Zusammenfassung
Körperliche Belastung erfordert eine Zunahme der Durchblutung, insbesondere der arbeitenden Muskulatur, da der Sauerstoffbedarf ansteigt. In Ruhe verbraucht der menschliche Organismus ca. 3,5 ml/min • kg Sauerstoff entsprechend 1 MET (metabolisches Äquivalent). Unter Belastung steigt die Sauerstoffaufnahme linear zur Intensität an. Im Bereich der maximalen Intensität flacht die Kurve der Sauerstoffaufnahme ab [31]. Dieses Phänomen des „levelling off“ gilt auch als Ausbelastungskriterium für die Ergometrie.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Astrand I, Astrand P-O, Hallback I, Kilbom A (1973) Reduction in VO2max with age. J Appl Physiol 35: 649–654
Casale PM, Devereux RB, Milner M, Zullo G, Harshfield GA, Pickering TG, Laragh JH (1986) Value of echocardiographic measurement of left ventricular mass in predicting cardiovascular morbid events in hypertensive men. Ann Intern Med 105: 173–178
Clarkson PM, Litchfield P, Graves J, Kirwan J, Byrnes C (1985) Serum creatine kinase activity following forearm flexion isometric exercise. Eur J Appl Physiol 53: 368–371
Golan SD, Sanders SP, MacPherson D, Borow KM (1985) Left ventricular diastolic function in elite athletes with physiologic cardiac hypertrophy. J Am Coll Cardiol 6: 545–549
De Piccoli B, Giada F, Benettin A, Sartori F, Piccolo E (1991) Anabolic steroid use in body builders: an echocardiographic study of left ventricular morphology and function. Int J Sports Med 12: 408–412
Dickhuth HH, Nause A, Staiger J, Bonzel T, Keul J (1983) Two-dimensional echocardiographic measurements of left ventricular volume of endurance-trained athletes and untrained subjects. Int J Sports Med 4: 21–26
Dickhuth HH, Lehmann M, Auchschwelk W, Meinertz T, Keul J (1987) Physical training, vegetative regulation and cardiac hypertrophy. J Cardiovasc Pharm 10: 71–78
Dickhuth HH, Horstmann T, Staiger J, Reindell H, Keul J (1989) The long-term involution of physiological cardiomegaly and cardiac hypertrophy. Med Sci Sports Exerc 21: 244–249
Dickhuth HH, Röcker K, Hipp A, Heitkamp HC, Keul J (1994) Echocardiographic findings in endurance athletes with hypertrophic non-obstructive cardiomyopathy (HNCM) compared to non-athletes with HNCM and to physiological hypertrophy ( Athlete’s heart ). Int J Sports Med 15: 273–277
Ekblom B, Hermansen L (1968) Cardiac output in athletes. J Appl Physiol 25: 619–625
Fagard R, van den Broeke C, Amery A (1989) Left ventricular dynamics during exercise in elite marathon runners. J Am Coll Cardiol 14: 112–118
Finkelhor RS, Hanak LJ, Bahler RC (1986) Left ventricular filling in endurance-trained subjects. J Am Coll Cardiol 8: 289–293
Friedman DB, Peel C, Mitchell JH (1992) Cardiovascular responses to voluntary and nonvoluntary static exercise in humans. J Appl Physiol 73: 1982–1985
George KP, Wolfe LA, Burggraf GW (1991) The ‘Athletic Heart Syndrome’. Sports Med 11: 300–331
Gledhill N, Cox D, Jamnik R (1994) Endurance athletes’ stroke volume does not plateau: major advantage is diastolic function. Med Sci Sports Exerc 26: 11161121
Henschen S (1899) Skilanglauf and Skiwettlauf: eine medizinische Sportstudie. Fischer, Jena
Hoppeler H, Weibel ER (1998) Limits for oxygen and substrate transport in mammals. J Exp Biol 201: 1051–1064
Hortobâgyi T, Denahan T (1989) Variability in creatine kinase: methodological, exercise, and clinically related factors. Int J Sports Med 10: 69–80
