“…However, there is no definitive evidence to conclude that end diastolic pressure is significantly changed in microgravity, especially since stroke volumes, heart rates and cardiac output appear to be near normal. 7,8,9,10,11 Beyond the influence that a change in heart shape might have on myocardial tissue volume, there may also be a direct and independent impact on global cardiac function. There is evidence suggesting that the shape of the heart is important in determining the efficiency of the twisting motion of the ventricles, particularly as it relates to their diastolic function.…”