[Multiple obliterative vascular disease. Challenge in diagnosis and in treatment].
Currently, peripheral arterial disease is an underdiagnosed disorder. Several modifiable and non-modifiable risk factors have role in its development and progression. As system disorder it might be a part and an important predictor of fatal cardio- and cerebrovascular events.


METHODS
The authors describe the case of a 73-year-old male with multilocational vascular disorder, with simultaneously occurring carotid disease, critical limb ischaemia with aorto-bifemoral bypass, multiple infarction with mechanical complication, inoperable coronary disease and with implantable cardioverter defibrillator for ventricular arrhythmia.


CONCLUSIONS
Peripheral arterial disease affects the whole vascular system and can progress into serious cardiac and cerebral manifestations causing the patient's death inspite of comprehensive treatment.
Szomják
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Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, Belgyógyászati Intézet, Belgyógyászati Klinika, Debrecen Móricz Zsigmond út 22. 4004. bodza78@freemail.hu
Dér
Henrietta
H
Kerekes
György
G
Veres
Katalin
K
Tóth
Judit
J
Olvasztó
Sándor
S
Herczku
Csaba
C
Soltész
Pál
P
D000368:Aged; D015901:Angiography, Digital Subtraction; D001011:Aorta / Q000601:surgery; D016893:Carotid Stenosis / Q000150:complications; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D017809:Fatal Outcome; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000150:complications; D017180:Tachycardia, Ventricular / Q000150:complications / Q000628:therapy; D014656:Vascular Surgical Procedures