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Biomedical subjects

H Hinghofer-Szalkay

Publications and source records attributed to H Hinghofer-Szalkay.

At least 37 records · Page 2Linked to original sources
PubMed1993

Comparison of hemodynamic and volume responses to different levels of lower body suction and head-up tilt.

Orthostatic challenge such as lower body suction (LBNP) or head-up tilt (HUT) induces marked shifts of blood from the cardiopulmonary into lower extremity vascular compartments. As a reaction to central hypovolemia, counterregulating mechanisms take place immediately, including central/peripheral circulatory responses and neurohumoral responses. Compensatory answers are exerted via autonomic reflexes, ie, cardiopulmonary and arterial baroreceptor mechanisms. The sympathetic nervous system increases heart rate and peripheral resistance to adjust the cardiovascular system to the stress situation. The physiological response to head-up tilt and LBNP are similar but not identical. Numerous investigations on cardiovascular changes during tilt and LBNP have been performed, but the data vary greatly because of different experimental protocols. Musgrave et al. have done systematic comparisons of the overall hemodynamic responses to these two stress stimuli in the same subjects. To our knowledge, no systematic comparative study of effects of LBNP and HUT of different magnitude, using identical subjects, has yet been performed. This study investigates two different grades of lower body suction and two tilt angles in 12 subjects. Before, during and after cardiovascular loading we recorded heart rate (HR), systolic (SBP), diastolic (DSP) and mean arterial blood pressure (MAP). For calculation of blood volume shifts, plasma density (PD) and hematocrit (Ht) was measured. We addressed the questions if 1) heart rate and blood pressure react similarly to LBNP and HUT, 2) there is evidence for unloading of high pressure receptors with low levels of orthostatic / circulatory stress, and 3) a correlation between amount of fluid loss and grade of stimulus intensity can be established.

Blood Pressure↗
PubMed1993

[Life support--from space suit to biosphere].

Systems supporting human life and survival range from small items like oxygen masks or protective suits to the global biosphere. However, in a long run, the former ones cannot work without proper functioning of the latter. A consequence for biomedical research is the challenge to more fully understand, and to take into account, complex ecophysiological systems interdependencies. The development of life support systems (LSS) as used in manned flight significantly contribute to our understanding of life on a grand scale. A "medium-sized" materially closed LSS model is Biosphere 2, which completely recycles waste, provides clean air, potable water, and nutrient-dense food to a crew of 8 for basically unlimited time.

Ecological Systems, Closed↗
PubMed1993

[The interstitial organ in weightlessness: a clinico-physiologic model].

We performed an experiment within the 1991 Austromir mission, 3 months preflight, on the 6th inflight and 4th postflight days, respectively. Primary goal was to measure changes in venous blood and plasma sound velocity (BSV, PSV) with lower body suction (LBNP). Contrasting earth-based findings, there was no increase in BSV nor PSV with LBNP inflight. Postflight, the elevation in both values was greater than expected. Taken together with LBNP data from the German 1992 Mir cosmonaut, we propose the hypothesis that the dynamics of tissue fluid exchange is profoundly influenced by m-g adaptation. A further goal of the experiment was to determine volume- and stress-sensitive hormones. The results need validation by additional flight data and might be considered as an important contribution to our understanding of the normal functioning and pathophysiology of the interstitial organ.

Adaptation, Physiological↗
PubMed1992

Testing of neuroendocrine function in astronauts as related to fluid shifts.

