CURRENT ISSUES OF CHD DIAGNOSIS IN MATERIALS OF THE RUSSIAN CARDIOLOGY CONGRESS (EKATERINBURG, 20-23 September 2016)

Abstract

Currently, one of the problems of diagnosis of CHD is a significant percentage of detection of non-obstructive lesions of coronary arteries (CA) for invasive coronary angiography (CAG). In register trials intact CA rate reaches 42%, in the analysis of our clinical data - 37.9%. In the materials of the past of the Russian Cardiology Congress, solutions to this problem were considered from different points of view, both by improving the diagnostic algorithms in primary care, and using high-tech methods of diagnosis. A number of breakout sessions was devoted to the modern possibilities and prospects of development of MSCT-angiography, stress echocardiography in the diagnosis of coronary atherosclerosis; clinical value assessment of left ventricular mechanics (LV) in CHD; modern trends radionuclide diagnosis of CHD; methods of contrast enhancement in radiation pathophysiological assessment of coronary atherosclerosis and myocardial viability; as well as the characteristics of non-invasive diagnosis of stable coronary artery disease in Russia. In addition, in one of the workshops reminded us that in the absence of stenosis of large CA do not forget about the possible presence of a particular form of ischemic heart disease - microvascular angina (MVA). The reports of the current understanding of the pathogenesis and diagnosis of MVA were recorded, especially pain and determination of nociceptive disorders in patients with MVA, new opportunities in drug therapy MVA. Participation in the Congress allowed us to compare our views on ways to reduce the frequency of intact CA detection with the position of the leading Russian experts. This review will help clinicians to better navigate the current state of the real problem.