Spinal electrical stimulation for the management of refractory angina pectoris: Literature review
Updated review article. Original version published in the Colombian Journal of Cardiology, May/June 2008, Vol. 15 No 3, Pages 127-133
DOI:
https://doi.org/10.47924/neurotarget2009315Keywords:
electrical stimulation, angina pectoris, mechanism of action, cost effectivenessAbstract
Introduction: Angina is a very common medical condition. It causes impairment and reduces quality of life. Some patients present with severe symptoms and are not candidates for surgical or percutaneous revascularization. In this group of patients, whom despite good medical therapy continue to have disabling symptoms, the spinal electrical stimulator is a neuromodulator used as an effective alternative treatment.
Objectives: We performed a review of scientific literature regarding spinal electric stimulation in the treatment of angina pectoris, its mechanism of action, benefits and its cost/ effectiveness.
Materials and methods: Using the Cochrane methodology, we searched in pub med Medline and other indexed medical databases for articles published from January 1980 to January 2007 using the terms “Spinal cord stimulation”. The articles considered the most pertinent were selected.
Conclusions: Electrical spinal stimulator reduces the episodes of angina pectoris, improves quality of life and tolerance to exercise, decreases hospitalization, and delays the appearance of ischemia.
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Copyright (c) 2009 Omar Fernando Gomezese R, Paola Aranda V., Luis Eduardo Echeverria, José Federico Saaibi, Jaime Calderon H, Juan Guillermo Barrera

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