We addressed the question of optimal conditions for neuroendocrine and cardiovascular testing in astronauts. We tested stress reactions during LBNP of < or = -50 mmHg. There was a mild transient elevation of plasma GH concentration and a nonsignificant rise of plasma ACTH, while PRL, insulin and glucose remained unchanged. Aldosterone was decreased 5 and 10 min after beginning of LBNP, thereafter rose significantly, and displayed further significant concentration increase 5 min post-LBNP. The endocrine and cardiovascular responses to submaximal exercise were tested at 8.00 am and 8.00 pm. Exercise-induced changes of heart rate and blood pressure remained unchanged with daytime whereas plasma concentrations of epinephrine, GH and PRL in response to work load were significantly higher in the evening than in the morning. As expected, basal resting values of plasma cortisol were significantly lower in the evening than in the morning but were similar one hour after cessation of exercise. Our findings demonstrate the importance of frequent sampling in case of transient physiological phenomena, and contribute to existing knowledge on circadian influences upon neuroendocrine stress responses.

Adult↗
PubMed1992

Biphasic blood volume changes with lower body suction in humans.

We recorded blood and plasma mass density and hematocrit of antecubital venous blood in 12 subjects in the supine position before, during, and after 20-40 min of lower body subatmospheric pressure (LBNP) of -35 mmHg. Mass density values decreased during the first minutes of LBNP, indicating a transient 2.8% blood volume gain before they rose as expected. After LBNP, a pronounced further density increase, indicating a further 1.5% hemoconcentration, preceded the return toward control. This pattern suggests reflex-driven transient filtration effects. Computed mass density of fluid exchanged between blood and extravascular space was 1,007.2 +/- 4.4 milligrams (37.0 degrees C); mass density of erythrocytes remained unaltered. We conclude that sudden unloading of central pressure receptors with LBNP causes microvascular fluid gain preceding fluid loss (hemoconcentration) during LBNP, and receptor loading after LBNP additionally causes fluid loss preceding inward filtration (hemodilution) during recovery. These effects can be quantified with high-precision blood and plasma mass densitometry performed by the mechanical oscillator technique.

Adolescent↗
PubMed1992

[The effect of 6% HES 200/0.6-0.66 on plasma volume and blood coagulation].

The main goal of the recent study was to evaluate changes in plasma volume due to the application of 6% HES 200/0.6-0.66. 12 patients according to the ASA physical status classification (I, II) undergoing minor surgical interventions received 500 ml of this artificial plasma substitute within 30 min. In a control group (n = 12), 500 ml of lactated Ringer's solution was given within the same period. A further question of the present investigation was the possible influence of 6% HES on coagulation during the following period (1st-3rd postoperative days). 6% HES 200/0.6-0.66 led to an additional augmentation of plasma volume measured via the mechanical oscillator technique of 200 ml (40% of the volume given) immediately at the end of infusion. A second increase in plasma volume of 100 ml (20% of the volume infused) could be observed 1 h later. With exception of the activity of factor VIII, the coagulation parameters had not been altered by infusion of 6% HES. The activity of factor VIII decreased to about 50% of the control level but showed a tendency to normalization within the following observation period. 6% HES 200/0.6-0.66 has a marked volume-expanding effect and exerts no influence on coagulation except a temporary decrease of factor VIII activity.

Adult↗
PubMed1992

Effect of head-down bedrest on blood/plasma density after intravenous fluid load.

Using the mechanical oscillator technique, the mass density of antecubital venous blood and plasma samples was measured in 6 men before and after infusion of 22 ml/kg isotonic NaCl solution before, on day 7 during, and on day 3 after ten days of 6 degrees head-down bedrest. We studied 1) the distribution volumes of the infused NaCl solution, 2) the magnitude and time-course of induced fluid shifts to the extravascular spaces after rapid volume expansion, and 3) the protein concentration of the translocated fluid. The NaCl distribution volume was 16.7 +/- 2.9% body weight (BW) before, 15.0 +/- 3.0% BW during (P less than 0.05) and 13.0 +/- 1.3% BW after the head-down tilt (HDT) period (P less than 0.01). The volume of fluid shifted 120 min after infusion was not different in the control (12.9 +/- 7.4% plasma volume and 8.3 +/- 3.2% blood volume), during HDT (14.7 +/- 3.8% plasma volume and 7.4 +/- 5.6% blood volume), during HDT HDT conditions (14.6 +/- 2.2% plasma volume, and 8.2 +/- 1.3% blood volume, respectively). The density of the shifted fluid which reflects protein concentration was also unchanged (1004.2 +/- 4.2 g/l, 1002.6 +/- 4.3 g/l and 1003.9 +/- 8.2 g/l in the control, during, and after HDT periods, respectively). The mass density of red cells did not change with any condition. It is concluded that the distribution volume of isotonic saline solution decreases with diminished body mass. Densitometry provides a means of monitoring volume changes and protein shifts under the circumstances of our study.

