Abstract
The work presents treatment and diagnosis for acute cholecystitis in patients with sub- and decompensated cardiovascular diseases. Th e problem of mutual deterioration between acute cholecystitis and diff erent manifestations of coronary artery disease has been reviewed. Th e main diseases of the cardiovascular system that aff ect the prognosis of acute cholecystitis have been enumerated. The role of specifi c biochemical markers of necrosis has been shown and the use of such instrumental techniques as ultrasonography, magnetic resonance cholangiopancreatography, echocardiography, electrocardiogram,diagnostic laparoscopy has discussed. Th e classifi cation of perioperative cardiovascular complications by risk — low, medium and high (L. Fleisher and K. Eagle, 1996) is used. Suffi cient detail is given to the criteria for selecting methods of surgical treatment for acute cholecystitis as well as contraindications and possible complications in the postoperative period. Refs 13. Tables 2.
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More From: Vestnik of Saint Petersburg University. Series 11. Medicine
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