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At least 667 records · Page 37
All sourcesNASA NTRSDOE OSTI
DOE OSTI2024

Synthesis and Characterization of Silver-Modified Nanoporous Silica Materials for Enhanced Iodine Removal

In aquatic environments, the presence of iodine species, including radioactive isotopes like 129 I and I 2 , poses significant environmental and health concerns. Iodine can enter water resources from various sources, including nuclear accidents, medical procedures, and natural occurrences. To address this issue, the use of natural occurring nanoporous minerals, such as zeolitic materials, for iodine removal will be explored. This study focuses on the adsorption of iodine by silver-modified zeolites (13X-Ag, 5A-Ag, Chabazite-Ag, and Clinoptilolite-Ag) and evaluates their performance under different conditions. All materials were characterized using scanning electron microscopey (SEM), energy-dispersive X-ray spectroscopy (EDS), powdered X-ray diffraction (P-XRD), Fourier-transform infrared spectrometry (FTIR), and nitrogen adsorption studies. The results indicate that Chabazite-Ag exhibited the highest iodine adsorption capacity, with an impressive 769 mg/g, making it a viable option for iodine removal applications. 13X-Ag and 5A-Ag also demonstrated substantial adsorption capacities of 714 mg/g and 556 mg/g, respectively, though their behavior varied according to different models. In contrast, Clinoptilolite-Ag exhibited strong pH-dependent behavior, rendering it less suitable for neutral to slightly acidic conditions. Furthermore, this study explored the impact of ionic strength on iodine adsorption, revealing that Chabazite-Ag is efficient in low-salinity environments with an iodine adsorption capacity of 51.80 mg/g but less effective in saline conditions. 5A-Ag proved to be a versatile option for various water treatments, maintaining its iodine adsorption capacity across different salinity levels. In contrast, Clinoptilolite-Ag exhibited high sensitivity to ionic competition, virtually losing its iodine adsorption ability at a NaCl concentration of 0.1 M. Kinetic studies indicated that the pseudo-second-order model best describes the adsorption process, suggesting chemisorption mechanisms dominate iodine removal. Chabazite-Ag exhibited the highest initial adsorption rate with a k 2 value of 0.002 mg g -1 h -1 , emphasizing its superior adsorption capabilities. Chabazite and Clinoptilolite, naturally occurring minerals, provide eco-friendly solutions for iodine adsorption. Chabazite superior iodine removal highlights its value in critical applications and its potential for addressing pressing environmental challenges.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2024

Permanent Stress Adaptation and Unexpected High Light Tolerance in the Shade-Adapted Chlamydomonas priscui

The Antarctic photopsychrophile, Chlamydomonas priscui UWO241, is adapted to extreme environmental conditions, including permanent low temperatures, high salt, and shade. During long-term exposure to this extreme habitat, UWO241 appears to have lost several short-term mechanisms in favor of constitutive protection against environmental stress. This study investigated the physiological and growth responses of UWO241 to high-light conditions, evaluating the impacts of long-term acclimation to high light, low temperature, and high salinity on its ability to manage short-term photoinhibition. We found that UWO241 significantly increased its growth rate and photosynthetic activity at growth irradiances far exceeding native light conditions. Furthermore, UWO241 exhibited robust protection against short-term photoinhibition, particularly in photosystem I. Lastly, pre-acclimation to high light or low temperatures, but not high salinity, enhanced photoinhibition tolerance. These findings extend our understanding of stress tolerance in extremophilic algae. In the past 2 decades, climate change-related increasing glacial stream flow has perturbed long-term stable conditions, which has been associated with lake level rise, the thinning of ice covers, and the expansion of ice-free perimeters, leading to perturbations in light and salinity conditions. Our findings have implications for phytoplankton survival and the response to change scenarios in the light-limited environment of Antarctic ice-covered lakes.

