[Treatment guidelines for refractory angina pectoris now available. Therapeutic methods varying between behavior therapy and heart transplantation].
Refractory angina pectoris is defined as severe angina despite optimal medical and surgical/invasive treatment (CABG, PTCA). The epidemiology of this condition is unknown. The estimated yearly incidence is 2,000 patients in Sweden and 30,000-50,000 patients in Europe. The patient group is growing as a result of improved therapy. A number of additional treatment modalities have been developed during the last decades. The article summarises the scientifically and clinical basis of these treatments and gives recommendations concerning their use.
Eliasson
T
T
Smärtcentrum, medicinkliniken, Sahlgrenska Universitetssjukhuset/Ostra, Göteborg. tore.eliasson@hjl.gu.se
Norrsell
H
H
Mannheimer
C
C
D015360:Analgesia, Epidural; D000787:Angina Pectoris / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods; D017410:Practice Guidelines as Topic; D013562:Sympathectomy; D004561:Transcutaneous Electric Nerve Stimulation
Nu finns riktlinjer för behandling av refraktär angina pectoris. Terapimetoderna har varierat från beteendeterapi till hjärttransplantation.