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

Limper, U. and Tank, J. and Ahnert, T. and Maegele, M. and Grottke, O. and Hein, M. and Jordan, J. (2020) The thrombotic risk of spaceflight: has a serious problem been overlooked for more than half of a century? European Heart Journal, 42 (1), pp. 97-100. Oxford University Press. doi: 10.1093/eurheartj/ehaa359. ISSN 0195-668X.

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Official URL: https://doi.org/10.1093/eurheartj/ehaa359

Abstract

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.

Item URL in elib:https://elib.dlr.de/140040/
Document Type:Article
Title:The thrombotic risk of spaceflight: has a serious problem been overlooked for more than half of a century?
Authors:
AuthorsInstitution or Email of AuthorsAuthor's ORCID iD
Limper, U.Ulrich.Limper (at) dlr.dehttps://orcid.org/0000-0001-9927-4180
Tank, J.Cardiovascular Aerospace Medicine Department, Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany; Jens.Tank (at) dlr.dehttps://orcid.org/0000-0002-5672-1187
Ahnert, T.Department of Orthopedic Surgery Traumatology and Sports Medicine, Merheim Medical Center, Hospitals of Cologne, University of Witten/Herdecke, Cologne, GermanyUNSPECIFIED
Maegele, M.Department of Orthopedic Surgery Traumatology and Sports Medicine, Merheim Medical Center, Hospitals of Cologne, University of Witten/Herdecke, Cologne, GermanyUNSPECIFIED
Grottke, O.Department of Anaesthesiology, Medical Faculty, University Hospital RWTH Aachen, Aachen, GermanyUNSPECIFIED
Hein, M.Department of Anaesthesiology, Medical Faculty, University Hospital RWTH Aachen, Aachen, GermanyUNSPECIFIED
Jordan, J.Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany; Jens.Jordan (at) dlr.dehttps://orcid.org/0000-0003-4518-0706
Date:18 May 2020
Journal or Publication Title:European Heart Journal
Refereed publication:Yes
Open Access:No
Gold Open Access:No
In SCOPUS:Yes
In ISI Web of Science:Yes
Volume:42
DOI :10.1093/eurheartj/ehaa359
Page Range:pp. 97-100
Publisher:Oxford University Press
ISSN:0195-668X
Status:Published
Keywords:Aging; Astronaut; Commercial spaceflight; Exploration mission; Human spaceflight; International Space Station; Mars; Microgravity; Moon; Thrombotic risk; Touristic spaceflight; Weightlessness
HGF - Research field:Aeronautics, Space and Transport
HGF - Program:Space
HGF - Program Themes:Research under Space Conditions
DLR - Research area:Raumfahrt
DLR - Program:R FR - Research under Space Conditions
DLR - Research theme (Project):R - Vorhaben Systemphysiologie (old)
Location: Köln-Porz
Institutes and Institutions:Institute of Aerospace Medicine
Institute of Aerospace Medicine > Cardiovascular Medicine in Aerospace
Institute of Aerospace Medicine > Leitungsbereich ME
Deposited By: Schrage, Larissa
Deposited On:07 Jan 2021 10:36
Last Modified:20 Apr 2021 14:03

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