Plant Sciences↗
DOE OSTI2025

Development and evaluation of a new 4DEnVar-based weakly coupled ocean data assimilation system in E3SMv2

The development, implementation, and evaluation of a new weakly coupled ocean data assimilation (WCODA) system for the fully coupled Energy Exascale Earth System Model version 2 (E3SMv2) utilizing the four-dimensional ensemble variational (4DEnVar) method are presented in this study. The 4DEnVar method, based on the dimension-reduced projection four-dimensional variational (DRP-4DVar) approach, replaces the adjoint model with the ensemble technique, thereby reducing computational demands. Monthly mean ocean temperature and salinity data from the EN4.2.1 reanalysis are integrated into the ocean component of E3SMv2 from 1950 to 2021 with the goal of providing realistic initial conditions for decadal predictions and predictability studies. The performance of the WCODA system is assessed using various metrics, including the reduction rate of the cost function, root mean square error (RMSE) differences, correlation differences, and model biases. Results indicate that the WCODA system effectively assimilates the reanalysis data into the climate model, consistently achieving negative reduction rates of the cost function and notable improvements in RMSE and correlation across various ocean layers and regions. Significant enhancements are observed in the upper ocean layers across the majority of global ocean regions, particularly in the north Atlantic, north Pacific, and Indian Ocean. Model biases in sea surface temperature and salinity are also substantially reduced. For sea surface temperature, cold biases in the north Pacific and north Atlantic are diminished by about 1–2 °C, and warm biases in the Southern Ocean are corrected by approximately 1.5–2.5 °C. In terms of salinity, improvements are observed with bias reductions of about 0.5–1 psu in the north Atlantic and north Pacific and up to 1.5 psu in parts of the Southern Ocean. The ultimate goal of the WCODA system is to advance the predictive capabilities of E3SM for subseasonal to decadal climate predictions, thereby supporting research on strategic energy-sector policies and planning.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2022

On the circulation, water mass distribution, and nutrient concentrations of the western Chukchi Sea

Substantial amounts of nutrients and carbon enter the Arctic Ocean from the Pacific Ocean through the Bering Strait, distributed over three main pathways. Water with low salinities and nutrient concentrations takes an eastern route along the Alaskan coast, as Alaskan Coastal Water. A central pathway exhibits intermediate salinity and nutrient concentrations, while the most nutrient-rich water enters the Bering Strait on its western side. Towards the Arctic Ocean, the flow of these water masses is subject to strong topographic steering within the Chukchi Sea with volume transport modulated by the wind field. In this contribution, we use data from several sections crossing Herald Canyon collected in 2008 and 2014 together with numerical modelling to investigate the circulation and transport in the western part of the Chukchi Sea. We find that a substantial fraction of water from the Chukchi Sea enters the East Siberian Sea south of Wrangel Island and circulates in an anticyclonic direction around the island. This water then contributes to the high-nutrient waters of Herald Canyon. The bottom of the canyon has the highest nutrient concentrations, likely as a result of addition from the degradation of organic matter at the sediment surface in the East Siberian Sea. The flux of nutrients (nitrate, phosphate, and silicate) and dissolved inorganic carbon in Bering Summer Water and Winter Water is computed by combining hydrographic and nutrient observations with geostrophic transport referenced to lowered acoustic Doppler current profiler (LADCP) and surface drift data. Even if there are some general similarities between the years, there are differences in both the temperature–salinity and nutrient characteristics. To assess these differences, and also to get a wider temporal and spatial view, numerical modelling results are applied. According to model results, high-frequency variability dominates the flow in Herald Canyon. This leads us to conclude that this region needs to be monitored over a longer time frame to deduce the temporal variability and potential trends.

