[Diagnosis of concomitant ischemic heart disease and selection of surgical tactics in arteriosclerosis of major arteries of the lower extremities in relation to heart function in patients with extensive arteriosclerosis].
The results of examination of 74 patients treated in the clinic for ischemia of the lower extremities with concomitant ischemic heart disease (IHD) diagnosed by the data of clinico-instrumental investigations are presented. In 10.8% of the patients, IHD was diagnosed in clinical examination, in 89.2%--in performing the loading test. The authors consider that the volume of intervention on the aorto-iliac segment should correspond to a functional state of the myocardium, on the femoro-popliteal segment--to severity of a lesion at this region and is not restricted by functional state of the myocardium. To the patients with a functional reserve corresponding to a functional class IV, the performance of coronarography for definition of the expediency to perform one-stage intervention on the coronary bed and major arteries of the lower extremities is indicated.