Diagnosis and Therapy of Coronary Microcirculation Disturbances with Coronary Heart Disease

Author(s): Strauer, B. -E.

Journal/Book: Natur- und Ganzheitsmedizin Wissenschaft und Praxis. 1990; 3/1: 1-7.

Abstract: With patients suffering from coronary heart disease and angina pectoris the fibrinogen level should, if possible, be determined. An increased fibrinogen concentration influences the flowing-properties of the blood disadvantageously. But it can, through appropriate drug treatment, be made the startingpoint for an improvement of micro- and macrocirculation. Oral application of fenofibrate, heparin-induced extra-corporeal LDL-cholesterol and fibrinogenprecipitation, as well as intermittent urokinase therapy are possibilities for a fibrinogen reduction which can increase perfusion in the ischaemic myocardium measurably. Many of the patients treated in this way can subjectively feel a significant improvement, which also shows for example in a reduced nitrate consumption.

Keyword(s): Koronare Herzkrankheit

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