54 ENVIRONMENTAL SCIENCES↗
NASA NTRS1975

The mapping of marsh vegetation using aircraft multispectral scanner data

A test was conducted to determine if salinity regimes in coastal marshland could be mapped and monitored by the identification and classification of marsh vegetative species from aircraft multispectral scanner data. The data was acquired at 6.1 km (20,000 ft.) on October 2, 1974, over a test area in the coastal marshland of southern Louisiana including fresh, intermediate, brackish, and saline zones. The data was classified by vegetational species using a supervised, spectral pattern recognition procedure. Accuracies of training sites ranged from 67% to 96%. Marsh zones based on free soil water salinity were determined from the species classification to demonstrate a practical use for mapping marsh vegetation.

Butera, M. K.↗
NASA NTRS1984

Thermohaline circulation below the Ross Ice Shelf - A consequence of tidally induced vertical mixing and basal melting

The warmest water below parts of the Ross Ice Shelf resides in the lowest portion of the water column because of its high salinity. Vertical mixing caused by tidal stirring can thus induce ablation by lifting the warm but dense water into contact with the ice shelf. A numerical tidal simulation indicates that vertically well-mixed conditions predominate in the southeastern part of the sub-ice shelf cavity, where the water column thickness is small. Basal melting in this region is expected to be between 0.05 and 0.5 m/yr and will drive a thermohaline circulation having the following characteristics: high salinity shelf water (at - 1.8 C), formed by winter sea ice production in the open Ross Sea, flows along the seabed toward the tidal mixing fronts below the ice shelf; and meltwater (at -2.2 C), produced in the well-mixed region, flows out of the sub-ice shelf cavity along the ice shelf bottom. Sensitivity of this ablation process to climatic change is expected to be small because high salinity shelf water is constrained to have the sea surface freezing temperature.

Macayeal, D. R.↗
NASA NTRS1985

Sulfur reduction in sediments of marine and evaporite environments

Transformations of sulfur in sediments of ponds ranging in salinities from that of normal seawater to those of brines saturated with sodium chloride were examined. The chemistry of the sediment and pore waters were focused on with emphasis on the fate of sulfate reduction. The effects of increasing salinity on both forms of sulfur and microbial activity were determined. A unique set of chemical profiles and sulfate-reducing activity was found for the sediments of each of the sites examined. The quantity of organic matter in the salt pond sediments was significantly greater than that occurring in the adjacent intertidal site. The total quantitative and qualitative distribution of volatile fatty acids was also greater in the salt ponds. Volatile fatty acids increased with salinity.

Klug, M. J.↗
NASA NTRS1987

Theoretical and experimental study of the radar backscatter of Arctic sea ice

The present theoretical model for sea ice radar backscatter has supported parametric studies of radar signature sensitivity to changes in salinity, temperature, brine volume, density, air bubble size, and surface roughness. Parametric study results indicate that first-year and multiyear ice may be confused when first-year ice is very rough and has exceptionally high salinity, as well as being only a few degrees C from the melting point. Confusion also arises when multiyear ice is slightly more saline, the temperature is a few degrees C from the melting point, surface is moderately rough, and air bubbles are small but still typical of multiyear ice.

Onstott, Robert G.↗
NASA NTRS1988

REE in the Great Whale River estuary, northwest Quebec

A report on REE concentrations within the estuary of the Great Whale River in northwest Quebec and in Hudson Bay is given, showing concentrations which are less than those predicted by conservative mixing of seawater and river water, indicating removal of REE from solution. REE removal is rapid, occurring primarily at salinities less than 2 percent and ranges from about 70 percent for light REE to no more than 40 percent for heavy REE. At low salinity, Fe removal is essentially complete. The shape of Fe and REE vs. salinity profiles is not consistent with a simple model of destabilization and coagulation of Fe and REE-bearing colloidal material. A linear relationship between the activity of free ion REE(3+) and pH is consistent with a simple ion-exchange model for REE removal. Surface and subsurface samples of Hudson Bay seawater show high REE and La/Yb concentrations relative to average seawater, with the subsurface sample having a Nd concentration of 100 pmol/kg and an epsilon(Nd) of -29.3; characteristics consistent with river inputs of Hudson Bay. This indicates that rivers draining the Canadian Shield are a major source of nonradiogenic Nd and REE to the Atlantic Ocean.

