Ultrastructural and cellular mechanisms in myocardial deconditioning in weightlessness

The cardiovascular deconditioning that has been shown to result from immobilization on earth and in the microgravity environment during spaceflight is considered. The major interests to future long-term spaceflight are the determination of the specific factors causing myocardial deconditioning, the irreversibility/reversibility of the changes, and preventative/treatment methods for this deconditioning process. The results of earlier animal studies designed to determine the effects of immobilization on myocardial function demonstrate that both ultrastructural and functional changes occur during test periods ranging from 14 days to 6 months. Based on such results and the need for a more precise understanding of the structural and biochemical mechanisms leading to these effects, an experiment was designed for use in future studies. The results of the Cosmos 1887 and 2044 flights as well as their comparison and analysis indicate that significant differences exist between simulated and actual spaceflight subjects. Spaceflight subjects demonstrate greater changes than tail-suspended subjects. More spaceflight studies will be necessary to gain a greater understanding of the basic mechanism behind myocardial deconditioning resulting from spaceflight and the most effective methods to be utilized in its prevention and treatment.