STRATIFICATION OF CHRONIC ISCHEMIC HEART DISEASE DEPENDING ON DIAGNOSTIC METHODS AND WAYS OF THEIR TREATMENT
Keywords:
chronic heart failure, myocardial ischemia, revascularization, percutaneous coronary intervention, risk stratificationAbstract
Chronic stable angina in about 50% of all patients is usually caused by blockage of at least one large epicardial coronary artery by an atheromatous plaque. Angina pectoris occurs due to a mismatch in myocardial oxygen demand, which leads to myocardial ischemia. The indications for coronary revascularization continue to evolve as scientific and technological advances improve both the results obtained with optimal drug therapy and the methods of revascularization. The critical issue is the extent to which all forms of therapy are used appropriately based on guidelines and appropriateness criteria, especially with regard to the cost and availability of care. If symptoms and quality of life do not improve with medication alone, an initial trial of medication with the option of moving to revascularization is appropriate. In general, these results confirm the recommendations and raise questions about the advisability of using coronary revascularization, in particular percutaneous coronary intervention.
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