Keul J, Dickhuth HH, Lehmann M, Staiger J (1982) The athlete’s heart–haemodynamics and structure. Int J Sports Med 3: 33–43
Kindermann W (2000) Das Sportherz. Dtsch Z Sportmed 51: 307–308
Kindermann W, Keul J, Reindell H (1974) Grundlagen zur Bewertung leistungsphysiologischer Anpassungsvorgänge. Dtsch Med Wochenschr 99: 1372–1379
Kindermann W, Salas-Fraire O, Sroka C, Müller U (1983) Serumenzymverhalten nach körperlicher Belastung–Abgrenzung von krankheitsbedingten Veränderungen. Herz/Kreisl 15: 117–123
Levy D, Savage DD, Garrison RJ, Anderson KM, Kannel WB, Castelli WP (1987) Echocardiographic criteria of left ventricular hypertrophy: the Framingham heart study. Am J Cardiol 59: 956–960
Linzbach AJ (1948) Herzhypertrophie and kritisches Herzgewicht. Klin Wochenschr 26: 459
Löllgen H, Gerke R (2001) Bradykardie im Sport. Dtsch Z Sportmed 52: 180–181
Longhurst JC, Kelly AR, Gonyea WI, Mitchell JH (1980) Echocardiographic left ventricular masses in distance runners and weight lifters. J Appl Physiol 48: 154–162
Maron BI (1986) Structural features of the athlete heart as defined by echocardiography. J Am Coll Cardiol 7: 190–203
Matsuda M, Sugishita Y, Koseki S, Ito I, Akatsuka T, Takamatsu K (1983) Effect of exercise on left ventricular diastolic filling in athletes and non-athletes. J Appl Physiol 55: 323–328
McDonald CA (1981) Enzyme levels after running. JAMA 246: 40–41
Mitchell JH (1990) Neural control of the circulation during exercise. Med Sci Sports Exer 22: 141–154
Mitchell JH, Blomqvist C (1971) Maximal oxygen uptake. N Engl J Med 284: 1018–1022
Möckel M, Störk T (1996) Diastolic function in various forms of left ventricular hypertrophy. Int J Sports Med 17: S184–190
Morganroth J, Maron BJ, Henry WL, Epstein SE (1975) Comparative left ventricular dimensions in trained athletes. Ann Intern Med 82: 521–524
Musshoff K, Reindell H (1956) Zur Röntgenuntersuchung des Herzens in horizontaler and vertikaler Körperstellung: I. Mitteilung: Der Einfluss der Körperposition auf das Herzvolumen. Dtsch Med Wochenschr 81: 1001
Newham DJ, Jones DA, Clarkson PM (1987) Repeated high-force eccentric exercise: effects on muscle pain and damage. J Appl Physiol 63: 1381–1386
Pearson AC, Schiff M, Mrosek D, Labovitz AJ, Williams GA (1986) Left ventricular function in weight lifters. Am J Cardiol 58: 1254–1259
Pelliccia A, Maron BJ, Spataro A, Proschan MA, Spirito P (1991) The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes. N Engl J Med 324: 295–301
Pluim BM, Zwinderman AH, van der Laarse A, van der Wall EE (1999) The athlete’s heart. A meta-analysis of cardiac structure and function. Circulation 100: 336–344
Reindell H, Klepzig H, Steim H, Musshoff K, Roskamm H, Schildge E (1960) Herz-Kreislaufkrankheiten and Sport. Barth, München
Roecker K, Niess AM, Horstmann T, Striegel H, Mayer F, Dickhuth HH (2002) Heart rate prescriptions from performance and anthropometrical characteristics. Med Sci Sports Exerc 34: 881–887
Rogers MA, Stull GA, Apple FS (1985) Creatine kinase isoenzyme activities in men and women following a marathon race. Med Sci Sports Exerc 17: 679–682
Rost R, Hollmann W (1983) Athlete’s heart–a review of its historical assessment and new aspects. Int J Sports Med 4: 147–165
Rowell LB (1969) Circulation. Med Sci Sports Exerc 1: 15–22
