Therapeutic Possibilities in Patients with Refractory Angina Pectoris: Spinal Cord Stimulation
06. 4. 2017
“Therapeutic Possibilities in Patients with Refractory Angina Pectoris: Spinal Cord Stimulation”
Kočan L., Rapčan R., Burianek M., Kočanová H., Sabol F., Čandík P., Vašková J.
The latst ediction of the American Herald Scholarly Open Access Journals / Journal of Emergency Medicine Trauma and Surgical Care published an article on the topic of the therapeutic options when treating refractory angina pectoris (RAP) using the neurostimulation technique of Spinal Cord Stimulation (SCS). The article presents the results of research clarifying the mechanism and effects of SCS and demonstrates the positive effect of this therapy on the tolerance of myocardial ischaemia, reserves in myocardial perfusion and endothelial vasomotor function in refractory angina pectoris. MUDr. Ladislav Kočan PhD in connection to the published article adds, “Chronic refractory angina is a clinical diagnosis based on the presence of stable angina pectoris induced by myocardial ischaemia as a result of advanced coronary disease. Multiple techniques are used to treat it during which pain modulation is an important element. One of the most effective therapeutic methods of alleviating anginal pain is introducing a spinal stimulator with the subsequent SCS. A meta-analysis of randomised studies monitoring this issue have brought positive results in the use of SCS during refractory angina pectoris. An assessment of the benefit of this methodology for the given group of patients still requires the preparation of further clinical studies with larger sets of patients.”