eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
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1/2008
vol. 4
 
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abstract:

Clinical research
Epidural spinal cord stimulation in therapy-resistant angina pectoris – influence on myocardial perfusion or improvement of the quality of life? Pilot study

Wioletta Dyrla
,
Marek Kuch
,
Monika Barczewska
,
Liliana Kostana
,
Magdalena Czubalska
,
Wojciech Maksymowicz
,
Marek Dąbrowski
,
Mirosław Dłużniewski

Arch Med Sci 2008; 4, 1: 47–50
Online publish date: 2008/04/07
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Introduction: Epidural spinal cord stimulation (SCS) seems to be an alternative treatment for therapy-resistant angina pectoris. This report assesses the efficacy of SCS in improving quality of life (QoL) and influence on myocardial perfusion.
Material and methods: In the year 2004 seven patients with therapy-resistant angina pectoris were enrolled in a prospective study. The patients had a spinal cord stimulator implanted. Myocardial perfusion was evaluated in SPECT-MIBI prior to implantation and in the 3rd, 6th and 12th month after. Coronary reserve was assessed in an exercise test and QoL in a questionnaire.
Results: QoL improved in all patients within 3 months of the implantation. Coronary capacity increased in 2 patients and in 5 patients it stayed at the same level. Myocardial perfusion improved in 2 patients, deteriorated in 3 patients and in 2 it did not change.
Conclusions: SCS improves QoL. It seems not to influence myocardial perfusion.
keywords:

spinal cord stimulation, angina pectoris, exercise test

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