Sachtleben TR, Berg KE, Elias BA, Cheatham JP, Felix GL, Hofschire PJ (1993) The effects of anabolic steroids on myocardial structure and cardiovascular fitness. Med Sci Sports Exerc 25: 1240–1245
Saltin B, Astrand PO (1967) Maximal oxygen uptake in athletes. J Appl Physiol 23: 353–358
Sarna S, Sahi T, Koskenvuo M, Kaprio J (1993) Increased life expectancy of world class male athletes. Med Sci Sports Exerc 25: 237–244
Scharhag J, Schneider G, Urhausen A, Rochette V, Kramann B, Kindermann W (2002) Right and left ventricular mass and function in male endurance athletes and untrained individuals determined by magnetic resonance imaging. J Am Coll Cardiol 40: 1856–1863
Sharma S, Maron BJ, Whyte G, Firoozi S, Elliott PM, McKenna WJ (2002) Physiologic limits of left ventricular hypertrophy in elite junior athletes: relevance of differential diagnosis of athlete’s heart and hypertrophic cardiomyopathy. J Am Coll Cardiol 40: 1431–1436
Snell PG, Mitchell JH (1984) The role of maximal oxygen uptake in exercise performance. Clin Chest Med 5: 51–62
Urhausen A, Kindermann W (1987) Ein-und zweidimensionale echokardiographische Herzvolumenbestimmung bei Herzgesunden im Vergleich zur röntgenologischen Methode und zu spiroergometrischen Parametern. Herz/Kreisl 19: 525–528
Urhausen A, Kindermann W (1992) Echocardiographic findings in strength-and endurance-trained athletes. Sports Med 13: 270–284
Urhausen A, Kindermann W (1999) Sports-specific adaptations and differentiation of the athlete’s heart. Sports Med 28: 237–244
Urhausen A, Kindermann W (1999) Akutes Entlastungssyndrom und Abtraining. Dtsch Z Sportmed 50: 243–244
Urhausen A, Hölpes R, Kindermann W (1989) One-and two-dimensional echocardiography in bodybuilders using anabolic steroids. Eur J Appl Physiol 58: 633–640
Urhausen A, Monz T, Kindermann W (1997) Echocardiographic criteria of physiological left ventricular hypertrophy in combined strength-and endurance-trained athletes. Int J Card Imaging 13: 43–52
Viitasalo MT, Kala R, Eissalo A (1982) Ambulatory electrocardiographic recordings in endurance athletes. Br Heart J 47: 213–220
Walter R, Schmitt W, Kindermann W (1985) Differentialdiagnose der Herzvergrößerung–Bedeutung der Sportanamnese zur Abgrenzung der physiologischen und der pathologischen Herzvergrößerung. In: Franz IW, Mellerowicz H, Noack W (Hrsg) Training und Sport zur Prävention und Rehabilitation in der technisierten Umwelt. Springer, Berlin Heidelberg New York, pp 716–721
Zehender M, Meinertz T, Keul J, Just H (1990) ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance. Am Heart J 119: 1378–1391
Zeppilli P, Fenici R, Sassara M, Pirrami MM, Caselli G (1980) Wenckebach second degree AV-block in top-ranking athletes: an old problem revisited. Am Heart J 100: 281–294
Zhou B, Conlee RK, Jensen R, Fellingham GW, George JD, Fisher AG (2001) Stroke volume does not plateau during graded exercise in elite male distance runners. Med Sci Sports Exerc 33: 1849–1854
Rights and permissions
Copyright information
© 2003 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kindermann, W. (2003). Physiologische Anpassungen des Herz-Kreislauf-Systems an körperliche Belastung. In: Sportkardiologie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-13020-9_1
Download citation
DOI: https://doi.org/10.1007/978-3-662-13020-9_1
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-662-13021-6
Online ISBN: 978-3-662-13020-9
eBook Packages: Springer Book Archive