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January 1, 1999Pacing and Clinical Electrophysiology

Spinal Cord Stimulation for the Treatment of Refractory Angina Pectoris: A Two‐Year Follow‐Up

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Why the study?

Does permanent spinal cord stimulation reduce angina episodes and improve exercise time in patients with severe, refractory angina?

Population

n=23 patients with severe, refractory angina

Comparison

Permanent spinal cord stimulation followed for… vs Baseline (preimplant) condition

Design

Case_series

Follow-up

24 months

Authors

SGSalvatore GrecoUniversity of FerraraAAAntonio AuritiOspedale San Filippo NeriDFDario FiumeOspedale San Filippo Neri

Discussion

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Implication

Hypothesis-generating for spinal cord stimulation in refractory angina; does not support practice change without randomized trials.

Structured PICO

Does permanent spinal cord stimulation reduce angina episodes and improve exercise time in patients with severe, refractory angina?

P
Population
n=23 patients with severe, refractory angina (otherwise intractable or already submitted to myocardial revascularization)
I
Intervention
Permanent spinal cord stimulation (SCS) followed for 24 months
C
Comparator
Baseline (preimplant) condition
O
Outcome
Number of weekly angina episodes at 24 monthspatient reported

Permanent spinal cord stimulation significantly reduces weekly angina episodes and increases exercise capacity in patients with severe, refractory angina over a 2-year follow-up.

Cite This Study

Greco et al. (1999) studied this question.

synapsesocial.com/papers/6a95a7838cecc6dab090f7a9https://doi.org/10.1111/j.1540-8159.1999.tb00296.x

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Spinal electrical stimulation for intractable angina—long-term clinical outcome and safety1994 · 144 citations
  2. 2Assessment of the influence of spinal cord stimulation on left ventricular function in patients with severe angina pectoris: an echocardiographic study1993 · 49 citations
  3. 3A mechanism of cardiac pain suppression by spinal cord stimulation: implications for patients with angina pectoris1993 · 119 citations
  4. 4Effects of spinal cord stimulation in angina pectoris induced by pacing and possible mechanisms of action.1993 · 222 citations
  5. 5The effect of transcutaneous electrical nerve stimulation (TENS) on catecholamine metabolism during pacing-induced angina pectoris and the influence of naloxone1990 · 36 citations