The thrombotic risk of spaceflight: has a serious problem been overlooked for more than half of a century?

Aging Astronaut Commercial spaceflight Exploration mission Human spaceflight International Space Station Mars Microgravity Moon Thrombotic risk Touristic spaceflight Weightlessness

Journal

European heart journal
ISSN: 1522-9645
Titre abrégé: Eur Heart J
Pays: England
ID NLM: 8006263

Informations de publication

Date de publication:
01 01 2021
Historique:
received: 18 12 2019
revised: 12 02 2020
accepted: 20 04 2020
pubmed: 20 5 2020
medline: 15 5 2021
entrez: 20 5 2020
Statut: ppublish

Résumé

The first ever venous thrombotic condition associated with spaceflight, an internal jugular vein thrombus requiring anticoagulation, has recently been reported. Systematic investigation of space travel-associated thrombotic risk has not been conducted. Cellular, animal, and human studies performed in ground-based models and in actual weightlessness revealed influences of weightlessness and gravity on the blood coagulation system. However, human study populations were small and limited to highly selected participants. Evidence in individuals with medical conditions and older persons is lacking. Evidence for thrombotic risk in spaceflight is unsatisfactory. This issue deserves further study in heterogeneous, high risk populations to find prevention strategies and to enable safe governmental and touristic human spaceflight.

Identifiants

pubmed: 32428936
pii: 5840773
doi: 10.1093/eurheartj/ehaa359
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

97-100

Informations de copyright

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.

Auteurs

Ulrich Limper (U)

German Aerospace Center (DLR), Institute of Aerospace Medicine, Cologne, Germany.
Department of Anaesthesiology and Intensive Care Medicine, Merheim Medical Center, Hospitals of Cologne, University of Witten/Herdecke, Ostmerheimer Strasse 200, D-51109, Cologne, Germany.

Jens Tank (J)

German Aerospace Center (DLR), Institute of Aerospace Medicine, Cologne, Germany.

Tobias Ahnert (T)

Department of Orthopedic Surgery Traumatology and Sports Medicine, Merheim Medical Center, Hospitals of Cologne, University of Witten/Herdecke, Cologne, Germany.

Marc Maegele (M)

Department of Orthopedic Surgery Traumatology and Sports Medicine, Merheim Medical Center, Hospitals of Cologne, University of Witten/Herdecke, Cologne, Germany.

Oliver Grottke (O)

Department of Anaesthesiology, Medical Faculty, University Hospital RWTH Aachen, Aachen, Germany.

Marc Hein (M)

Department of Anaesthesiology, Medical Faculty, University Hospital RWTH Aachen, Aachen, Germany.

Jens Jordan (J)

German Aerospace Center (DLR), Institute of Aerospace Medicine, Cologne, Germany.
Chair of Aerospace Medicine, Medical Faculty, University of Cologne, Cologne, Germany.

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Classifications MeSH