Cutting-edge strategy for coronary atherosclerosis verification in differential diagnosis of ischemic heart disease and unexplained cardialgia (clinical case)

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.