{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T01:30:48Z","timestamp":1778808648128,"version":"3.51.4"},"reference-count":48,"publisher":"Hogrefe Publishing Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2019,5]]},"abstract":" Zusammenfassung. Die Messung der Herzfrequenzvariabilit\u00e4t (HRV) erlaubt R\u00fcckschl\u00fcsse auf die Aktivit\u00e4t des autonomen Nervensystems (ANS). Eine autonome Dysbalance (AD) findet sich als gemeinsame Komponente zahlreicher Erkrankungen. Vielfach geht diese einer Erkrankung voraus und korreliert mit dem Therapieansprechen. Sie hat damit neben dem pathologischen auch einen pr\u00e4diktiven Wert. Daneben stellt die Herzfrequenzvariabilit\u00e4t (HRV) in Ruhe ein psychophysiologisches Ph\u00e4nomen mit breiter Aussagekraft dar. Psychisches Erleben wirkt sich \u00fcber das ANS auf die physiologische Hom\u00f6ostase, einschliesslich Immunprozesse, aus, was psychosomatische Effekte biologisch untermauert und durch HRV messbar macht. Das autonome Nervensystem (ANS) als Schnittstelle dieser psychophysiologischen Regulation gewinnt durch die HRV-Forschung zunehmend Bedeutung und erm\u00f6glicht ein besseres Verst\u00e4ndnis der Zusammenh\u00e4nge zwischen Psyche, Lebensstil, autonomer Regulation und chronischen k\u00f6rperlichen Erkrankungen. Sie bedingt eine systemische, Organ-\u00fcbergreifende Sichtweise sowie eine Orientierung an langfristigen Prozessen. Die Beurteilung und Normalisierung der AD stellt dadurch eine neuartige therapeutische Strategie dar, von der sich zahlreiche Interventionen und Lebensstilmodifikationen ableiten lassen. So erhalten Interventionen, die den Vagotonus st\u00e4rken (aerobes bzw. moderates k\u00f6rperliches Training, Relaxationstechniken, Vagusstimulation etc.), eine zunehmende Bedeutung. Gegen\u00fcber der einfachen nicht-invasiven Messung und Beliebtheit als Forschungsinstrument steht die Komplexit\u00e4t der Interpretation und die zur\u00fcckhaltende Umsetzung in der klinischen Praxis. Nichtsdestotrotz existieren Guidelines und Normwert-Sammlungen, derer sich der Anwender bedienen kann. <\/jats:p>","DOI":"10.1024\/1661-8157\/a003206","type":"journal-article","created":{"date-parts":[[2019,5,28]],"date-time":"2019-05-28T17:00:22Z","timestamp":1559062822000},"page":"461-468","source":"Crossref","is-referenced-by-count":12,"title":["Herzfrequenzvariabilit\u00e4t \u2013 Stand der Forschung und klinische Anwendbarkeit"],"prefix":"10.1024","volume":"108","author":[{"given":"Marc","family":"Fouradoulas","sequence":"first","affiliation":[{"name":"Praxis f\u00fcr Psychosomatik und langfristige Gesundheit, Z\u00fcrich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"von K\u00e4nel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Konsiliarpsychiatrie und Psychosomatik, Universit\u00e4tsspital Z\u00fcrich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Paul","family":"Schmid","sequence":"additional","affiliation":[{"name":"Kardiologie, Klinik Barmelweid"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"crossref","unstructured":"Jarczok MN, Kleber ME, Koenig J, et al.: Investigating the associations of self-rated health: heart rate variability is more strongly associated than inflammatory and other frequently used biomarkers in a cross sectional occupational sample. 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