Abstract
The aim of the present study was to use angiography for assessing the prevalence and characteristics of multifocal atherosclerotic lesions of blood vessels in ischemic heart diseases in patients aged above 50 years. Angiography was focused at the brachiocephalic and coronary arteries, the abdominal segment of aorta, and lower limb arteries of 67 IHD patients whose mean age was 60,1±0,1 years. Results: In patients aged above 50 years without hemodynamically significant coronary stenoses, angiographic examinations reveal stenoses equal to or above 75% involving brachiocephalic arteries in 20% and involving lower limb arteries in 70% of cases and stenoses equal to or above 50% involving renal arteries in 10% of cases. Irrespective of the degree of the stenotic lesions of coronary arteries, IHD patients aged above 50 years often have obliterating atherosclerosis of lower limb arteries associated with stenosis equal to or above 75% (Group 1, 70%; Group 2, 85,7%, and Group 3, 96,9% at p<0,05). Conclusion: IHD patients aged above 50 years should undergo screening for lesions of other blood vessels, especially of lower limb arteries.
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