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[Syndrome of acute coronary insufficiency in ulcerative gastro-intestinal hemorrhage].

In 2004- 2007 in the clinic 249 patients, in whom the ulcer disease gastro-intestinal hemorrhage (GIH) occurred, were observed. Of 107 elderly patients 43 (40.1%) were hospitalized lately than 24 hours after GIH beginning. Gastroduodenofibroscopy was conducted for the hemorrhage origin investigation and the local hemostasis state determination. In a hospitalization day in 19 (17.7%) patients myocardial infarction on the GIH background was diagnosed. GIH and myocardial infarction were treated simultaneously. Timely elimination of the circulating blood volume deficiency under constant control of arterial and central venous pressure, the hourly diuresis and ECG dynamics was considered the main element of a treatment program. After infusion-transfusion therapy conduction the acute coronary insufficiency syndrome was eliminated on the 3-5th day.