Goldstein, Steven J.↗
NASA NTRS1996

Four-Dimensional Oceanic and Atmosperic Data Assimilation with Tropical Rainfall Measuring Mission Data

An oceanic data assimilation system which allows to utilize the forthcoming Tropical Rainfall Measuring Mission (TRMM) data has been developed and applied to the Pacific Ocean to produce the velocity field. The assimilated data will be indispensable to examine the effects of rainfall and its variability on the structure and circulation of the tropical oceans and to assess the impact of global warming due to the increase of carbon dioxide on the ocean circulation system and the marine pollution caused by oil spill and ocean damping of radionuclide. The data will also provide the verification for the oceanic and ocean-atmosphere coupled General Circulation Models (GCM's). The system consists of oceanic GCM, analysis scheme and data. In the system the flow field has been determined to be physically consistent with the observed density field and the sea surface winds derived from the Special Sensor Microwave Imagery (SSM/I) data which drive the ocean current. The time integration has been performed for five years until the flow field near the surface attained the steady state starting from the rest ocean with observed temperature and salinity fields, and the SSM/I surface wind velocity. The resultant flow field showed high producibility of the system. Especially the flow near the ocean surface agreed well with available observed data. The system, for the first time, succeeded to produce the eastward subtropical current which has been discovered in the joint investigation on Kuroshio current (CSK) in the 1960s. To verify the quality of the flow field a trajectory analysis has been carried out and compared with the Algos buoy data. BRIEF DESCRIPTION OF THE DATA ASSIMILATION SYSTEM ## Oceanic GCM and analysis scheme--The basic equations are much the same as used for the GCM's, except for the Newtonian damping terms introduced into the prediction equations for the potential temperature and salinity to maintain these fields as observed. The C grid of 2'lat. by 2'long. in horizontal and the 11 vertical levels are applied to the entire Pacific Ocean. At the east and west ocean boundaries the periodic boundary conditions are applied creating fictitious ocean there. The SMAC Method is used to increase the accuracy of mass conservation. * Data--The JODC temperature and salinity data obtained from 1906 to 1988 are used in the system between Long.100'E. and 60'W. The surface wind data are derived from the SSM/I data by Dr-R. Atlas of NASA/GSFC. The data set contains every 6 hours data from July 1987 to June 1989 on the grid of 2'lat. by 2.5'long. The averaged for the whole period and then interpolated into the 2'lat. by 2'long. grid data are used to force the system. The sea bottom topography data was based on the General Bathymetric Chart of the Ocean (GEBCO) supplied by the Canadian Hydrographic Service under contract with the International Hydrographic Organization and International Oceanographic Commission of UNESCO.

Takano, Kenji↗
NASA NTRS1997

A Laboratory Study of the Effect of Frost Flowers on C Band Radar Backscatter from Sea Ice

C band images of Arctic sea ice taken by the ERS 1 synthetic aperture radar show transitory regions of enhanced radar backscatter from young sea ice. Published field observations associate this increase with frost flower growth and the capture of blowing snow by the flowers. To investigate the first part of this phenomenon, we carried out a laboratory experiment on the response of C band radar backscatter to frost flowers growing on the surface of newly formed saline ice. The experiment took place in a 5 m by 7 m by 1.2 m deep saline water pool located in a two-story indoor refrigerated facility at the Cold Regions Research and Engineering Laboratory. Sodium chloride ice was grown in this pool at an air temperature of -28 C. The frost flowers first appeared on the ice surface as dendrites and then changed to needles as the ice sheet grew thicker and the surface temperatures became colder. The frost flowers reached to a height of 10-15 mm, and beneath each cluster of frost flowers a slush layer formed to a thickness of approximately 4 mm. Far-field radar measurements of the backscatter from the ice were made at incident angles from 20 to 40 deg and at approximately 6-hour intervals throughout the 3-day period of the experiment. A backscatter minimum occurred early in the flower growth at the time coincident with an abrupt doubling in the ice surface salinity. Once the full flower coverage was achieved, we removed first the crystal flowers and then the slush layer from the ice surface. The results for these cases show that the crystals have little impact on the backscatter, while the underlying slush patches yield a backscatter increase of 3-5 dB over that of bare ice. The laboratory results suggest that this relative backscatter increase of approximately 5 dB can be used as an index to mark the full area coverage of frost flowers.

