethysmography of subjects (n = 8) riding on a centrifuge. Three different models were developed to represent the typical male subject who completed a 10-min postflight stand test (‘‘male fin-isher’’), ‘‘non-finishing male’ ’ and ‘‘female’ ’ (all non-finish-ers). A sensitivity analysis found that both cardiac output and arterial pressure were most sensitive to total blood volume. Simulated stand tests showed that female astronauts were more susceptible to orthostatic intolerance due to lower initial blood pressure and higher pressure threshold for presyncope. Rates of blood volume loss by capillary filtration were found to be equivalent in female and male non-finishers, but four times smaller in male finishers. For equivalent times to presyncope during centrifugation as those during constant gravity, lower G forces at the level of the heart were required. Centrifuge G levels to match other cardiovascular parame-ters varied depending on the parameter, centrifuge arm length, and the gravity level being matched