Why the study?
The diagnostic approach in the 2019 ESC chronic coronary syndromes guidelines shifts toward individualized decision-making, which requires discussion and adjustment before implementation in Russian practice to avoid unconfirmed diagnoses and unreasoned therapy.
The 2019 ESC guidelines on chronic coronary syndromes require adaptation for the Russian primary healthcare system due to differences in terminology, diagnostic standards, and healthcare resources.
Russian clinicians should avoid direct 2019 ESC CCS guideline application; leaves open need for localized validation and consensus.
In 2019, the European Society for Cardiology (ESC) published guidelines with a new term, "chronic coronary syndromes" (CCS). These guidelines presented 6 clinical scenarios, which are most common in outpatient practice. The diagnostic approach described in these guidelines shifts from the standardization to the rationality of individualized solutions on using various diagnostic methods. The diagnostic approach suggested in the ESC guidelines requires extensive medical discussion and consensus because this will definitely entail a) further increase in indexes that reflect the morbidity of ischemic heart disease (IHD) due to unconfirmed diagnoses and b) administration of unreasoned therapy. This article presents statements of the guidelines, which cannot be automatically transmitted to the existing medical practice and should be discussed and adjusted by experts of the Russian Society of Cardiology.
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Samorodskaya et al. (2020) studied this question.
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