Nghiem, S. V.↗
NASA NTRS1997

A Laboratory Study of the Effect of Frost Flowers on C Band Radar Backscatter from Sea Ice

C band images of Arctic sea ice taken by the ERS 1 synthetic aperture radar show transitory regions of enhanced radar backscatter from young sea ice. Published field observations associate this increase with frost flower growth and the capture of blowing snow by the flowers. To investigate the first part of this phenomenon, we carried out a laboratory experiment on the response of C band radar backscatter to frost flowers growing on the surface of newly formed saline ice. The experiment took place in a 5 m by 7 m by 1.2 m deep saline water pool located in a two-story indoor refrigerated facility at the Cold Regions Research and Engineering Laboratory. Sodium chloride ice was grown in this pool at an air temperature of -28 C. The frost flowers first appeared on the ice surface as dendrites and then changed to needles as the ice sheet grew thicker and the surface temperatures became colder. The frost flowers reached to a height of 10-15 mm, and beneath each cluster of frost flowers a slush layer formed to a thickness of approximately 4 mm. Far-field radar measurements of the backscatter from the ice were made at incident angles from 20 C to 40 C and at approximately 6-hour intervals throughout the 3-day period of the experiment. A backscatter minimum occurred early in the flower growth at the time coincident with an abrupt doubling in the ice surface salinity. Once the full flower coverage was achieved, we removed first the crystal flowers and then the slush layer from the ice surface. The results for these cases show that the crystals have little impact on the backscatter, while the underlying slush patches yield a backscatter increase of 3-5 dB over that o f bare ice. The laboratory results suggest that this relative backscatter increase of approximately 5 dB can be used as an index to mark the full areal coverage of frost flowers.

Nghiem, S. V.↗
NASA NTRS1999

Sensitivity of the Tropical Pacific Ocean to Precipitation Induced Freshwater Flux

We have performed a series of experiments using an ocean model to study the sensitivity of tropical Pacific Ocean to variations in precipitation induced freshwater fluxes. Variations in these fluxes arise from natural causes on all time scales. In addition, estimates of these fluxes are uncertain because of differences among measurement techniques. The model used is a quasi-isopycnal model, covering the Pacific from 40 S to 40 N. The surface forcing is constructed from observed wind stress, evaporation, precipitation, and surface temperature (SST) fields. The heat flux is produced with an iterative technique so as to maintain the model close to the observed climatology, but with only a weak damping to that climatology. Climatological estimates of evaporation are combined with various estimates of precipitation to determine the net surface freshwater flux. Results indicate that increased freshwater input decreases salinity as expected, but increases temperatures in the upper ocean. Using the freshwater flux estimated from the Microwave Sounding Unit leads to a warming of up to 0.6 C in the western Pacific over a case with zero net freshwater flux. SST is sensitive to the discrepancies among different precipitation observations, with root-mean-square differences in SST on the order of 0.2-0.3 C. The change in SST is more pronounced in the eastern Pacific, with differences of over 1 C found among the various precipitation products. Interannual variation in precipitation during El Nino events leads to increased warming. During the winter of 1982-83, freshwater flux accounts for about 0.4 C (approximately 10-15% of the maximum warming) of the surface warming in the central-eastern Pacific. Thus, the error of SST caused by the discrepancies in precipitation products is more than half of the SST anomaly produced by the interannual variability of observed precipitation. Further experiments, in which freshwater flux anomalies are imposed in the western, central, and eastern Pacific, show that the influence of net freshwater flux is also spatially dependent. The imposition of freshwater flux in the far western Pacific leads to a trapping of salinity anomaly to the surface layers near the equator. An identical flux imposed in the central Pacific produces deeper and off-equatorial salinity anomalies. The contrast between these two simulations is consistent with other simulations of the western Pacific barrier layer information.

