| Spinal cord stimulation for refractory angina in patients implanted with cardioverter defibrillators: five case reports. | |
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MedLine Citation:
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PMID: 20356914 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients implanted with a cardioverter defibrillator (ICD) who are suffering from refractory angina pectoris could benefit from spinal cord stimulation (SCS) due to the well-documented pain relieving effect. However, the combined treatment remains controversial. The aim of the study is to report successful long-term treatment with SCS in five patients implanted with cardioverter defibrillators. The combined treatments with ICD and thoracic epidural electrical stimulation were used in five patients with refractory angina pectoris. During the procedure of the implantation, testing with the maximal tolerable level of stimulation was carried out to exclude inference with the ICD. The following treatment with SCS has in all cases been successful, with significant pain relief and improved quality of life. There were no incidences of inappropriate defibrillator shocks. Spinal cord stimulation for refractory angina pectoris can be performed in patients implanted with cardioverter defibrillators without interference. However, individual testing during implantation or re-programming the devices is mandatory in order to assess optimal safety in each patient. |
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Authors:
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Thomas P Enggaard; Claus Andersen; Christian Scherer |
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Publication Detail:
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Type: Journal Article Date: 2010-03-31 |
Journal Detail:
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Title: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology Volume: 12 ISSN: 1532-2092 ISO Abbreviation: Europace Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-25 Completed Date: 2011-01-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883649 Medline TA: Europace Country: England |
Other Details:
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Languages: eng Pagination: 1336-7 Citation Subset: IM |
Affiliation:
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ESES Unit, Department of Anaesthesiology and Intensive Care Medicine, Odense University Hospital, Denmark. thomas.peter.enggaard@ouh.regionsyddanmark.dk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angina Pectoris
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therapy* Defibrillators, Implantable Electric Stimulation Therapy / methods* Humans Male Middle Aged Spinal Cord / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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