Carotid Arterial Wall Dynamics During Gravity Changes on Partial-g Parabolic Flights

The investigation of systemic blood pressure (BP) responses under partial-g conditions is of particular importance with respect to post-space-flight orthostatic intolerance. In this study, changes in vessel diameter and wall distension of the common carotid artery (CCA) were assessed under graded gravity. Measurements were performed on 8 healthy subjects in standing position under lunar (0.16 g), Martian (0.38 g), 1.0 g and hypergravity (1.8 g) during partial-g parabolic flights. Data are reported as means ± SE estimated by linear mixed effects modeling. The CCA diameter was significantly enlarged under Martian and lunar-g (6.55 ± 0.2 and 6.54 ± 0.2 mm; p < 0.001 each) with respect to 1.0 g (6.39 ± 0.2 mm). The CCA distension showed significant enlargement under Martian-g (622 ± 91 μ m) with respect to 1.0 g (603 ± 82 μ m; p < 0.05). Furthermore, the distension was significantly lower under hyper-g with respect to 1.0 g (550 ± 88 μ m; p < 0.001). These results show that rapid changes of gravitational stress induce significant modifications of hemodynamic parameters reflected in the CCA vessel wall diameter and distension. The increased vessel wall diameter under partial-g is likely due to the rise in mean BP at the CCA level caused by the absence of hydrostatic pressure and may trigger the baroreflex to maintain homeostatis. We can assume that the increase in distension during the partial-g phase originates from a larger stroke volume and enhanced BP reflections. Furthermore, this study demonstrates the reliability of functional high resolution vascular ultrasound technique during parabolic flights.