[The diagnosis and surgical treatment of ischemic heart disease in patients with occlusive arterial lesions of the lower extremities].
Concomitant ischemic heart disease was encountered in every 5 patients among 840 patients who underwent operation for occlusive lesions of the arteries of the lower limbs. Coronary cardiosclerosis increases the incidence of fatal myocardial infarction in the early and late-term postoperative periods. The presence of a clinical picture of ischemic heart disease and ECG changes require the performance of loading tests and, if their results are positive, the accomplishment of coronary ventriculography so as to solve the question of preventive revascularization of the myocardium. Preventive aortocoronary shunting excludes the risk of the development of cardiogenic complications in reconstruction of the great arteries of the lower limbs.
Belov
Iu V
IuV
Goriunov
V S
VS
Aslibekian
I S
IS
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000601:surgery; D017023:Coronary Angiography; D004562:Electrocardiography; D005080:Exercise Test; D006801:Humans; D015994:Incidence; D007866:Leg / Q000098:blood supply*; D008875:Middle Aged; D009203:Myocardial Infarction / Q000517:prevention & control; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000517:prevention & control
Diagnostika i khirurgicheskoe lechenie ishemicheskoĭ bolezni serdtsa u bol'nykh okkliuziruiushchimi porazheniiami arteriĭ nizhnikh konechnosteĭ.