Current state of the problem of pretest probability assessment of ischemic heart disease

Currently, Russian, European and American on stable coronary artery disease/chronic coronary syndromes guidelines indicate performing pretest assessment of probability (PTP) of the disease in patients with suspected CAD. The results of this assessment specify the diagnostic examination algorithm, which then forms the basis of a conservative and/or invasive therapeutic strategy. The scales for assessing the pretest risk of coronary artery disease underwent significant changes over the past decades, but to date they still differ from each other and are generally considered not perfect. The review examines current problems of the pretest probability assessment of coronary heart disease, as well as the issues of the of the PTP scales applicability in Russian Federation.