Development of a calculator for laboratory diagnosis of the risk assessment of coronary atherosclerosis
Keywords:
coronary heart disease, risk, coronary atherosclerosis, laboratory diagnosisAbstract
The aim of this study was to develop a calculator for the laboratory diagnostics of risk of development of
coronary atherosclerosis and ischemic heart disease including relevant biochemical parameters, characterizing the basic pathogenetic links of coronary atherosclerosis.
Materials and methods. The study included 288 men with coronary heart disease (200 diagnosis of coronary artery disease was verified by coronary angiography data) and 312 men without coronary artery disease. All patients were determined biochemical parameters. Risk assessment of coronary atherosclerosis was performed using the logical-mathematical method. Results. The basis of the logical-mathematical model is based on the previously developed laboratory-diagnostic complex, which included the following parameters: initial level of POL products in LDL, LDL resistance to oxidation, blood concentration of basal insulin, hsCRP, аpоА1 and apoВ, TG and HDL-cholesterol. For the resulting generalized model performed its testing on real data and assessment, involving the calculation of the characteristics of diagnostic accuracy, specificity and sensitivity.
Conclusion. This model represents a generic pattern processing laboratory parameters, which takes i