Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis

Probability estimation model for diagnostic of coronary atherosclerosis that needs invasive treatment, had been created for patients with various levels of individual risk. For multifactorial analysis with use of neural networks, 19 parameters were selected, including anamnestic data, instrumental e...

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Main Authors: E. V. Kotelnikova, V. I. Gridnev, P. Ya. Dovgalevsky, A. B. Bespjatov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2004-02-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1866
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author E. V. Kotelnikova
V. I. Gridnev
P. Ya. Dovgalevsky
A. B. Bespjatov
author_facet E. V. Kotelnikova
V. I. Gridnev
P. Ya. Dovgalevsky
A. B. Bespjatov
author_sort E. V. Kotelnikova
collection DOAJ
description Probability estimation model for diagnostic of coronary atherosclerosis that needs invasive treatment, had been created for patients with various levels of individual risk. For multifactorial analysis with use of neural networks, 19 parameters were selected, including anamnestic data, instrumental examination results, pre-test CHD probability, and individual level of cardiovascular risk. Significant clinico-instrumental predictors were: stress test results, typical angina, myocardial infarction in anamnesis, ECG signs of left ventriular hypertrophy, pre-test CHD probability. A two-level scheme for coronary atherosclerosis diagnostic was developed. This scheme could be used in out-patient settings (screening, selection of candidates for invasive intervention). Its prognostic accuracy is 1. 5-3 times higher than that of traditional clinical decision making procedure.
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spelling doaj.art-a60adc12695c43c88797a80f00adb5ef2023-03-29T21:23:10Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202004-02-010164691624Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosisE. V. Kotelnikova0V. I. Gridnev1P. Ya. Dovgalevsky2A. B. Bespjatov3Саратовский на учно3исследовательский институт кардиологии МЗ РФСаратовский на учно3исследовательский институт кардиологии МЗ РФСаратовский на учно3исследовательский институт кардиологии МЗ РФСаратовский на учно3исследовательский институт кардиологии МЗ РФProbability estimation model for diagnostic of coronary atherosclerosis that needs invasive treatment, had been created for patients with various levels of individual risk. For multifactorial analysis with use of neural networks, 19 parameters were selected, including anamnestic data, instrumental examination results, pre-test CHD probability, and individual level of cardiovascular risk. Significant clinico-instrumental predictors were: stress test results, typical angina, myocardial infarction in anamnesis, ECG signs of left ventriular hypertrophy, pre-test CHD probability. A two-level scheme for coronary atherosclerosis diagnostic was developed. This scheme could be used in out-patient settings (screening, selection of candidates for invasive intervention). Its prognostic accuracy is 1. 5-3 times higher than that of traditional clinical decision making procedure.https://russjcardiol.elpub.ru/jour/article/view/1866coronary heart diseaseindividual riskcoronary atherosclerosisneural networksprognosis
spellingShingle E. V. Kotelnikova
V. I. Gridnev
P. Ya. Dovgalevsky
A. B. Bespjatov
Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
Российский кардиологический журнал
coronary heart disease
individual risk
coronary atherosclerosis
neural networks
prognosis
title Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
title_full Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
title_fullStr Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
title_full_unstemmed Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
title_short Interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
title_sort interrelation of individual risk and coronary atherosclerosis in coronary heart disease prognosis
topic coronary heart disease
individual risk
coronary atherosclerosis
neural networks
prognosis
url https://russjcardiol.elpub.ru/jour/article/view/1866
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AT pyadovgalevsky interrelationofindividualriskandcoronaryatherosclerosisincoronaryheartdiseaseprognosis
AT abbespjatov interrelationofindividualriskandcoronaryatherosclerosisincoronaryheartdiseaseprognosis