Adult↗
PubMed1989

Monitoring fluid shifts in humans: application of a new method.

Using the "mechanical oscillator technique," the mass density of antecubital venous blood and plasma samples was measured 5-20 times in order to study the influence of postural changes (gravity dependence) on human blood mass density with 0.01 g.L-1 precision, while performing tilt table tests in 17 men. Hemoglobin concentration was measured in 10, and hematocrit in all subjects. Postural fluid shifts were mirrored by accompanying changes in all variables. Blood density (BD) was monitored continuously in five additional experiments from one vein each using two independent densitometers. There were linear relations (p less than 0.01) between all possible combinations of BD, plasma density (PD), blood hemoglobin concentration (Hb), and hematocrit (Ht). Hb can be directly computed from BD (range +/- 10%); the accuracy of Ht determinations from BD increases (range +/- 0.02) if the individual erythrocyte density (ED) and the sample PD are used for calculation. ED was calculated and did not change with body position. ED values of different persons ranged between 1085 g.L-1 and 1095 g.L-1 and did not vary in 15 out of 17 individuals with time (5-75 d). We conclude that ED is closely regulated to an individual set point, that Ht can be computed from BD with higher accuracy if the individual ED and the actual PD values are known, and that BD allows for direct Hb calculation. On-line BD monitoring can be performed with high precision and reveals the individual time-course of spontaneous and postural capillary fluid shifts.

Adult↗
PubMed1988

Effect of lower-body positive pressure on postural fluid shifts in men.

To quantify the effect of 60 mm Hg lower-body positive pressure (LBPP) on orthostatic blood-volume shifts, the mass densities (+/- 0.1 g.1-1) of antecubital venous blood and plasma were measured in five men (27-42 years) during combined tilt table/antigravity suit inflation and deflation experiments. The densities of erythrocytes, whole-body blood, and of the shifted fluid were computed and the magnitude of fluid and protein shifts were calculated during head-up tilt (60 degrees) with and without application of LBPP. During 30-min head-up tilt with LBPP, blood density (BD) and plasma density (PD) increased by 1.6 +/- 0.3 g.1-1, and by 0.8 +/- 0.2 g.1-1 (+/- SD) (N = 9), respectively. In the subsequent period of tilt without LBPP, BD and PD increased further to + 3.6 +/- 0.9 g.1-1, and to + 2.0 +/- 0.7 g.1-1 (N = 7), compared to supine control. The density increases in both periods were significant (p less than 0.05). Erythrocyte density remained unaltered with changes in body position and pressure suit inflation/deflation. Calculated shifted-fluid densities (FD) during tilt with LBPP (1006.0 +/- 1.1 g.1-1, N = 9), and for subsequent tilt after deflation (1002.8 +/- 4.1 g.1-1, N = 7) were different from each other (p less than 0.03). The plasma volume decreased by 6.0 +/- 1.2% in the tilt-LBPP period, and by an additional 6.4 +/- 2.7% of the supine control level in the subsequent postdeflation tilt period. The corresponding blood volume changes were 3.7 +/- 0.7% (p less than 0.01), and 3.5 +/- 2.1% (p less than 0.05), respectively. Thus, about half of the postural hemo-concentration occurring during passive head-up tilt was prevented by application of 60 mm Hg LBPP.

