Cardiac risk stratification in stable coronary artery disease
Despite a gradually decreased mortality from cardiovascular diseases, including coronary artery disease (CAD), they remain the main cause of death in the world. In the coming decades, an increased prevalence of CAD is expected. While methods that are more sensitive are used to diagnose CAD and morta...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
ABV-press
2020-05-01
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| Series: | Klinicist |
| Subjects: | |
| Online Access: | https://klinitsist.abvpress.ru/Klin/article/view/418 |
| _version_ | 1797855629859094528 |
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| author | S. N. Tolpygina S. Yu. Martsevich |
| author_facet | S. N. Tolpygina S. Yu. Martsevich |
| author_sort | S. N. Tolpygina |
| collection | DOAJ |
| description | Despite a gradually decreased mortality from cardiovascular diseases, including coronary artery disease (CAD), they remain the main cause of death in the world. In the coming decades, an increased prevalence of CAD is expected. While methods that are more sensitive are used to diagnose CAD and mortality of the acute forms decreases due to high-tech treatment methods, the prevalence of CAD chronic forms is gradually increasing. According to the modern clinical guidelines, examination and treatment of a particular patient with stable CAD depends on its prognosis, since only in high-risk patients myocardial revascularization can improve life prognosis, however, most patients receive unified therapy. Despite the fact that there are many prognostically significant factors, models and indices developed to assess the risk of death and cardiovascular complications in CAD, a unified approach to risk stratification does not currently exist. The article provides a literary review of how historically the main prognostically significant signs were identified (including clinical anamnestic and psychosocial characteristics, comorbidity, data of non-invasive instrumental studies such as electrocardiography, echocardiography, tests with dosed physical activity, invasive coronary angiography and some of the existing prognostic models and indices that can help a practitioner in stratifying the risk of cardiovascular complications in a patient with stable CAD. |
| first_indexed | 2024-04-09T20:25:49Z |
| format | Article |
| id | doaj.art-c2461e73b66541f8a8aeda178b5e6777 |
| institution | Directory Open Access Journal |
| issn | 1818-8338 |
| language | Russian |
| last_indexed | 2024-04-09T20:25:49Z |
| publishDate | 2020-05-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Klinicist |
| spelling | doaj.art-c2461e73b66541f8a8aeda178b5e67772023-03-30T20:14:10ZrusABV-pressKlinicist1818-83382020-05-01141-2243310.17650/1818-8338-2020-14-1-2-24-33337Cardiac risk stratification in stable coronary artery diseaseS. N. Tolpygina0S. Yu. Martsevich1National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Health of RussiaNational Medical Research Center for Therapy and Preventive Medicine of the Ministry of Health of RussiaDespite a gradually decreased mortality from cardiovascular diseases, including coronary artery disease (CAD), they remain the main cause of death in the world. In the coming decades, an increased prevalence of CAD is expected. While methods that are more sensitive are used to diagnose CAD and mortality of the acute forms decreases due to high-tech treatment methods, the prevalence of CAD chronic forms is gradually increasing. According to the modern clinical guidelines, examination and treatment of a particular patient with stable CAD depends on its prognosis, since only in high-risk patients myocardial revascularization can improve life prognosis, however, most patients receive unified therapy. Despite the fact that there are many prognostically significant factors, models and indices developed to assess the risk of death and cardiovascular complications in CAD, a unified approach to risk stratification does not currently exist. The article provides a literary review of how historically the main prognostically significant signs were identified (including clinical anamnestic and psychosocial characteristics, comorbidity, data of non-invasive instrumental studies such as electrocardiography, echocardiography, tests with dosed physical activity, invasive coronary angiography and some of the existing prognostic models and indices that can help a practitioner in stratifying the risk of cardiovascular complications in a patient with stable CAD.https://klinitsist.abvpress.ru/Klin/article/view/418coronary artery diseasechronic coronary artery diseasemyocardial infarctionchronic heart failureprognosisstratificationrisk of cardiovascular complicationsrisk factors for cardiovascular diseasesgeneral mortalitycomorbidityelectrocardiographyechocardiographystress testscoronary angiographyct angiographytreadmill teststress echocardiographytest with dosed physical activityclinical recommendations |
| spellingShingle | S. N. Tolpygina S. Yu. Martsevich Cardiac risk stratification in stable coronary artery disease Klinicist coronary artery disease chronic coronary artery disease myocardial infarction chronic heart failure prognosis stratification risk of cardiovascular complications risk factors for cardiovascular diseases general mortality comorbidity electrocardiography echocardiography stress tests coronary angiography ct angiography treadmill test stress echocardiography test with dosed physical activity clinical recommendations |
| title | Cardiac risk stratification in stable coronary artery disease |
| title_full | Cardiac risk stratification in stable coronary artery disease |
| title_fullStr | Cardiac risk stratification in stable coronary artery disease |
| title_full_unstemmed | Cardiac risk stratification in stable coronary artery disease |
| title_short | Cardiac risk stratification in stable coronary artery disease |
| title_sort | cardiac risk stratification in stable coronary artery disease |
| topic | coronary artery disease chronic coronary artery disease myocardial infarction chronic heart failure prognosis stratification risk of cardiovascular complications risk factors for cardiovascular diseases general mortality comorbidity electrocardiography echocardiography stress tests coronary angiography ct angiography treadmill test stress echocardiography test with dosed physical activity clinical recommendations |
| url | https://klinitsist.abvpress.ru/Klin/article/view/418 |
| work_keys_str_mv | AT sntolpygina cardiacriskstratificationinstablecoronaryarterydisease AT syumartsevich cardiacriskstratificationinstablecoronaryarterydisease |