[The clinical economic analysis of the methods of ischemic heart disease diagnostics].
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.
Kalashnikov
V Iu
VIu
Mitriagina
S N
SN
Syrkin
A L
AL
Poltavskaia
M G
MG
Sorokina
E G
EG
D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D019937:Diagnostic Techniques and Procedures / Q000191:economics*; D017048:Health Care Costs; D006296:Health Services / Q000191:economics*; D006801:Humans; D008875:Middle Aged; D008954:Models, Biological; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000191:economics*; D012426:Russia