title: Electrical neuromodulation for disabling angina pectoris related to isolated stenoses of small epicardial coronary arteries.
abstract: Patients with symptomatic small vessel coronary artery disease may be inadequate candidates for revascularization procedures. They may suffer from refractory angina, which does not respond to maximal anti-anginal drug therapy. In addition to patients with end stage coronary artery disease and syndrome X, this newly defined group of subjects with an isolated stenosis of a small coronary artery may benefit from electrical neurostimulation. We describe two patients with intractable angina caused by a significant narrowing of a diagonal branch. This treatment modality should be considered as an alternative method for unsatisfactory revascularization procedures.
authors.affiliation: Department of Cardiology, University Hospital Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands.
authors.forename: G A
authors.initials: GA
authors.lastname: Jessurun
authors.forename: R W
authors.initials: RW
authors.lastname: Hautvast
authors.forename: M J
authors.initials: MJ
authors.lastname: DeJongste
authors.forename: W J
authors.initials: WJ
authors.lastname: Meyler
authors.lastname: van Boven AJ
authors.forename: H J
authors.initials: HJ
authors.lastname: Crijns
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D023921:Coronary Stenosis / Q000150:complications*; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium; D004561:Transcutaneous Electric Nerve Stimulation; D016896:Treatment Outcome