[Cardiac x-ray findings and vascular calcification in arterial obstructive disease in the pelvic and leg region. II].

In 117 patients with arterial obstructive disease in the region of pelvis and leg compared with test persons with healthy vessels the percentage of the deformation of the heart according to the classification after Richter was significantly higher for the left-side prevailing bilaterally loaded heart as well as for the left-ventricularly loaded heart. No differences could be ascertained between hypertonic and normotonic patients with ill vessels. In the patients compared with the clinically healthy test persons we registered surface-kymographically and electrokymographically more frequently a pathological marginal movement of the heart as a reference to a myocardial dysfunction. The distinct pathological surface-kymographical and electrokymographical findings on the heart correlated with the electrocardiographical findings. The data got on the heart confirmed the indication of a cardial basal therapy existing in most cases in older patients with vascular diseases. The slight diameter of the thoracic aorta as well as the restriction of the surface-kymographically provable amplitude of the movement in the region of the arc may, compared with the test persons with healthy vessels, refer to a disturbed wind kessel function of the aorta, they let us think of a primary rigidity of the wall. On the basis of the present results of examinations the sum of simply to be established X-ray findings--form of the heart, measure of the aorta, state of sclerosis, surface-kymographical findings at the heart and the aorta--may characterize an advanced vascular disease.