V.V. FATTAKHOV, N.V. MAKSUMOVA

Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

 Fattakhov V.V. — D. Med. Sc., Professor of the Surgery Department, tel. +7-987-297-12-08, e-mail: vvfat@mail.ru

Maksumova N.V. — Cand. Med. Sc., Assistant Lecturer of the Department of Functional Diagnostics, tel. +7-917-257-80-03, e-mail: nv_maks@mail.ru

 Diagnosis, prevention and treatment of microcirculation disorders in various organs and systems are an urgent problem of theoretical and practical medicine. The vascular system is integral and its lesions are systemic in nature, but in a particular person they are manifested, first of all, in individual locus minoris resistentia zone. The authors present a clinical example of a complex combination of arterioles spasm, increased discharge of blood through shunts, stagnation in venular system, spastic and hyperemic options of microcirculation, long spasm of arterioles after compression test, reduced saturation of tissues with oxygen and variability of blood circulation. Under normal heart rate variability, the case required a comprehensive study using laser Doppler ultrasonography, optical tissue oximetry, and cardiointervalography. The complex research enabled to clarify the subtle mechanisms of the organ pathology, which is essential for adequate treatment of patients, particularly in the young age group.

Кey words: Skin microcirculation, Lazer Doppler ultrasonography, optical tissue oximetry, variability of microcirculation, cardiointervalography.

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