EurekaMag.com logo
+ Site Statistics
References:
53,214,146
Abstracts:
29,074,682
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Preparation of patients with chronic ischemic heart disease for aorto coronary shunt operations


Vestnik Akademii Meditsinskikh Nauk SSSR (8): 88-92
Preparation of patients with chronic ischemic heart disease for aorto coronary shunt operations
Surgical treatment of ischemic heart disease (IHD) requires careful individual preoperative preparation of the patient. Cases (500) of such preparation are reviewed. The patients were classified into 2 groups according to severity of disease: those with uncomplicated disease (175 patients 35%) and those with complicated and/or severe disease (325 patients, 65%). The morphologic substratum responsible for IHD were multiple coronary artery lesions (of degree III or IV). Of the patients 63% showed considerable postinfarctional scars. In 35%, formation of left ventricular aneurysm was observed. The general and drug treatment of the patients before surgery lasted from 2 wk-4 mo. The clinical effectiveness of the treatment was assessed by observed decreases in the frequency of angina pectoris attacks, increases in the tolerance for exercise (veloergometric tests) and improvement of intracardiac hemodynamics as judged by radionuclide techniques. The preoperative drug treatment depended on the severity of disease and included the administration of nitrate, dipyridamol potassium salts, anticoagulants, cardiac glycosides, adrenergic blocking agents and anabolic hormones. Accessory artificial circulation was used in particularly resistant patients.

(PDF 0-2 workdays service: $29.90)

Accession: 006173646



Related references

Surgical treatment of ischemic heart disease using an aorto-coronary shunt. Kardiologiia 12(10): 43-47, 1972

Role of aorto coronary shunt in the treatment of ischemic heart disease. Vestnik Akademii Meditsinskikh Nauk SSSR (8): 55-61, 1982

The ultrastructure of the myo cardium in the restorative period following aorto coronary shunting in patients with chronic ischemic heart disease. Kardiologiya 22(6): 18-23, 1982

Long term results of the aorto coronary shunting operation in patients with chronic forms of ischemic heart disease. Kardiologiya 17(6): 31-36, 1977

Simultaneous operations of the heart valves and aorto-coronary shunting in patients with rheumatic heart diseases associated with coronary artery disease. Klinicheskaia Meditsina 55(10): 94-97, 1977

Single stage operations on the heart valves and aorto coronary shunting in patients with rheumatic heart disease concomitant with affections of the coronary arteries. Klinicheskaya Meditsina (Moscow) 55(10): 94-97, 1977

Aorto-coronary and mammary-coronary bypass of the working heart without extracorporeal circulation in patients with ischemic heart disease and a history of two or more myocardial infarctions. Grudnaia i Serdechno-Sosudistaia Khirurgiia: 9-12, 1992

Remote results of the aorto-coronary shunting in chronic forms of ischemic heart disease. Kardiologiia 17(6): 31-36, 1977

Coronary sinus blood flow during exercise after aorto coronary bypass surgery in patients with ischemic heart disease. Journal of the Japanese Association for Thoracic Surgery 31(2): 145-151, 1983

Sanatorium stage of rehabilitation of patients with ischemic heart disease after operation for aorto coronary shunting and resection of heart aneurysms. Terapevticheskii Arkhiv 54(1): 67-70, 1982