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The optimally adjusted doses of phinoptin, cordarone and cordypin were applied as the preoperative preparation complex in 30 ischemic heart disease patients with the stress angina pectoris of the II-IV functional class. It promoted the total blood peripheral resistance decrease, pre- and postload lowering, the contractile myocardial function increase, the pain syndrome abolition, and permitted to prepare the patients effectively for the aortocoronary shunting operation.

The results of examination of 74 patients treated in the clinic for ischemia of the lower extremities with concomitant ischemic heart disease (IHD) diagnosed by the data of clinico-instrumental investigations are presented. In 10.8% of the patients, IHD was diagnosed in clinical examination, in 89.2%--in performing the loading test. The authors consider that the volume of intervention on the aorto-iliac segment should correspond to a functional state of the myocardium, on the femoro-popliteal segment--to severity of a lesion at this region and is not restricted by functional state of the myocardium. To the patients with a functional reserve corresponding to a functional class IV, the performance of coronarography for definition of the expediency to perform one-stage intervention on the coronary bed and major arteries of the lower extremities is indicated.