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Hämodynamik, Koronardurchblutung und Sauerstoffbedarf des normalen und insuffizienten Herzens

  • F. Burkart
  • B. Heierli
Chapter
Part of the Handbuch der inneren Medizin book series (INNEREN, volume 9 / 4)

Zusammenfassung

Die Aufgabe des Herzens ist es, Blut in genügender Menge und mit genügendem Druck in den Kreislauf zu pumpen, um Sauerstoff und Nährstoffe, den metabo lischen Bedürfnissen entsprechend, in die Gewebe zu transportieren sowie die Stoffwechsel-Endprodukte wegzuschaffen. Unter der Voraussetzung eines genügenden Blutvolumens ist es dabei dem Herzen möglich, diese Leistung mit einer normalen Muskelfaser-Enddehnung und damit einem normalen enddiasto lischen Volumen bzw. Druck zu erbringen. Die Herzfunktion wird im wesentlichen durch die Vorlast, die Nachlast und die Kontraktilität bestimmt. Das Schlagvolumen, multipliziert mit der Herzfrequenz pro Minute, ergibt das für die Beurteilung der Herzfunktion wesentliche Herzminutenvolumen. Die Herzfunktion kann jedoch durch einen einzelnen Parameter nicht erfaßt werden.

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  • F. Burkart
  • B. Heierli

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