[Corrective strategies in treatment of postoperative hemodynamic dysfunctions in patients with chronic cholelithiasis in combination with the heart ischemic disease].
132 patients with complicated forms of chronic calculous cholecystitis combined with heart ischemia and postinfarctial cardiosclerosis were investigated. In preoperative period besides the clinical instrumental and laboratory investigations condition of cardiovascular system with the use of physical exertion -treadmill test and echocardiography was done in order to find the heart's working regime. The analysis of the treadmill tests results with the central and peripheral hemodynamic data changes, the level of myocardial oxygen contribution, metabolic changes has shown that their connection is widely varied. This is explained by inflammatory processes spreading which formed the pathological connection of the whole biliary system and inflammatory focuses with pain sinchrone. Preoperative conservative treatment, including individual mechanisms of heart dysfunction based on treadmill and EchoCG, for the correction of hemodynamic is not necessary on the background of pain, cholemia, pancreas induration which forces myocardium up to the liquidation of pathogenetic mechanism of hepatoduodenal zone. That's why the methods of small invasive endosurgery are used in the complex conservative preoperative treatment.
Piruzian
G
G
Medical Center 'Erebuni', Yerevan, Armenia; Hospital N1, Tbilisi, Georgia.
Manuchiashvili
N
N
D000319:Adrenergic beta-Antagonists / Q000494:pharmacology* / Q000627:therapeutic use*; D000328:Adult; D000368:Aged; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D002908:Chronic Disease; D003326:Coronary Circulation / Q000187:drug effects* / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D017202:Myocardial Ischemia / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D011183:Postoperative Complications
D000319:Adrenergic beta-Antagonists