FUNCTIONAL STATE OF PERIPHERAL VESSELS OF THE LOWER EXTREMITIES AND INTRAOSSEOUS PRESSURE IN PATIENTS, SUFFERING OBLITERATING ATHEROSCLEROSIS ON BACKGROUND OF DIABETES MELLITUS

Results of examination of 46 patients, suffering obliterating atherosclerosis of the lower extremities arteries solely or in combination with diabetes mellitus (DM), were analyzed. The malleolar pressure index (MPI), regional systolic pressure (RSP), velocity of the volume blood flow (VVBF), rheogra...

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Published in:	Klinična hìrurgìâ (Kiïv) no. 1; pp. 41 - 43
Main Authors:	Rusyn, V I, Korsak, V V, Rusyn, V V, Gorlenko, F V, Mashura, V V, Pekahr, M I, Langazo, O V
Format:	Journal Article
Language:	Ukrainian
Published:	Ukraine 01-01-2016
Subjects:	Arteriosclerosis Obliterans - complications Arteriosclerosis Obliterans - pathology Arteriosclerosis Obliterans - physiopathology Blood Flow Velocity Blood Pressure Diabetes Complications Diabetes Mellitus - pathology Diabetes Mellitus - physiopathology Humans Ischemia - complications Ischemia - pathology Ischemia - physiopathology Lower Extremity - blood supply Lower Extremity - pathology Lower Extremity - physiopathology Plethysmography, Impedance Pressure Severity of Illness Index Tibia - blood supply Tibia - pathology Tibial Arteries - pathology Tibial Arteries - physiopathology
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Summary:	Results of examination of 46 patients, suffering obliterating atherosclerosis of the lower extremities arteries solely or in combination with diabetes mellitus (DM), were analyzed. The malleolar pressure index (MPI), regional systolic pressure (RSP), velocity of the volume blood flow (VVBF), rheographic index (RI), using test with nitroglycerine, postocclusion venous pressure (POVP) and intaosseous pressure (IOP) in tibiae were studied. The RI reduction, parallel to the arterial ischemia progression, was established. The test indices with nitroglycerine in patients with obliterating atherosclerosis have reduced step by step. With coexistent DM the efficacy of nitroglycerine was practically absent. POVP is upgraded in patients of all the groups and it have lowered step by step in a laying position of the patient, and while transition into standing position--it have upgraded progressively with a progress of arterial ischemia. IOP have upgraded significantly in isolated obliterating atherosclerosis in ischemia stage 3a and have lowered--in stage 3b. In coexistent DM IOP is upgraded in ischemia stage 3b also.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	0023-2130