Zusammenfassung
Um eine adäquate Blutversorgung der Organe -je nach ihrem Aktivitätsgrad — zu gewährleisten, müssen Herzleistung und periphere Kreislauffunktionen in optimaler Weise aufeinander abgestimmt sein. Pumpaktivität des Herzens, Füllungszustand des Gefäßsystems und Gefäßtonus bzw. Wandspannungen in den einzelnen Gefäßsegmenten müssen dauernd erfasst und ggf. berichtigt werden. Dazu steht eine breite Palette nervös-humoraler Regulationsmechanismen zur Verfügung, die fortlaufend Informationen aus Druck- und Volumenrezeptoren beziehen. Einfachstes Regulationsprinzip für die Herzleistung ist der Frank-Straub-Starling-Mechanismus. Er beinhaltet, dass das Herz seine Förderleistung innerhalb physiologischer Grenzen jeweils dadurch dem Angebot anpassen kann, dass es sein Schlagvolumen bei vermehrtem venösem Blutangebot und damit vergrößerter Füllung der Ventrikel erhöhen kann.
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Bassenge, E., Pieske, B. (2004). Systolische und diastolische Funktion des gesunden Herzens. In: Roskamm, H., Neumann, FJ., Kalusche, D., Bestehorn, HP. (eds) Herzkrankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18649-3_4
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