Document Detail


Time dependent variation of stimulus requirements in spinal cord stimulation for angina pectoris.
MedLine Citation:
PMID:  9058876     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of the study was to observe changes over time of the stimulation requirements in spinal cord stimulation (SCS). Of 60 patients treated with SCS, 25 patients were selected because they had neurostimulators capable of measuring impedance noninvasively, and had not experienced electrode displacement. All 25 patients had Medtronic Pisces Quad 3487A (Medtronic, Inc.) neuroelectrodes with the tip positioned in the thoracic epidural space. The accuracy of the neurostimulators impedance measuring circuit was investigated in a test circuit. The error was < 11%. Stimulus requirements and impedance were recorded at the implantation and at follow-ups during a period of 24 months. During the first month after implantation, the stimulus requirements for satisfactory effect varied between +406% and -34%. After that period, only minor deviations were observed in most patients. To optimize the pain reducing effect of the spinal cord stimulation, frequent follow-ups are recommended during the first month; later on, the follow-up intervals can be extended. No tolerance development or pain resistance developed during SCS treatment.
Authors:
C Andersen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  20     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-05-23     Completed Date:  1997-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  359-63     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Intensive Care, Odense University Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / therapy*
Electric Stimulation Therapy / methods*
Electrodes
Humans
Patient Selection
Spinal Cord / physiology*
Treatment Outcome

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


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