Key result
This review outlines the recommended modern diagnostic algorithm and instrumental methods for evaluating symptomatic patients with suspected chronic coronary heart disease.
This review outlines the modern diagnostic algorithm and appropriate sequence of instrumental testing for patients with suspected chronic coronary syndrome based on pre-test probability.
Diagnostic insights into chronic coronary syndrome warrant cautious use; leaves open prospective validation of testing sequences.
The review provides modern insights into methods for identifying a variety of scenarios that are currently classified as chronic coronary syndrome and involve different risks for subsequent cardiovascular events. The assessment of pre-test probability and determinants that enhance and reduce the possibility of diagnosing coronary heart disease are considered. The necessity and sequence of application of both simple instrumental methods of diagnostics of chronic coronary disease (electrocardiography, ambulatory electrocardiogram monitoring, exercise electrocardiogram, echocardiography) and more complex ones requiring specially trained personnel and modern equipment (stress echocardiography, computed tomography and invasive coronary angiography) are discussed. The recommended modern diagnostic algorithm in symptomatic patients with suspected coronary heart disease is presented.
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S. Yu. Bartosh‐Zelenaya (2021) conducted a review in Chronic coronary heart disease. Instrumental diagnostic methods was evaluated. This review outlines the recommended modern diagnostic algorithm and instrumental methods for evaluating symptomatic patients with suspected chronic coronary heart disease.
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