Document Detail


Spinal cord stimulation significantly improves refractory angina pectoris-a local experience spinal cord stimulation in refractory angina.
MedLine Citation:
PMID:  16352244     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Severe refractory angina pectoris can occur in end-stage coronary artery disease despite maximal medical and revascularization therapy. Spinal cord stimulation is an under-utilized but well-established modality for the treatment of intractable angina pain. AIM: To illustrate the practical, beneficial and effective use of spinal cord stimulation as a treatment option for refractory angina in a local context. METHOD: A case series clinical audit of 11 patients with refractory angina treated with spinal cord stimulation over a one-year period was carried out. Baseline, three-month, six-month and two-year functional assessment data and subjective patient reports on their symptoms were evaluated. RESULTS: Spinal cord stimulation improves six-minute walk distance, exercise duration, New York Heart Association functional class, Likert score, and number of angina free days per week for at least one year over two years of follow-up. CONCLUSION: Spinal cord stimulation is an effective medium-term treatment option for refractory angina pectoris with significant benefits to functional parameters and patient symptoms. Spinal cord stimulation is an under-utilized but well-established modality for the treatment of intractable angina pain. We report a small case series clinical audit of patients who gained significant functional and symptomatic benefits from this treatment.
Authors:
Roderick Chua; Anne Keogh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart, lung & circulation     Volume:  14     ISSN:  1443-9506     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-12-14     Completed Date:  2006-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  3-7     Citation Subset:  IM    
Affiliation:
St. Vincent's Hospital, Victoria Street, Darlinghurst, NSW 2010, Sydney, Australia.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / therapy*
Chronic Disease
Electric Stimulation Therapy* / methods
Female
Humans
Male
Spinal Cord
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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