Yang, Song↗
NASA NTRS2000

Fossil Record of Precambrian Life on Land

The argument that the earth's early ocean was up to two times modern salinity was published in 'Nature' and presented at the 1998 Annual Meeting of the Geological Society of America in Toronto. The argument is bolstered by chemical data for fluid inclusions in Archean black smokers. The inclusions were 1.7 times the modern salinity causing the authors to interpret the parent fluids as evaporite brines (in a deep marine setting). I reinterpreted the data in terms of the predicted value of high Archean salinities. If the arguments I presented are on track, early life was either halophilic or non-marine. Halophiles are not among the most primitive organisms based on RNA sequencing, so here is an a priori argument that non-marine environments may have been the site of most early biologic evolution. This result carries significant implications for the issue of past life on Mars or current life on the putative sub-ice oceans on Europa and possibly Callisto. If the Cl/H 2 O ratio on these objects is similar to that of the earth, then oceans and oceanic sediments are probably not the preferred sites for early life. On Mars, this means that non-marine deposits such as caliche in basalt may be an overlooked potential sample target.

Paul Knauth↗
NASA NTRS2003

Spatio-Temporal Distribution of Particulate and Dissolved Organic Matter in the Mississippi River Bight From Optical Measurements

The Mississippi River Bight is a highly dynamic region influenced by the seasonally variable outflow from the Mississippi River. In an effort to characterize the distribution of particulate and dissolved organic matter in the region, we conducted a two-year field program in the spring and fall (high and low flow river discharge) of 2000 and 2002. We collected a comprehensive set of bio-optical measurements consisting of vertical profiles (absorption, scattering, chlorophyll fluorescence and radiometry) and discrete measurements (pigment concentrations, particulate and CDOM absorption) that enabled us to obtain better insight into the seasonal and spatial variability of some important biogeochemical parameters. Our field measurements generally showed higher phytoplankton clorophyll concentrations in the plume waters (associated with lower surface salinities) and confirmed the high biological activity abserved in other studies. The seasonal flow of river discharge and advective currents due to wind forcing exerted a strong influence on the biological and optical properties of the region. An examination of absorption at 440 nm by the algal and non-algal fraction of the particulate pool and of CDOM revealed that at nearshore stations, contributions by the non-algal particles were high (about 40%) and decresed with increasing salinities. While CDOM absorption exhibited conservative mixing, its relative contribution to the total absorption was variable. Surface waters at most stations had lower salinities that generalliy increased with dept. Particulate matter and CDOM also decreased with depth as evidenced by absorption and scattering measurements. Good correlations in surface waters between concentrations of particulate and dissolved matter, the inherent optical properties of absorption and ackscattering and remote sensing reflectance values has allowed the development of robust empirical algorithms for phytoplankton chlorophyll and CDOM absorption.

DSa, E. J.↗
NASA NTRS1986

Carbon-13 NMR studies of salt shock-induced carbohydrate turnover in the marine cyanobacterium Agmenellum quadruplicatum

