THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES

Invasive coronary arteriography is a gold standard in CHD diagnostics, however in many cases it ends with none significant obstructive lesions revealed. Recently, an algorithm was implemented, based on the assessment of pretest probability (PTP) of coronary heart disease. It is noteworthy that curre...

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Main Author: A. N. Sumin
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2017-12-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1070
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author A. N. Sumin
author_facet A. N. Sumin
author_sort A. N. Sumin
collection DOAJ
description Invasive coronary arteriography is a gold standard in CHD diagnostics, however in many cases it ends with none significant obstructive lesions revealed. Recently, an algorithm was implemented, based on the assessment of pretest probability (PTP) of coronary heart disease. It is noteworthy that current international guidelines do differently recommend the PTP calculation, there are differences in further tactics of non-invasive and invasive investigation. Also, real clinical practice witness on significant overestimation of PTP when the recommended scores are in use. The review is focused on different PTP scores, the reasons discussed for differences in results of application. This helps to make clinical usage more conscious.
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spelling doaj.art-e971d10e9be04635b82a7d8abcd6dd3b2023-03-29T21:23:29Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202017-12-01011687610.15829/1560-4071-2017-11-68-761764THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUESA. N. Sumin0Research Institute for Complex Issues of Cardiovascular DiseasesInvasive coronary arteriography is a gold standard in CHD diagnostics, however in many cases it ends with none significant obstructive lesions revealed. Recently, an algorithm was implemented, based on the assessment of pretest probability (PTP) of coronary heart disease. It is noteworthy that current international guidelines do differently recommend the PTP calculation, there are differences in further tactics of non-invasive and invasive investigation. Also, real clinical practice witness on significant overestimation of PTP when the recommended scores are in use. The review is focused on different PTP scores, the reasons discussed for differences in results of application. This helps to make clinical usage more conscious.https://russjcardiol.elpub.ru/jour/article/view/1070chd diagnosticspre-test probability
spellingShingle A. N. Sumin
THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES
Российский кардиологический журнал
chd diagnostics
pre-test probability
title THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES
title_full THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES
title_fullStr THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES
title_full_unstemmed THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES
title_short THE ASSESSMENT OF PRETEST PROBABILITY IN OBSTRUCTIVE CORONARY LESION DIAGNOSTICS: UNRESOLVED ISSUES
title_sort assessment of pretest probability in obstructive coronary lesion diagnostics unresolved issues
topic chd diagnostics
pre-test probability
url https://russjcardiol.elpub.ru/jour/article/view/1070
work_keys_str_mv AT ansumin theassessmentofpretestprobabilityinobstructivecoronarylesiondiagnosticsunresolvedissues
AT ansumin assessmentofpretestprobabilityinobstructivecoronarylesiondiagnosticsunresolvedissues