Zusammenfassung
Auf zellulärer Ebene beginnt die Kontraktion mit der vom Sinusknoten ausgehenden Erregungswelle, die an der Membran der Herzmuskelzelle ein Aktionspotential auslöst. Dem elektrischen Phänomen des Aktionspotentials liegen Ionenbewegungen an der Zellmembran zugrunde, die sich am Myokard und Erregungsleitungssystem unterscheiden (s. Kap. 19). An der Herzmuskelzelle beginnt das Aktionspotential mit der Öffnung von Natriumkanälen. Natrium strömt entsprechend dem Gradienten aus dem Extrazellularraum in die Zelle ein und depolarisiert die Zelle (s.Abb. 18.1).
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Hackenthal, E. (2002). Pharmaka zur Behandlung der Herzinsuffizienz. In: Oberdisse, E., Hackenthal, E., Kuschinsky, K. (eds) Pharmakologie und Toxikologie. Springer-Lehrbuch. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56314-0_18
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