Does pain relief with spinal cord stimulation for angina conceal myocardial infarction?

Andersen, Claus B.; Hole, P; Oxhøj, H

doi:10.1136/hrt.71.5.419

Cited by 120 publications

(48 citation statements)

References 9 publications

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“…Sanderson, 62 however, reported that SCS is a safe therapy, since in his study there were three deaths out of a group of 23 patients over a period of 45 months and this does not appear to be an excess of sudden deaths in this group of patients. In another study by Andersen,63 three patients who had a myocardial infarction reported the pain as di erent and that it could not be relieved by SCS. Moreover, several studies found evidence for a reduction in myocardial ischemia by SCS therapy.…”

Section: Ischemic Painmentioning

confidence: 97%

Spinal cord stimulation in chronic pain syndromes

Vaarwerk

Staal²

1998

Spinal Cord

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Spinal cord stimulation (SCS) has been used for more than 30 years now, and although it has shown to be e ective under certain well-described conditions of chronic pain, conclusive evidence on its e ectiveness is still sparse.There is a need for more prospective and methodological good studies, in order to prove SCS e cacy for new or still questionable indications and to reveal prognostic factors for successful application. Especially at this moment, when governments are trying to control and reduce their health care expenses, studies on the cost-e ectiveness of SCS are important.In contrast to the early years when SCS was applied by independent physicians exploring the ®eld of neurostimulation, the importance of information exchange and coordination of studies has now been recognized. Recent technical improvements of SCS devices may positively in¯uence clinical outcome.

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Section: Ischemic Painmentioning

confidence: 97%

Spinal cord stimulation in chronic pain syndromes

Vaarwerk

Staal²

1998

Spinal Cord

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“…Anderson followed this up in 1994, further concluding that neurostimulation does not conceal the pain of an acute myocardial infarction. 55 In particular, SCS reduced the severity of anginal attack but did not suppress conduction and perception of the cardiac pain signals that act as alarm signals of cardiac distress. 56 Murray et al 57 have shown that SCS for refractory angina is effective in preventing hospital admissions without masking ischemic symptoms or leading to silent infarction.…”

Section: Anginamentioning

confidence: 99%

Spinal Cord Stimulation: An Update

2008

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Summary:Spinal cord stimulation has been used in the treatment of many chronic pain disorders since 1967. In this update, the indications for spinal cord stimulation are reviewed with attention to recent publications. A focused review of the literature on abdominal and visceral pain syndromes is also provided. Furthermore, the technology has evolved from the use of monopolar electrodes to complex electrode arrays. Similarly, the power source has changed from a radio frequency-driven system to a rechargeable impulse generator. These topics are covered, along with a short discussion of implant technique. Finally, we include a review of complications of such therapy. SCS as a technology and therapy continues to evolve.

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“…This theory was refuted by the studies of Andréll and Andersen. Their results imply that the incidence of acute myocardial infarction and sudden cardiac death are not significantly higher in patients with implanted SCS compared to the control group 7,57 .…”

Section: Results Of Non-randomized Trialsmentioning

confidence: 68%

Interventional treatment of pain in refractory angina. A review

Dobias¹,

Michálek²,

Neužil³

et al. 2014

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Refractory angina is characterized by repeated attacks of chest pain in patients on maximal anti-anginal pharmacotherapy, with a professional conscensus that further surgical or radiological revascularization would be futile. Refractory angina is a serious but relatively uncommon health problem, with a reported incidence of approximately 30 patients per million people/year. In this condition simply treating the associated pain alone is important as this can improve exercise tolerance and quality of life.Methods. An extensive literature search using five different medical databases was performed and from this, eightythree papers were considered appropriate to include within this review. Results and Conclusion. Available literature highlights several methods of interventional pain treatment, including spinal cord stimulation and video-assisted upper thoracic sympathectomy which can provide good analgesia whilst improving physical activities and quality of life. The positive effect of spinal cord stimulation on the intensity of pain and quality of life has been confirmed in nine randomized controlled trials. Other potential treatment methods include stellate ganglion blocks, insertion of thoracic epidural or spinal catheters and transcutaneous electrical nerve stimulation. These approaches however appear more useful for diagnostic purposes and perhaps as short-term treatment measures.

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Does pain relief with spinal cord stimulation for angina conceal myocardial infarction?

Cited by 120 publications

References 9 publications

Spinal cord stimulation in chronic pain syndromes

Spinal cord stimulation in chronic pain syndromes

Spinal Cord Stimulation: An Update

Interventional treatment of pain in refractory angina. A review

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