[The diagnosis and surgical treatment of ischemic heart disease in patients with occlusive arterial lesions of the lower extremities].

Concomitant ischemic heart disease was encountered in every 5 patients among 840 patients who underwent operation for occlusive lesions of the arteries of the lower limbs. Coronary cardiosclerosis increases the incidence of fatal myocardial infarction in the early and late-term postoperative periods. The presence of a clinical picture of ischemic heart disease and ECG changes require the performance of loading tests and, if their results are positive, the accomplishment of coronary ventriculography so as to solve the question of preventive revascularization of the myocardium.

[Myocardial contractility in the early postoperative period after aortocoronary bypass and cardiac aneurysm resection].

Polycardiography was used to examine myocardial contractile parameters: preejection and ejection periods and contractility coefficient in 90 patients with coronary heart disease running without complications postoperatively following aortocoronary bypass and cardiac aneurysm resection. The magnitude and length of lower myocardial contractility were found to be associated with the baseline extent of coronary and cardiosclerosis, the signs of congestive heart failure, the value of ejection fraction, and intraoperative parameters such as the duration of extracorporeal circulation and myocardial ischemia, the number of shunts and their blood flow. Early drug correction of complications and a scientifically substantiated approach to the physical rehabilitation of those operated on may be applied with due account of the changes in myocardial contractility.

[Work capacity of patients after resection of post-infarction heart aneurysm].

The paper provides data of a ten-year follow-up of 51 patients who underwent postinfarction left ventricular aneurysmectomy in the All-Union Surgery Research Center with a view to verifying the degree of working capacity loss. In the long-term period, out of them 37 persons (72.5%) had Group II disability, 10 (19.