Cutting-edge strategy for coronary atherosclerosis verification in differential diagnosis of ischemic heart disease and unexplained cardialgia (clinical case)
https://doi.org/10.29001/2073-8552-2015-30-2-101-104
Abstract
This article presents clinical case of the use of multi-slice spiral computed tomography and magnetic resonance tomography (MRT) with stress test for establishing diagnosis and determining treatment tactics in a female patient with cardialgia of unclear genesis. To verify diagnosis of ischemic heart disease, a diagnostic algorithm of the existing NICE CG95 47938 NHS protocol was implemented. This approach enabled to verify coronary atherosclerosis with stenosis and demonstrated the need for endovascular myocardial revascularization to achieve angiographic and clinical success.
Keywords
ишемическая болезнь сердца,
магнитно-резонансная томография (МРТ),
перфузия миокарда,
аденозиновый стресс-тест,
многосрезовая спиральная компьютерная томография (МСКТ),
ischemic heart disease,
magnetic resonance tomography (MRT),
myocardial perfusion,
adenosine stress test,
multi-slice spiral computed tomography (MSCT)
About the Authors
V. P. Kurbatov
Federal State Budgetary Institution "Novosibirsk Research Institute of Circulation Pathology n.a. acad. E.N. Meshalkin"
Russian Federation
Russian Federation
N. R. Obedinskaya
Federal State Budgetary Institution "Novosibirsk Research Institute of Circulation Pathology n.a. acad. E.N. Meshalkin"
Russian Federation
Russian Federation
A. A. Obedinskiy
Federal State Budgetary Institution "Novosibirsk Research Institute of Circulation Pathology n.a. acad. E.N. Meshalkin"
Russian Federation
Russian Federation
S. P. Mironenko
Federal State Budgetary Institution "Novosibirsk Research Institute of Circulation Pathology n.a. acad. E.N. Meshalkin"
Russian Federation
Russian Federation
A. G. Osiev
Federal State Budgetary Institution "Novosibirsk Research Institute of Circulation Pathology n.a. acad. E.N. Meshalkin"
Russian Federation
Russian Federation
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Review
For citations:
Kurbatov V.P., Obedinskaya N.R., Obedinskiy A.A., Mironenko S.P., Osiev A.G. Cutting-edge strategy for coronary atherosclerosis verification in differential diagnosis of ischemic heart disease and unexplained cardialgia (clinical case). Siberian Journal of Clinical and Experimental Medicine. 2015;30(2):101-104. (In Russ.) https://doi.org/10.29001/2073-8552-2015-30-2-101-104
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