Spinal cord stimulation significantly decreases the need for acute hospital admission for chest pain in patients with refractory angina pectoris

Murray, S; Carson, Katie; Ewings, Paul; Collins, Peter; Metcalfe, James

doi:10.1136/hrt.82.1.89

Cited by 90 publications

(58 citation statements)

References 22 publications

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“…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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Section: Anginamentioning

confidence: 99%

Spinal Cord Stimulation: An Update

2008

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“…29 Another small randomized trial involved 24 patients with refractory angina. 30 Nine other studies, either retrospective [31][32][33] or prospective 29,34 -38 cohort studies, were identified in the literature. Although the results of these studies appear promising, there is still a paucity of data on the intermediateand long-term benefit of these devices.…”

Section: A Spinal Cord Stimulationmentioning

confidence: 99%

ACC/AHA 2002 Guideline Update for the Management of Patients With Chronic Stable Angina—Summary Article

Abrams¹,

Chatterjee²,

Daley³

et al. 2003

Circulation

609

271

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“…48 ). Murray concluded that the patients with SCS have a significantly lower incidence of hospital admissions because of cardiac pain than the control group 49 . A multi-centre cohort study evaluated the mortality rate during study period (128 months) in 517 patients treated in 21 centres.…”

Section: Results Of Non-randomized Trialsmentioning

confidence: 99%

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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Spinal cord stimulation significantly decreases the need for acute hospital admission for chest pain in patients with refractory angina pectoris

Abstract: Conclusions-SCS is eVective in preventing hospital admissions in patients with refractory angina, without masking serious ischaemic symptoms or leading to silent infarction. (Heart 1999;82:89-92)

Cited by 90 publications

References 22 publications

Spinal Cord Stimulation: An Update

Spinal Cord Stimulation: An Update

ACC/AHA 2002 Guideline Update for the Management of Patients With Chronic Stable Angina—Summary Article

Interventional treatment of pain in refractory angina. A review

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