Adult↗
PubMed1987

Early fluid and protein shifts in men during water immersion.

High precision blood and plasma densitometry was used to measure transvascular fluid shifts during water immersion to the neck. Six men (28-49 years) undertook 30 min of standing immersion in water at 35.0 +/- 0.2 degrees C; immersion was preceded by 30 min control standing in air at 28 +/- 1 degrees C. Blood was sampled from an antecubital catheter for determination of blood density (BD), plasma density (PD), haematocrit (Ht), total plasma protein concentration (PPC), and plasma albumin concentration (PAC). Compared to control, significant decreases (p less than 0.01) in all these measures were observed after 20 min immersion. At 30 min, plasma volume had increased by 11.0 +/- 2.8%; the average density of the fluid shifted from extravascular fluid into the vascular compartment was 1006.3 g.l-1; albumin moved with the fluid and its albumin concentration was about one-third of the plasma protein concentration during early immersion. These calculations are based on the assumption that the F-cell ratio remained unchanged. No changes in erythrocyte water content during immersion were found. Thus, immersion-induced haemodilution is probably accompanied by protein (mainly albumin) augmentation which accompanies the intravascular fluid shift.

Adult↗
PubMed1987

Continuous monitoring of blood volume changes in humans.

The mass density of antecubital venous blood was measured continuously for 80 min/session with 0.1 g/l precision at a flow rate of 1.5 ml/min in six male subjects. Each person participated in two different sessions with the same protocol. To induce transvascular fluid shifts, the subjects changed from sitting to standing and from standing to supine positions. There was transient blood density shifts immediately after postural changes, followed by an asymptotic approach to a new steady-state blood density level. Additional deviations from a simple time course were regularly observed. Blood density increased by 3.5 +/- 1.4 (SD) g/l when standing after sitting and decreased by 5.0 +/- 1.2 g/l while supine after standing. The corresponding half time of the blood density increase was 5.6 +/- 1.4 min (standing after sitting) and 6.9 +/- 3.1 min (supine after standing) of the blood density decrease. Erythrocyte density was calculated and did not change with body position. Whole-body blood density was calculated from plasma density, hematocrit, and erythrocyte density, assuming an F-cell ratio of 0.91. Volume shifts were computed from the density data; the subject's blood volume density decreased by 6.2 +/- 1.2% from sitting to standing and increased by 8.5 +/- 2.1% from standing to supine. Additional discrete plasma density and hematocrit measurements gave linear relations (P less than 0.001) between all possible combinations of blood density, plasma density, and hematocrit.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1986

Fluid and protein shifts after postural changes in humans.

With the use of a new mass density detection method, blood density (BD), plasma density (PD), and erythrocyte density (ED) were measured during different postures in euhydrated humans. ED remained stable under various head-up tilt (HUT) procedures. Changes of PD and BD mirrored the time course of hemodilution and hemoconcentration. The mass density of the shifted fluid (FD) was virtually identical for the outward filtrated fluid when upright and for the inward movement of fluid when supine; it averaged 1,008.3 g/l (37 degrees C), which is equivalent to a protein concentration of 30 g/l. PD and BD increased almost linearly with increasing angles of tilt. A stepwise increase from supine position to 90 degrees HUT within 2 h resulted in a mean plasma volume (PV) loss of 18%. Repeated sudden HUT to 70 degrees for 45 min, separated by 45-min supine (0 degree) periods, resulted in slightly reduced PV shifts which averaged -14% during 45 min of quiet HUT. The results indicate that erythrocyte volume remains constant after assuming different HUT positions in euhydrated subjects; a net loss of intravascular protein occurs during postural hemoconcentration, and protein gain occurs with postural hemodilution; the protein concentration of the shifted fluid resembles that of whole-body lymph; and microsample densitometry on blood and plasma is an accurate technique for measuring dynamic responses of rapid blood-volume changes in humans.

