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Therapiekontrolle

  • Klaus-Peter Bethge
  • Bernd-Dieter Gonska
Chapter
  • 19 Downloads

Zusammenfassung

Üblicherweise zeigt die Pulsfrequenz während eines 24stüündigen Tag-Nacht-Zyklus eine große Schwankungsbreite, die als Spontanvariabilität der Herzfrequenz bezeichnet wird. Bei kardialen Erkrankungen und nach ärztlicher Intervention, z. B. durch Pharmaka oder nach einer Schrittmacherimplantation, ist diese erniedrigt oder aufgehoben. Die Analyse der Herzfrequenzvariabilität erlaubt einen Einblick in das differenzierte, wechselseitige Zusammenspiel neurovegetativer Regulationsprozesse. Große Aufmerksamkheit wird der Spontanvariabilität der Herzfreqeunz als Risikoparameter nach einem Myokardinfarkt gewidmet. In mehreren Studien wurde die Beziehung zwischen einer reduzierten Herzfrequenzvariabilität und der Mortalität bzw. schweren arrhythmiebedingten Komplikationen untersucht (Bigger et al. 1988; Kleiger et al. 1987; Malik et al. 1989; Wolf et al. 1978)

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Copyright information

© Springer-Verlag, Berlin Heidelberg 1992

Authors and Affiliations

  • Klaus-Peter Bethge
    • 1
  • Bernd-Dieter Gonska
    • 2
  1. 1.Medizinische Klinik, Friedrich-Ebert-KrankenhausUniversität KielNeumünsterDeutschland
  2. 2.Abt. für Kardiologie und Pulmonologie, Med. Klinik und PoliklinikGeorg-August-UniversitätGöttingenDeutschland

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