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Kompensation und Dekompensation

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Klinik und Therapie der Herzkrankheiten und der Gefäßerkrankungen

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Zusammenfassung

Eine wesentliche Eigentümlichkeit des Herzmuskels ist die Fähigkeit der Anpassung seiner Tätigkeit an die Erfordernisse des Organismus. Diese Anpassungsfähigkeit macht das Leben erst möglich, da sie dem Herzen die Vergrößerung des Schlag- und Minutenvolumens gestattet, wodurch es größeren Beanspruchungen während körperlicher Anstrengung, Verdauung, Schwangerschaft und zahlreicher anderer Situationen nachzukommen vermag. Die vom Herzen geförderte Blutmenge kann von 5 bis 7 Litern in der Minute bei Ruhe ohne weiteres auf 25 bis 30 Liter bei starker Anstrengung ansteigen. Der Herzmuskel nützt bei Ruhe nicht alle seiner Möglichkeiten aus; er verfügt über eine Reservekraft, welche immer dann zur Anwendung kommt, wenn die Füllung des Herzens zunimmt. Innerhalb gewisser Grenzen gilt für das gesunde Herz das Starlingsche Gesetz. Eine stärkere Dehnung der Herzmuskelfasern infolge vermehrter Herzfüllung löst eine kräftigere Kontraktion aus.

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Authors and Affiliations

  1. New York Medical College, Flower and Fifth Avenue Hospitals, USA

    David Scherf M.D., F.A.C.P. (Professor der klinischen Medizin) & Linn J. Boyd M.D., F.A.C.P. (Professor der Medizin)

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  1. David Scherf M.D., F.A.C.P.
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  2. Linn J. Boyd M.D., F.A.C.P.
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© 1955 Springer-Verlag

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Scherf, D., Boyd, L.J. (1955). Kompensation und Dekompensation. In: Klinik und Therapie der Herzkrankheiten und der Gefäßerkrankungen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7854-6_5

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  • DOI: https://doi.org/10.1007/978-3-7091-7854-6_5

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