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Updated: Mar 23, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
Published on: May 14, 2013
[CLINICAL AND MEDICO-SOCIAL ASSESSMENT OF THE EFFECTIVENESS OF CORONARY STENTING]
Insights
Coronary stenting significantly improves cardiovascular health and reduces disability in patients with coronary heart disease (CHD). Stented patients showed better functional capacity and a 9.2% decrease in disability status compared to controls.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Public Health
Context:
- Coronary heart disease (CHD) poses a significant disability burden.
- Surgical and endovascular interventions offer promising management strategies.
- Assessing the comprehensive effectiveness of coronary stenting is crucial.
Purpose:
- To evaluate the clinical and medico-social effectiveness of coronary stenting.
- To compare outcomes between patients who underwent stenting and those who received pharmacotherapy alone.
Summary:
- A study compared 328 patients post-coronary stenting with 69 controls receiving optimal pharmacotherapy.
- Patients undergoing stenting demonstrated less pronounced cardiovascular dysfunction.
- Stented patients exhibited enhanced compensatory abilities, preserved left ventricular systolic function, and better physical tolerance.
Impact:
- Coronary stenting showed significant clinical effectiveness, supported by instrumental data.
- The procedure demonstrated medico-social efficiency, evidenced by a 9.2% reduction in disability status among stented patients.
- These findings support coronary stenting as a valuable treatment for improving patient rehabilitation and return to work.
Unlabelled:
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 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.
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.
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