Adult↗
PubMed1986

Continuous blood densitometry: fluid shifts after graded hemorrhage in animals.

To evaluate rapid fluid shifts after graded hemorrhage in splenectomized animals, four pigs and two dogs were bled 15-23 ml/kg body wt in steps of 2.2-6.0 ml/kg. Arterial blood density (BD), mean arterial pressure (MAP), and central venous pressure (CVP) were recorded continuously, and arterial plasma density (PD) and hematocrit (Hct) were determined from blood samples. Erythrocyte density was computed from PD, BD, and Hct. Starting with stable control conditions, MAP, CVP, and BD fell from the beginning of hemorrhage. Each blood withdrawal was followed by an immediate and rapid decrease in BD, even at the lowest (less than 3 ml/kg) initial blood losses. The time course of BD change mirrored that of the volume replacement, with time constants of 3.0-9.6 min and amplitudes depending on the magnitude of the relative volume loss. The PD decrease was significant (P less than 0.01) after 5.4 +/- 0.7 ml/kg hemorrhage. At 15 ml/kg blood loss the mean PD and BD had dropped by 0.99 +/- 0.15 and 2.42 +/- 0.26 g/l, respectively, and Hct had dropped by 2.40 +/- 0.47 units. Calculations suggest that either the inward-shifted fluid has a higher density than normal ultrafiltrate and/or there is a rise of the whole-body-to-large vessel Hct (F cell ratio). The rapid fluid replacement ranged from 5.8 +/- 0.8 to 10.6 +/- 2.0% of the initial plasma volume, or one-fifth to one-third of the lost volume with a 20% hemorrhage. Transvascular fluid shifts can be monitored with continuous high-precision blood densitometry.

Animals↗
PubMed1986

Method of high-precision microsample blood and plasma mass densitometry.

The reliability of the mechanical oscillator technique (MOT) for blood and plasma mass density measurements on small samples is quantified in this paper. Sources of measurement errors that can reduce both the accuracy and precision of density determinations include storage of plasma samples, inhomogeneity of blood samples, and density reading before adequate temperature equilibration. Measurements on fractions from identical samples and repeated samplings from test subjects under steady-state conditions revealed a 10(-2) g/l reproducibility of density readings. The mean plasma density (PD) readings did not change significantly after up to 1-wk storage at +4 degrees C or up to 2 mo storage at -20 degrees C. The variability of the PD findings increased with storage time and were generally higher with storage at -20 degrees C, compared with +4 degrees C. Densitometers of different sizes were used to evaluate rheological influences on blood density (BD) readings. Linear correlations between PD and plasma protein concentration, between BD and blood hemoglobin concentration, and between erythrocyte density and mean corpuscular hemoglobin concentration were significant (P less than 0.001). Rapid density measurements with up to 10(-2) g/l reliability on small (less than 0.1 ml) volumes of biological fluids and continuous blood densitometry can be performed with use of the MOT.

Animals↗
PubMed1985

Volume and density changes of biological fluids with temperature.

High-precision (10(-5) g/ml) mass density measurements on human blood, plasma, plasma ultrafiltrate (using PM-10 membranes), and erythrocyte concentrate samples were performed with the mechanical oscillator technique. Measurement temperatures varied between 4 and 48 degrees C and were accurate to +/- 1 X 10(-2) K. The coefficient of thermal expansion (beta), defined as relative volume change with temperature, was calculated. It was shown that beta increases with temperature in these fluid samples over the entire temperature range investigated; the magnitude of this increase declines with increasing temperature; beta increases with density at temperatures below 40 degrees C but is independent of density above 40 degrees C; and the beta of the intracellular fluid has about twice the value of the beta for extracellular fluid at low (4-10 degrees C) temperatures but is equal for both fluids at greater than or equal to 40 degrees C. The mechanical oscillator technique provides data with an accuracy sufficient to perform precise (10(-5) K) calculations of beta of small volumes of biological fluids.

Blood Volume↗