| Popis: |
The author examined 1,149 patients with cholecystitis, 90% of them had calculous and the others had non-calculous forms of the disease. Atrial fibrillation (AF) was found in 63 (5.48%) patients, which was combined in most cases with ischemic heart disease (IHD), essential hypertension (EH), and rheumatic heart disease concomitant of cholecystitis. In 12 cases with CF organic changes of the heart were not found. Eight patients has transitory AF for some years. In determining the indications for operations on the biliary tract in individuals with concomitant AF the author assigns importance to graded physical loading. In the group of 63 patients with AF 43 underwent surgical treatment for cholecystitis with a favourable outcome. The author claims that AF in combination with IHD, EH, and rheumatic heart disease is not a contraindication for surgical treatment of cholecystitis. In cases of transient AF the biliary tract should be examined more frequently because AF may be one of the signs of the biliary-cardiac syndrome in such patients. A history of thromboembolic complications and AF which are relieved with difficulty may be contraindications for operations on the biliary tract. |
