Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I
To make a decision on choice the type of myocardial revascularization in patients with coronary artery disease (CAD), an invasive coronary angiography (CAG) is necessary. However, in clinical practice, a significant number of patients during CAG fails to detect coronary obstructive disorders, there...
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2019-06-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/3376 |
| _version_ | 1797856818702057472 |
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| author | A. N. Sumin |
| author_facet | A. N. Sumin |
| author_sort | A. N. Sumin |
| collection | DOAJ |
| description | To make a decision on choice the type of myocardial revascularization in patients with coronary artery disease (CAD), an invasive coronary angiography (CAG) is necessary. However, in clinical practice, a significant number of patients during CAG fails to detect coronary obstructive disorders, there is the so-called problem of “clean” coronary arteries. Indeed, in the Russian Federation in approximately 50% of cases, CAG does not end with myocardial revascularization, and in patients with suspected CAD, non-obstructive coronary artery lesions are detected in 67% of cases. In the first part of the review, a critical analysis of the clinical evaluation of patients in the selection of patients for CAG was conducted. First stages of the diagnostic process based on clinical evaluation are considered. The review discusses the use for diagnostic purposes more complete set of routine assessment methods and the expanded use of laboratory tests using memetic algorithms. |
| first_indexed | 2024-04-09T20:46:35Z |
| format | Article |
| id | doaj.art-7a6414bc210b4df6894a6f6b549b0e85 |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:46:35Z |
| publishDate | 2019-06-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-7a6414bc210b4df6894a6f6b549b0e852023-03-29T21:23:33Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-06-01059510010.15829/1560-4071-2019-5-95-1002696Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part IA. N. Sumin0Research Institute for Complex Problems of Cardiovascular DiseasesTo make a decision on choice the type of myocardial revascularization in patients with coronary artery disease (CAD), an invasive coronary angiography (CAG) is necessary. However, in clinical practice, a significant number of patients during CAG fails to detect coronary obstructive disorders, there is the so-called problem of “clean” coronary arteries. Indeed, in the Russian Federation in approximately 50% of cases, CAG does not end with myocardial revascularization, and in patients with suspected CAD, non-obstructive coronary artery lesions are detected in 67% of cases. In the first part of the review, a critical analysis of the clinical evaluation of patients in the selection of patients for CAG was conducted. First stages of the diagnostic process based on clinical evaluation are considered. The review discusses the use for diagnostic purposes more complete set of routine assessment methods and the expanded use of laboratory tests using memetic algorithms.https://russjcardiol.elpub.ru/jour/article/view/3376clinical evaluationobstructive disorderscoronary arteries |
| spellingShingle | A. N. Sumin Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I Российский кардиологический журнал clinical evaluation obstructive disorders coronary arteries |
| title | Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I |
| title_full | Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I |
| title_fullStr | Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I |
| title_full_unstemmed | Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I |
| title_short | Role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease. Part I |
| title_sort | role of clinical evaluation in the identification of coronary obstructive disorders in patients with stable coronary artery disease part i |
| topic | clinical evaluation obstructive disorders coronary arteries |
| url | https://russjcardiol.elpub.ru/jour/article/view/3376 |
| work_keys_str_mv | AT ansumin roleofclinicalevaluationintheidentificationofcoronaryobstructivedisordersinpatientswithstablecoronaryarterydiseaseparti |