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Tachykarde Herzrhythmusstörungen

  • D. Pfeiffer
  • B. Lüderitz

Zusammenfassung

Die Frequenz des Sinusknotens beim gesunden Menschen wird von inneren und äußeren Faktoren beeinflußt (Alter, Geschlecht, Ernährung, Körpergewicht, Körpertemperatur, Trainingszustand, vegetative Situation, Körperlage, Streß, Tageszeit, Luftfeuchtigkeit u.a.). Die Herzfrequenz liegt in Ruhe zwischen 60 und 100 Schläge/min und steigt unter Ergometerbedingungen auf maximal 190 Schläge/min an. Für den belastungsinduzierten Frequenzanstieg des normalen Sinusknotens wurden verschiedene Formeln ermittelt: 220 - Alter (Jahre) oder 186 –0,36·Alter (Jahre) für die Fahrradergometrie im Sitzen. Auch geschlechtsspezifische Formeln wurden mitgeteilt: für Frauen 226 – 0,88 · Alter (Jahre) und für Männer 203 – 0,54·Alter (Jahre) auf dem Laufband (Löllgen 1990). Genauere Analysen des belastungsinduzierten Herzfrequenzanstiegs untersuchten den „heart rate to work rate slope“ und die O2-Aufnahme unter Belastung nach dem RITE-Protokoll und fanden einen Frequenzanstieg von 0,37 ± 0,13 Herzschläge/min/Watt Belastung. Für Männer wurden Werte bis 0,32 ± 0,09 und für Frauen 0,43 ±0,15 Herzschläge/min/Watt Belastung angegeben (Lewalter). Normofrequente und topographisch normale Automatic (Nomotopic) und Erregungsleitung (Nomodromie) werden im Rahmen biologischer Schwankungsbreiten als normaler Herzrhythmus (Normorhythmie) klassifiziert.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • D. Pfeiffer
  • B. Lüderitz

There are no affiliations available

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