DOI: 10.25881/BPNMSC.2020.30.69.023

Авторы

Аншелес А.А.1, Сергиенко И.В.1, Денисенко-Канкия Е.И.2, Тюрин В.П.3, Сергиенко В.Б.1

1 ФГБУ «Национальный медицинский исследовательский центр кардиологии» Минздрава России, Москва

2 ГБУЗ «Городская клиническая больница № 4» Департамента здравоохранения, Москва

3 ФГБУ «Национальный медико-хирургический Центр имени Н.И. Пирогова» Минздрава России, Москва

Аннотация

В настоящее время отечественные, европейские и американские рекомендации по стабильной ишемической болезни сердца (ИБС)/хроническим коронарным синдромам (ХКС) указывают на необходимость проводить у пациентов с предполагаемой ИБС предтестовую оценку вероятности (ПТВ) наличия заболевания. На основании результатов этой оценки избирается алгоритм диагностического обследования, который затем ложится в основу медикаментозной и/или инвазивной терапевтической стратегии. Шкалы оценки предтестового риска ИБС за последние десятилетия претерпели значительные изменения, но к настоящему времени они по-прежнему различаются между собой и в целом считаются не лишенными недостатков. В обзоре рассматриваются проблемы предтестовой оценки вероятности ишемической болезни сердца на современном этапе, а также вопросы применимости шкал ПТВ в реалиях Российской Федерации.

Ключевые слова: ишемическая болезнь сердца, предтестовая оценка вероятности ИБС.

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Для цитирования

Аншелес А.А., Сергиенко И.В., Денисенко-Канкия Е.И., Тюрин В.П., Сергиенко В.Б. Предтестовая оценка вероятности ишемической болезни сердца. Вестник НМХЦ им. Н.И. Пирогова. 2020;3-2(15):124-132. https://doi.org/10.25881/BPNMSC.2020.30.69.023