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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Format: | Article |
Language: | Russian |
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«FIRMA «SILICEA» LLC
2017-12-01
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Series: | Российский кардиологический журнал |
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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. |
first_indexed | 2024-04-09T20:48:19Z |
format | Article |
id | doaj.art-e971d10e9be04635b82a7d8abcd6dd3b |
institution | Directory Open Access Journal |
issn | 1560-4071 2618-7620 |
language | Russian |
last_indexed | 2024-04-09T20:48:19Z |
publishDate | 2017-12-01 |
publisher | «FIRMA «SILICEA» LLC |
record_format | Article |
series | Российский кардиологический журнал |
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 |