A comprehensive approach to the diagnosis of ischemic heart disease at young age

Aim. To analyze modern methods of diagnostics of coronary heart disease (CHD) among young patients, as well as to evaluate the effectiveness and safety of non-invasive cardiac imaging technologies. The work is aimed at identification of optimal approaches to diagnostics, which can improve the prognosis and quality of life of this category of patients.Materials and Methods. literature analysis, comparative analysis and synthesis ofdata on the latest diagnostic technologies. Special attention is paid to coronary computed tomography angiography (CT-angiography) and magnetic resonance imaging (MRI), in comparison with traditional methods such as electrocardiography and exercise testing.Results. CT-angiography and MRI have high diagnostic value, especially in cases of atypical course of CHD in young patients, when traditional methods may be ineffective. These methods allow not only to reveal the presence of coronary artery stenoses, but also to estimate structural and functional changes of myocardium, which is important for early detection and prevention of CHD.Conclusion. Integration of noninvasive imaging methods into clinical practice can significantly improve IBS diagnostics in young patients. It is necessary to take into account individual features of each patient, as well as potential risks and limitations of each method. The results of the study can serve as a basis for the development of new clinical recommendations and improvement of existing protocols for the management of patients with CHD