Electrical neuromodulation for disabling angina pectoris related to isolated stenoses of small epicardial coronary arteries.
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.
Jessurun
G A
GA
Department of Cardiology, University Hospital Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands.
Hautvast
R W
RW
DeJongste
M J
MJ
Meyler
W J
WJ
van Boven AJ
Crijns
H J
HJ
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