Carbon turnover in response to abrupt changes in salinity, including the mobilization of glycogen for use in osmoregulation was studied with pulse-chase strategies utilizing nuclear magnetic resonance (NMR)-silent and NMR-detectable 12C and 13C isotopes, respectively. Growth of Agmenellum quadruplicatum in 30%-enriched 13C bicarbonate provided sufficient NMR-detectability of intracellular organic osmoregulants for these studies. A comparison of NMR spectra of intact cells and their ethanol extracts showed that the intact cell data were suitable for quantitative work, and, when combined with ESR measurements of cell volumes, yielded intracellular glucosylglycerol concentrations without disrupting the cells. NMR pulse-chase experiments were used to show that 13C-enriched glycogen, which had previously been accumulated by the cells under nitrogen-limited growth at low salinities, could be utilized for the synthesis of glucosylglycerol when the cells were abruptly transferred to hypersaline media, but only in the light. It was also shown that the accumulation of glucosylglycerol in the light occurred on a time scale similar to that of cell doubling. Depletion of glucosylglycerol when cells abruptly transferred to lower salinities appeared to be rapid--the intracellular pool of this osmoregulant was decreased 2-fold within 2 hours of hypotonic shock.

NASA Discipline Life Support Systems↗
NASA NTRS1989

Effects of NaCl on metabolic heat evolution rates by barley roots

The effect of salinity stress on metabolic heat output of barley (Hordeum vulgare L.) root tips was measured by isothermal microcalorimetry. Several varieties differing in tolerance to salinity were compared and differences quantified. Two levels of inhibition by increasing salt were found. Following the transition from the initial rate of the first level, inhibition remained at about 50% with further increases in salt concentration up to 150 millimolar. The concentration of salt required to inhibit to this level was cultivar dependent. At highter concentrations (>150 millimolar) of salt, metabolism was further decreased. This decrease was not cultivar dependent. The decreased rate of metabolic heat output at the first transition could be correlated with decreases in uptake of NO3-, NH4+, and Pi that occurred as the salt concentration was increased. The high degree of dependence of the inhibition of metabolic heat output on NaCl concentration points to a highly cooperative reaction responsible for the general inhibition of metabolism and nutrient uptake. The time required to attain the first level of salt inhibition is less than 20 minutes. Inhibition of root tips was not reversible by washing with salt free solutions. In addition to revealing these features of salt inhibition, isothermal microcalorimetry is a promising method for convenient and rapid determination of varietal differences in response to increasing salinity.

NASA Discipline Life Support Systems↗
NASA NTRS2000

Hemodynamic and symptomatic effects of acute interventions on tilt in patients with postural tachycardia syndrome

A variety of approaches have been used to alleviate symptoms in postural tachycardia syndrome (POTS). Drugs reported to be of benefit include midodrine, propranolol, clonidine, and phenobarbital. Other measures used include volume expansion and physical countermaneuvers. These treatments may influence pathophysiologic mechanisms of POTS such as alpha-receptor dysfunction, beta-receptor supersensitivity, venous pooling, and brainstem center dysfunction. The authors prospectively studied hemodynamic indices and symptom scores in patients with POTS who were acutely treated with a variety of interventions. Twenty-one subjects who met the criteria for POTS were studied (20 women, 1 man; mean age, 28.7 +/- 6.8 y; age range, 14-39 y). Patients were studied with a 5-minute head-up tilt protocol, ECG monitoring, and noninvasive beat-to-beat blood pressure monitoring, all before and after the administration of an intervention (intravenous saline, midodrine, propranolol, clonidine, or phenobarbital). The hemodynamic indices studied were heart rate (ECG) and systolic, mean, and diastolic blood pressure. Patients used a balanced verbal scale to record any change in their symptoms between the tilts. Symptom scores improved significantly after the patients received midodrine and saline. Midodrine and propranolol reduced the resting heart rate response to tilt (p <0.005) and the immediate and 5-minute heart rate responses to tilt (p <0.002). Clonidine accentuated the immediate decrease in blood pressure on tilt up (p <0.05). It was concluded that midodrine and intravenous saline are effective in decreasing symptoms on tilt in patients with POTS when given acutely. Effects of treatments on heart rate and blood pressure responses generally reflected the known pharmacologic mechanisms of the agents.

Non-NASA Center↗