Drapkina O M, Samorodskaya I V, Larina V N
National Medical Research Centre for Preventive Medicine, Ministry of Health of Russia.
Pirogov National Research Medical University, Ministry of Health of Russia.
Kardiologiia. 2020 Mar 30;60(4):130-136. doi: 10.18087/cardio.2020.4.n1000.
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.
2019年，欧洲心脏病学会（ESC）发布了包含新术语“慢性冠状动脉综合征”（CCS）的指南。这些指南提出了6种临床情况，这在门诊实践中最为常见。这些指南中描述的诊断方法从标准化转向了使用各种诊断方法时个体化解决方案的合理性。ESC指南中建议的诊断方法需要广泛的医学讨论和共识，因为这肯定会导致：a）由于未确诊而进一步增加反映缺血性心脏病（IHD）发病率的指标；b）不合理治疗的实施。本文介绍了这些指南的声明，这些声明不能自动应用于现有的医疗实践，而应由俄罗斯心脏病学会的专家进行讨论和调整。
