RESUMO
The article discusses difficulties in diagnostics of some acute vascular diseases of abdominal organs, associated with abdominal pain. The analysis of the reasons for late diagnosis of mesenterial thrombosis and dissecting aneurysm of the abdominal aorta is based on 2 clinical observations.
Assuntos
Dor Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/diagnóstico , Dissecção Aórtica/diagnóstico , Oclusão Vascular Mesentérica/diagnóstico , Trombose/diagnóstico , Dor Abdominal/etiologia , Doença Aguda , Adulto , Idoso , Idoso de 80 Anos ou mais , Dissecção Aórtica/complicações , Aneurisma da Aorta Abdominal/complicações , Diagnóstico Diferencial , Evolução Fatal , Feminino , Seguimentos , Humanos , Laparoscopia , Masculino , Artérias Mesentéricas , Oclusão Vascular Mesentérica/complicações , Pessoa de Meia-Idade , Radiografia Abdominal , Estudos Retrospectivos , Trombose/complicaçõesRESUMO
AIM: To investigate clinical efficacy of angiotensin-converting enzyme inhibitor trandolapril and its effects on myocardial function. MATERIALS AND METHOD: 20 patients with ischemic heart disease (IHD) aged 33-74 years with chronic cardiac failure NYHA class II-IV. 4 of them survived myocardial infarction. In addition to the routine tests, the patients underwent echocardiography, radionuclide ventriculography. Trandolapril was given once a day for 28 days in a dose 2 mg, then a repeat examination was performed. RESULTS: Trandolapril produced a subjective effect in 80% of patients. There was also improvement of hemodynamic parameters, an increase in the ejection fraction, sensitivity to nitroglycerin, decline of asynchrony. The drug was well tolerated. CONCLUSION: Trandolapril (Gopten) is effective in IHD patients with chronic cardiac failure.