Comparison of patients undergoing enhanced external counterpulsation and spinal cord stimulation for refractory angina pectoris.
(2008) In Coronary Artery Disease 19(8). p.627-634- Abstract
- INTRODUCTION: As more patients survive coronary events, the prevalence of patients with refractory angina pectoris is increasing. The aim was to evaluate the effects of enhanced external counterpulsation (EECP) and spinal cord stimulation (SCS) and compare with optimal medically treated patients with refractory angina. METHODS: 153 patients with refractory angina were treated with either EECP, SCS, or were retained on their pharmacological treatment (control). Glyceryl trinitrate usage and Canadian Cardiovascular Society classification were registered at baseline, 6 and 12 months after therapy. RESULTS: Both EECP and SCS reduced the angina as compared with controls (P<0.001). Patients treated with EECP showed a more effective reduction... (More)
- INTRODUCTION: As more patients survive coronary events, the prevalence of patients with refractory angina pectoris is increasing. The aim was to evaluate the effects of enhanced external counterpulsation (EECP) and spinal cord stimulation (SCS) and compare with optimal medically treated patients with refractory angina. METHODS: 153 patients with refractory angina were treated with either EECP, SCS, or were retained on their pharmacological treatment (control). Glyceryl trinitrate usage and Canadian Cardiovascular Society classification were registered at baseline, 6 and 12 months after therapy. RESULTS: Both EECP and SCS reduced the angina as compared with controls (P<0.001). Patients treated with EECP showed a more effective reduction as compared with SCS patients (P<0.05). Both treatments resulted in significantly decreased glyceryl trinitrate usage at 6 and 12 months follow-up (P<0.001). The nitrate consumed was unaltered in the controls. DISCUSSION: The results from this study show that both EECP and SCS therapy reduce angina in patients with refractory angina pectoris; the response to EECP was slightly more effective than that to SCS. Thus, EECP can be used as an alternative treatment for patients not responding to electrical stimulation. The beneficial effects in the treated groups were maintained during the 12 months follow-up period. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1271519
- author
- Bondesson, Susanne LU ; Pettersson, Tomas ; Erdling, André ; Rahm Hallberg, Ingalill LU ; Wackenfors, Angelica LU and Edvinsson, Lars LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Coronary Artery Disease
- volume
- 19
- issue
- 8
- pages
- 627 - 634
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- wos:000261257200013
- pmid:19005298
- scopus:56849091204
- pmid:19005298
- ISSN
- 0954-6928
- DOI
- 10.1097/MCA.0b013e3283162489
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Medicine (Lund) (013230025), Caring Sciences (Closed 2012) (016514020)
- id
- 6f2c11ae-f052-4414-9226-bfb68f390c7a (old id 1271519)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19005298?dopt=Abstract
- date added to LUP
- 2016-04-04 09:26:33
- date last changed
- 2024-01-12 13:32:41
@article{6f2c11ae-f052-4414-9226-bfb68f390c7a, abstract = {{INTRODUCTION: As more patients survive coronary events, the prevalence of patients with refractory angina pectoris is increasing. The aim was to evaluate the effects of enhanced external counterpulsation (EECP) and spinal cord stimulation (SCS) and compare with optimal medically treated patients with refractory angina. METHODS: 153 patients with refractory angina were treated with either EECP, SCS, or were retained on their pharmacological treatment (control). Glyceryl trinitrate usage and Canadian Cardiovascular Society classification were registered at baseline, 6 and 12 months after therapy. RESULTS: Both EECP and SCS reduced the angina as compared with controls (P<0.001). Patients treated with EECP showed a more effective reduction as compared with SCS patients (P<0.05). Both treatments resulted in significantly decreased glyceryl trinitrate usage at 6 and 12 months follow-up (P<0.001). The nitrate consumed was unaltered in the controls. DISCUSSION: The results from this study show that both EECP and SCS therapy reduce angina in patients with refractory angina pectoris; the response to EECP was slightly more effective than that to SCS. Thus, EECP can be used as an alternative treatment for patients not responding to electrical stimulation. The beneficial effects in the treated groups were maintained during the 12 months follow-up period.}}, author = {{Bondesson, Susanne and Pettersson, Tomas and Erdling, André and Rahm Hallberg, Ingalill and Wackenfors, Angelica and Edvinsson, Lars}}, issn = {{0954-6928}}, language = {{eng}}, number = {{8}}, pages = {{627--634}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{Coronary Artery Disease}}, title = {{Comparison of patients undergoing enhanced external counterpulsation and spinal cord stimulation for refractory angina pectoris.}}, url = {{http://dx.doi.org/10.1097/MCA.0b013e3283162489}}, doi = {{10.1097/MCA.0b013e3283162489}}, volume = {{19}}, year = {{2008}}, }