[Effects on myocardial perfusion of epidural spinal cord stimulation in refractory angina. Description of a case studied with positron emission tomography].
We describe a case of patient with severe angina pectoris unresponsive to medical therapy who was treated with spinal cord stimulation. The patient was studied by dynamic positron emission tomography (PET) (13-N ammonia) and with heart rate variability. Spinal cord stimulation was effective in reducing anginal attacks and PET documented an enhancement of myocardial perfusion when spinal stimulator was activated. Heart rate variability did not change during spinal cord stimulation.
Neri
G
G
Servizio di Cardiologia-ucic-Ospedale Civile-Montebelluna (TV).
Mobilia
G
G
Zanco
P
P
Buchberger
R
R
D000368:Aged; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D003326:Coronary Circulation; D004599:Electric Stimulation Therapy; D004824:Epidural Space; D006321:Heart / Q000000981:diagnostic imaging*; D006339:Heart Rate; D006801:Humans; D008297:Male; D013116:Spinal Cord; D014055:Tomography, Emission-Computed
Effetti sulla perfusione miocardica della stimolazione spinale epidurale nell'angina refrattaria. Descrizione di un caso studiato con tomografia ad emissione di positroni.