Treatment Strategies for Acute Cholecystitis of Patients with Sub- and Decompensated Cardiovascular Diseases

Abstract

The work presents treatment and diagnosis for acute cholecystitis in patients with sub- and decompensated cardiovascular diseases. The problem of mutual deterioration between acute cholecystitis and different manifestations of coronary artery disease has been reviewed. The main diseases of the cardiovascular system that affect the prognosis of acute cholecystitis have been enumerated. The role of specific biochemical markers of necrosis has been shown and the use of such instrumental techniques as ultrasonography, magnetic resonance cholangiopancreatography, echocardiography, electrocardiogram, diagnostic laparoscopy has discussed. The classification of perioperative cardiovascular complications by risk — low, medium and high (L. Fleisher and K. Eagle, 1996) is used. Sufficient detail is given to the criteria for selecting methods of surgical treatment for acute cholecystitis as well as contraindications and possible complications in the postoperative period. Refs 13. Tables 2.