title: [Multiple obliterative vascular disease. Challenge in diagnosis and in treatment].
abstract: 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.
authors.affiliation: Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, Belgyógyászati Intézet, Belgyógyászati Klinika, Debrecen Móricz Zsigmond út 22. 4004. bodza78@freemail.hu
authors.forename: Edit
authors.initials: E
authors.lastname: Szomják
authors.forename: Henrietta
authors.initials: H
authors.lastname: Dér
authors.forename: György
authors.initials: G
authors.lastname: Kerekes
authors.forename: Katalin
authors.initials: K
authors.lastname: Veres
authors.forename: Judit
authors.initials: J
authors.lastname: Tóth
authors.forename: Sándor
authors.initials: S
authors.lastname: Olvasztó
authors.forename: Csaba
authors.initials: C
authors.lastname: Herczku
authors.forename: Pál
authors.initials: P
authors.lastname: Soltész
mesh_terms: 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