[Status of microcirculation in patients with ischemic heart disease and concomitant bronchopulmonary diseases]

Microcirculation was studied by bulbar biomicroscopy in 111 coronary patients (105 males and 6 females) treated at sanatorium. Eighty-three of them exhibited concomitant bronchopulmonary impairment: chronic obstructive, chronic nonobstructive bronchitis and bronchial asthma in 40, 36 and 7 patients, respectively. The combined effect of the diseases leading to mutual aggravation has an adverse sequelae in terminal circulation, which can be managed by therapeutic impact on cardiorespiratory system. Special measures aimed at better ventilation result in microcirculatory improvement and should be included into rehabilitation programs for patients with cardiorespiratory pathology. Such patients are recommended to undergo microcirculation study which would be able to indicate the condition severity and serve a criterion of sanatorium treatment effectiveness.