The purpose of the case description is to turn attention of internist, gastroenterologist, district doctors to atypical clinic of ischemic heart disease. In the described case of patient K., aged 58 years, objective and instrumental data had been underestimated, which resulted in difficulty in diagnosis and treatment.

1. Манак, Н. А. Диагностика и лечение стабильной стенокардии: нац. Рекомендации / Н. А. Манак, Е. С. Атрощенко, И. С. Карпова, В. И. Стельмашок. – Минск, 2010. – 86 с.

2. Сеть, кадры организаций здравоохранения и заболеваемость населения в Республике Беларусь, 2016 [Электронный ресурс] : статистический бюллетень, 17.04.2017 // Национальный статистический комитет Республики Беларусь. – Режим доступа: http://www.belstat.gov.by/ofitsialnayastatistika/publications/izdania/public_bulletin/index_7295. – Дата доступа 18.11.18.

3. 2013 ESC guidelines on the management of stable coronary artery disease / Eur. Heart J. – 2013. – № 34. – Р. 2949–3003.

4. Greenland, P. 2010 ACCF AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation / P. Greenland et al. // J. Am. Coll. Cardiol. – 2010. – № 56. – Р. 50–103.

5. Aboyans, V., Lacroix, P. Indications for carotid screening in patients with coronary artery disease / V. Aboyans, P. Lacroix // Presse Med. – 2009. – № 38. – р. 977–986.

6. Montalescot, G. 2013 ESC guidelines on the management of stable coronary artery disease / G. Montalescot et al. // Eur. Heart J. – № 10. – р. 296.

7. Palaniswamy, C., Aronow W. S. Treatment of stable angina pectoris / C. Palaniswamy, W. S. Aronow // Am. J. Ther. – 2011. – № 18. – Р. 138–152.

8. Henderson, R. F., O’Flynn N. Management of stable angina: summary of NICE guidance / R. F. Henderson, N. O’Flynn // Heart. – 2012. – № 98. – Р. 500–507.