The clinical economic analysis of the methods of ischemic heart disease diagnostics
Kalashnikov, V.I.; Mitriagina, S.N.; Syrkin, A.L.; Poltavskaia, M.G.; Sorokina, E.G.
Problemy Sotsial'noi Gigieny Zdravookhraneniia i Istorii Meditsiny 4: 46-48
2007
ISSN/ISBN: 0869-866X PMID: 17926459 Document Number: 608111
The clinical economical analysis was applied to assess the application of different techniques of ischemic heart disease diagnostics - the electro-cardiographic monitoring, the treadmill-testing, the stress-echo cardiographic with dobutamine, the single-photon computerized axial tomography with load, the multi-spiral computerized axial tomography with coronary arteries staining in patients with different initial probability of disease occurrence. In all groups, the best value of "cost-effectiveness" had the treadmill-test. The patients with low risk needed 17.4 rubles to precise the probability of ischemic heart disease occurrence at 1%. In the group with medium and high risk this indicator was 9.4 and 24.7 rubles correspondingly. It is concluded that to precise the probability of ischemic heart disease occurrence after tredmil-test in the patients with high probability it is appropriate to use the single-photon computerized axial tomography with load and in the case of patients with low probability the multi-spiral computerized axial tomography with coronary arteries staining.