In the presented review the authors discuss briefly the effect of anaesthetizing substances on the heart muscle. Examinations to which the patient with IHD should be subjected before a cardiac operation and the surgical risk are discussed in the part on preoperative examination of the patient with IHD. The paper deals in detail with the preoperative preparation and contemporary views on the subject with specific views on different drugs. In the conclusion the authors present the results of the work of the consultant out-patients department of the First Medical Clinic of the Faculty Hospital and policlinic in Kosice which are a practical evaluation made by the specialist in internal medicine of the theoretically elaborated preoperative preparation of patients with IHD.

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