Vasogene Hypotension — Ursachen, Auswirkungen, Therapie

  • J. Peters
Part of the Klinische Anästhesiologie und Intensivtherapie book series (KAI, volume 47)


Betrachtet man den mittleren arteriellen Blutdruck als durch Herzzeitvolumen und systemischen Gefäßwiderstand determiniert, so scheint der Begriff „vasogene Hypotension“ zunächst einmal einen pathologisch niedrigen Gefäßwiderstand zu implizieren, der bei normalem Herzzeitvolumen für diesen erniedrigten Blutdruck verantwortlich ist. Dementsprechend wären die Ursachen einer „vasogenen“ Hypo-tension in erster Linie, mittelbar oder unmittelbar, im Verlust oder der Abschwä-chung konstriktorischer bzw. in einer Zunahme dilatierender Einflüsse auf die glatte arterielle Gefäßmuskulatur zu suchen. Diese vordergründige Betrachtung wird allerdings durch die vielfältigen Interaktionen zwischen Hochdruck- und Nieder-drucksystem relativiert, die zunächst einer Erörterung bedürfen.


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