NASA Boosts Heart-Monitoring Tech

By Philip Chien
Wired News

02:00 AM Jul, 07, 2006

http://www.wired.com/news/technology/0,71334-0.html?tw=wn_index_4


This Saturday's scheduled spacewalk from the shuttle Discovery will be the 
first to use a new system for remotely monitoring astronauts' vital signs 
in space -- after a contractor's experiment found the old system was 
producing bad data.

Spacewalks are a strenuous activity, so before each one commences 
astronauts attach sensors to their bodies, identical to the ones used in 
doctors' offices for ECGs. Each astronaut's heart action is monitored and 
beamed back to Mission Control, where the on-duty flight surgeon keeps a 
close watch for signs of undue stress, or health issues that might call for 
an astronaut to take a break or cut the spacewalk short.

The heart-monitoring is a staple of NASA's rigorous attention to the health 
of its space shuttle astronauts -- a regimen that includes "private medical 
conferences" where astronauts talk to the flight surgeon directly without 
anybody else monitoring the circuit, and an on-board medical kit with 
drugs, tools for minor surgery, and other critical care equipment. 
(Contrary to urban legend there are no suicide pills anywhere on the shuttle.)

Dr. Douglas Hamilton, with NASA contractor Wyle Laboratories, designed an 
experimental system to improve on the ECG technology. To test it, he 
examined the raw data from all U.S. spacewalks. That's 91 spacewalks in 
American spacesuits from the shuttle and International Space Station from 
1983 to 2002, according to space historian Robert Ash, adding up to 581 
hours. Almost all spacewalks have two astronauts (there was a single 
exception -- a three person spacewalk in 1992) for a total of 3.8 million 
heartbeats.

When Hamilton's team did some number crunching on the data, they were 
shocked to find indications that on several spacewalks astronauts had 
abnormal heart readings -- some physiologically impossible.

It turned out that NASA's data-collecting system was producing false 
readings -- a side effect of packaging the physiological data with the 
space shuttle's telemetry signal, which was not designed to handle such 
precisely timed information. That means, at any moment, the flight surgeon 
might believe that an astronaut was having an arrhythmia, when he or she 
was just fine.

"We have a certified system we know doesn't work, and a uncertified system 
we trust," recalled Hamilton, speaking at the Aerospace Medical Association 
conference in Orlando, Florida, last month.

Hamilton and his team went on a crash program to finish developing the new 
system, and it's since been certified. This Saturday's spacewalk by Piers 
Sellers and Mike Fossum will be the first to make full use of the new 
system, which is engineered to handle the precise timing of the cardio data 
feed, and can automatically select the highest quality transmission source 
from two different satellite links -- one routed through the space shuttle, 
and a second relayed through the International Space Station.

Future missions, though, may dispense with the ritual of monitoring 
astronauts' ECGs altogether. Hamilton noted that there's no evidence that 
stress during a spacewalk can lead to abnormal arrhythmia. Where such 
heartbeat irregularities have been noticed on spacewalks, scientists have 
been able to prove that the individuals already had arrhythmia before their 
missions.

"We're coming close to concluding that an EVA (extra vehicular activity) 
does not increase the risks of cardiac arrhythmia in a healthy person, only 
cases are when there has been previous cardiac history," Dr. Hamilton said. 
"We're launching bad protoplasm" -- astronauts who aren't in 100 percent 
perfect health.

Eliminating the remote-ECGs would result in cost savings and less work on 
the ground. In space, it would mean less time and effort, since astronauts 
would no longer have to don a biomedical harness before each spacewalk.


================================
George Antunes, Political Science Dept
University of Houston; Houston, TX 77204
Voice: 713-743-3923  Fax: 713-743-3927
antunes at uh dot edu



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