Klinisches Bild und Therapieresultate bei Patienten mit Endangitis obliterans und peripherer Arteriosklerose

Study on Arteriosclerotics Undergoing Amputations: Including Pre- and Postoperative Periods

“…Next in commonness to the intermittent claudication symptom were (in about one-quarter) symptoms from the coronary arteries, infarctions beginning to be manifest on the average one year before amputation. According to case histories and electrocardiograms, cardiac infarction was present in about every eighth to tenth patient, in conformity with the frequency observed by Heine (1965) in gangrenous patients. According to the autopsies the number of infarctions was even higher, amounting to nearly one in every three patients (30 0 /0).…”

“…This amounts to higher incidences than are encountered in persons of equivalent age suffering from peripheral arteriosclerotic occlusion diseases. The percentage found for cardiac infarction is about the same as that observed by Heine et al (1965) in gangrenous patients. Hansson (1964) states that he found among 236 arteriosclerotic patients "cardiac distress" in 34 0 /0; the occurrence of coronary symptoms in the present series thus agrees rather closely with that in his material.…”

“…In Finland, calculation from Tuomi's (1965) mass examination shows that hypertonics (with a blood pressure of 160/95 rnrn Hg or higher) among persons aged 60-65 years account for 16 % of the men, 53 % of the women and 37 % of both together. In arteriosclerotic patients with gangrene Heine et al (1965) obtained a value of 32.3 % for the percentage of hypertonies (with 155/100 mm Hg or higher blood pressure).…”

“…The symptom is also somewhat less common in diabetics than in non-diabetics (Schadt et al 1961). Heine et al (1965) found that in gangrenous patients, the claudication symptom had been present for three years, on an average, prior to the appearance of gangrene.…”

“…Those suffering from peripheral arterial occlusion disease present symptoms of the coronaries in 12-37 %, according to various studies (Spandling 1956: 21 010;Juergens et al 1960: 16010;Singer and Rob 1960: 22-37010;Schadt et al 1961: 11.7-26.6010), and Schlitt and Serlin's (1960) amputation series included cardiovascular diseases in 46.7 %, of which the share of coronary diseases was not separately stated. The frequency of cardiac infarction in arteriosclerotic sympathectomy patients is reported as 12 % by King et al (1964) and that in gangrenous patients as 14.3 % by Heine et al (1965).…”