Im vorliegenden Beitrag werden die anatomischen Aspekte des ANS diskutiert, wobei die Frage, wie kardiale Elektrophysiologie durch autonome Einflüsse verändert wird, im Fokus steht. Es gibt zunehmende Evidenz, dass neurale Modulation, entweder durch Ablation oder Stimulation, ein breites Spektrum an Herzrhythmusstörungen wirksam kontrollieren kann. Hinzu kommt die essenzielle Rolle, die das ANS bei kardialen Arrhythmien spielt. Autonome Aktivierung verändert nicht nur die Herzschlagfrequenz, die Reizleitung und die Hämodynamik, sondern auch zelluläre und subzelluläre Eigenschaften einzelner Myozyten. In jüngster Zeit wurde das komplexe Wechselspiel zwischen Gehirn und Herz in zahlreichen anatomischen und physiologischen Studien zum kardialen autonomen Nervensystem (ANS) untersucht. These nerve activities of the cardiac ANS can be targeted for the treatment for cardiac arrhythmias, in particular AF and ventricular tachyarrhythmias. At the same time, sudden cardiac death resulting from ventricular arrhythmias continues to be a significant health and societal burden. Studies with heart-rate variability analysis indicate that, rather than being triggered by either vagal or sympathetic activity, the onset of AF can be associated with simultaneous discharge of both limbs, leading to an imbalance between these two arms of the cardiac ANS. Specific autonomic triggers of various cardiac arrhythmias, in particular atrial fibrillation (AF) and ventricular arrhythmias, are also briefly discussed. This article discusses anatomic aspects of the cardiac ANS, focusing on how autonomic activities influence cardiac electrophysiology. There is mounting evidence that neural modulation either by ablation or stimulation can effectively control a wide spectrum of cardiac arrhythmias. Moreover, the cardiac ANS plays an essential role in cardiac arrhythmogenesis. Autonomic activation not only alters heart rate, conduction, and hemodynamics, but also cellular and subcellular properties of individual myocytes. In recent decades, numerous anatomical and physiological studies of the cardiac autonomic nervous system (ANS) have investigated the complex relationships between the brain and the heart. In certain instances, the brain and body have been wired. When your distress is carved on your body not in your mind. However, many times, it isn’t “just in your head”, and it’s not always related to an anxious, depressive or nervous wracking thought that is the cause of the problem. This often happens when the therapy emphasizes focuses on “brain-based issues”, often assuming the mind and thinking style to be causing psychological distress. Sometimes, clients are “doing” all the right things, but somehow aren’t feeling relief. Therapies which focus on talking about “tough stuff”, learning skills or solely rely on the psychodynamic relationship without somatic, mind-body awareness or trauma interventions can be helpful up until a certain point. Accessing the Root of the Issue- an Integrative Approach to Healing However, over the last number of years, somatic therapy has been effective in helping individuals who struggle with all kinds of stressors and has been effective in helping them finally experience relief.Īreas such as : relationship, intimacy, those seeking a feeling of security, wanting to feel trust, over/under achievers, parenting skills, managing anxiety, working though depression and other emotional difficulties. Initially, somatic therapies were created to help trauma survivors finally experience relief from their trauma symptoms such as flashbacks, difficulty sleeping, dysregulated eating patterns and chaotic relationships and lifestyles. A body based therapy to help you heal on a cellular level
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