Thermosemiotics of the hands. Report 2. Thermal patterns of the hands in patients with upper limbs vascular disorders, Raynaud’s phenomenon, after thoracic sympathectomy, in ischemic heart disease and a number of other diseases

2021 ◽  
pp. 62-70
Author(s):  
M. G. Volovik ◽  
I. M. Dolgov
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Raynaud’S Phenomenon ◽  
Raynaud's Phenomenon ◽  
Ischemic Heart ◽  
Upper Limbs ◽  
Vascular Disorders ◽  
Surgical Interventions ◽  
Thoracic Sympathectomy ◽  
Screening Diagnostics

This review is devoted to the thermogaphic hands examination in patients with upper limbs vascular disorders (both arterial and venous), Raynaud’s phenomenon, ischemic heart disease and after surgical interventions on the vessels of the upper extremities, thoracic sympathectomy, as well as a number of more rare diseases and clinical situations. Studies of temperature distributions on the hands of such patients are promising in terms of creating, on their basis, decision support systems in screening, diagnostics and treatment monitoring.

Abstract 525: Cases with Uncommon Anti-phospholipid Antibody Syndrome Developed Multifocal Vascular Disorders Such as Ischemic Enteritis, Portal Vein Thrombosis, Ischemic Heart Disease and Cerebral Infarction

2016 ◽  
Vol 36 (suppl_1) ◽  
Author(s):  
Yasutaka Kawamura ◽  
So Nakaji ◽  
Nobuto Hirata
Keyword(s):  
Heart Disease ◽  
Coronary Angiography ◽  
Portal Vein ◽  
Cerebral Infarction ◽  
Ischemic Heart Disease ◽  
Portal Vein Thrombosis ◽  
Ischemic Heart ◽  
Vascular Disorders ◽  
Vein Thrombosis ◽  
Ischemic Enteritis

Purpose: We report cases with uncommon anti-phosholipid antibody syndrome developed ischemic enteritis, portal vein thrombosis, ischemic heart disease and cerebral infarction. The difficulty in diagnosing and treatment procedures for multifocal vascular disorders is discussed. Patients and Methods: Patient 1, 76-year-old man, with acute abdomen. Patient 2, 54-year-old man, with intractable esophageal varices. Clinical manifestation was superior mesenteric artery (SMA) thrombosis in the patient 1 and portal vein thrombosis in the patient 2. Serial CT scans were examined on 64 or 80 multidetector-row CT (Toshiba), with bolus injection of contrast media for CT angiography (CTA). Abdominal angiography with endovascular intervention and coronary angiography were performed on Allura Xper FD-20 and FD-10 (Philips). Results: Emergency CTA of patient 1 showed decreased contrast enhancement of SMA and SMV but enhancement of intestinal walls were well preserved. Although the patient’s symptom got better, follow-up CT revealed the growth of SMA thrombosis. The aspiration and the dissolution of SMA thrombosis were performed through the SMA catheter for five days resulted in complete recanalization.Then he felt chest oppression and 75% stenosis of RCA segment 4, followed by complete spastic occlusion on Acetylcholine loading on the coronary angiography, which recovered perfectly with intra-coronary nitroglycerin administration. He discharged our hospital with health, while he had cerebellar infarction with right cerebellar artery occlusion. On patient 2, to resolve portal hypertension, balloon-occluded retrograde transvenous obliteration was scheduled, however, due to numerous collaterals prevented the effective venous obliteration and splenic arterial embolization was selected alternatively. Discussion and Conclusions: The progressive SMA thrombosis with coronary disease and subsequent cerebellar occlusion seen in patient 1, and the portal vein thrombosis in patient 2 without chronic hepatitis nor cirrhosis were unusual. To discover underlining uncommon anti-phosholipid antibody syndrome is important to prevent serious vascular diseases in sequence.

scholarly journals Psychological Adaptation of Patients with Ischemic Heart Disease at the Stages of Rehabilitation after Reperfusion Interventions

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
Roksolana Nesterak
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Holistic Approach ◽  
Psychological Adaptation ◽  
Ischemic Heart ◽  
Psychological Status ◽  
Adaptation Period ◽  
Surgical Interventions ◽  
Special Adaptation ◽  
Personal Anxiety

