title: [CLINICAL AND MEDICO-SOCIAL ASSESSMENT OF THE EFFECTIVENESS OF CORONARY STENTING].
abstract: The disability rate due to coronary heart disease (CHD) remains rather high. Surgical and endovascular methods have good prospects for the management of this condition.
  
  
  OBJECTIVE
  To estimate the effectiveness of coronary stenting from the clinical and medico-social standpoints.
  
  
  METHODS
  The study included 2 groups of patients. Group 1 consisted of 328 patients (mean age 58.2 ± 0.5 yr) with CHD after coronary stenting treated by optimal pharmacotherapy. Group 2 was comprised of 69 patients (mean age 59.7 ± 1.2 yr) who denied stenting and received optimal pharmacotherapy.
  
  
  CONCLUSIONS
  Structural and functional disorders of the cardiovascular system in group I were significantly less pronounced than in group 2. They were characterised by higher compensatory abilitiws manifest as the better preserved systolic function of the left ventricle, high or moderate tolerance of physical load facilitating complete rehabilitation, and the capacity for working in the proper environment. Patients of group 1 exhibited positive dynamics of disability features, such as a 9.2% rise in the number of those denied the disability status upon repeated examination at medical and social assessment boards.
  
  
  CONCLUSIONS
  The results of the study suggest clinical effectiveness of coronary stenting confirmed by laboratory and instrumental studies and medico-social efficiency of this procedure manifest as positive dynamics of disability characteristics in the treated patients compared with controls.
authors.forename: V V
authors.initials: VV
authors.lastname: Sergeeva
authors.forename: A K
authors.initials: AK
authors.lastname: Nurgazizova
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003324:Coronary Artery Disease / Q000534:rehabilitation / Q000601:surgery*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods*; D012189:Retrospective Studies; D015607:Stents