Clinical and medico-social assessment of the effectiveness of coronary stenting
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. Aim. To estimate the effectiveness of coronary stenting from the clinical and medico-social standpoints. Materials and 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. Results and discussion. Structural and functional disorders of the cardiovascular system in group 1 were significantly less pronounced than in group 2. They were characterized 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. Conclusion. 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.