Psychological adaptation is a necessary component of rehabilitation of patients with ischemic heart disease. Post-infarction period is a special adaptation period for the patient, which requires a holistic approach taking into account both medical, physical and psychological components. High levels of anxiety in patients, both before surgical interventions, and in the postoperative period, worsen the prognosis that requires to improve the methods of rehabilitation.          The objective of the research was to study the peculiarities of psychological adaptation in patients with ischemic heart disease, depending on reperfusion approaches and applied methods of rehabilitation.          Materials and methods. There were examined 450 patients with ischemic heart disease using different methods of reperfusion interventions. Depending on the methods of rehabilitation, the patients were divided into three subgroups. The determination of levels of reactive and personal anxiety was performed at the beginning of treatment, 1 week, 1 month and 6 months after treatment.          Results. There were revealed high levels of reactive and personal anxiety in patients with ischemic heart disease, which differed depending on the applied reperfusion interventions. The use of psychological methods at the stage of rehabilitation contributed to a decrease in anxiety levels a week after using suggestive therapy methods, and the effect of learning was noted a month and 6 months after the observation.          Conclusions. One of the constituents of a cardiologic patient is his psychological status, namely the level of anxiety. For the effective adaptation, it is important to use the suggestive methods of therapy and training of patients. In patients, who are scheduled for surgical operation due to ischemic heart disease, a pre-rehabilitation with an individual approach is necessary.

scholarly journals Referred Pain of Upper Limbs Caused by Ischemic Heart Disease

2018 ◽  
Vol 32 (2) ◽  
pp. 130-133
Author(s):  
Hirotake Okazaki ◽  
Kuniya Asai
Keyword(s):  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Referred Pain ◽  
Ischemic Heart ◽  
Upper Limbs

scholarly journals Results of surgical treatment of uclear bleed in patients with ischemic heart disease

2020 ◽  
pp. 110-116
Author(s):  
A. M. Khajibayev ◽  
R. I. Rakhimov ◽  
A. A. Nabiev ◽  
A. G. Mahamadaminov
Keyword(s):  
Palliative Care ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Ischemic Heart Disease ◽  
Technical Skill ◽  
Ischemic Heart ◽  
Treatment Methods ◽  
Surgical Interventions ◽  
Surgical Methods

Introduction. This article is devoted to one of the urgent problems of modern emergency abdominal surgery – the result of surgical treatment of ulcer bleed in patients with ischemic heart disease.Undoubtedly intensive hemostatic conservative therapy and endoscopic hemostasis methods are the main treatment methods for this group of patients. However, in a certain number of patients with NGDK with various variants of IHD, such treatment is ineffective and there is a need to perform surgical hemostasis in an emergency and urgently.Surgical methods of hemostasis of NGDK patients with different variants of IHD are shown only in cases of inefficiency of conservative and endoscopic treatment methods. Among surgical interventions, radical surgeries are more preferable, which, if performed against the background of intensive resuscitation support, allow to achieve reliable hemostasis and thus avoid postoperative recurrent bleeding. Palliative surgery should be used when radical surgery is not possible due to the severity of the patient’s condition or lack of technical skill of surgeons. Finally, it is clear that in order to improve treatment results in patients in this category, correction of changes caused by the accompanying IHD is necessary.Materials and methods: In our research material, 89 out of 997 patients had such a need, which was 8.9%. It mainly corresponds to the modern literature data.Results: An analysis of the results of these patients’ palliative and radical surgical interventions clearly showed that the last ones were more preferable.The basis for this judgment was the high percentage of mortality after palliative care compared to radical care with approximately the same number of postoperative complications.In addition, it is noteworthy that postoperative complications typical of palliative care in the form of recurrent ulcerative bleeding are often fatal, because half of these patients in our observations have not experienced repeated radical interventions.Conclusion: At the same time, the necessary condition for performing radical operations is, firstly, appropriate technical skill of the surgeon, and secondly, providing the latter with intensive resuscitation support. In case of impossibility of performance of these conditions the method of a choice should serve palliative care.

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