title: Extracorporeal cardiac shock wave therapy ameliorates clinical symptoms and improves regional myocardial blood flow in a patient with severe coronary artery disease and refractory angina.
abstract: Different therapeutic options are being used for chronic coronary artery disease (CAD). We report about a 51-year-old female with CAD and refractory angina pectoris despite maximally tolerated medical therapy and after both percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). The patient received cardiac shock wave therapy (CSWT) over a period of 6 month. There was no arrhythmia during or after treatment; enzyme levels were normal at all times. PET imaging showed a substantial improvement of myocardial stress perfusion. Since the patient reported that she now was fully capable to deal with her everyday life, further treatment options were postponed. Our case report suggests that ultrasound-guided CSWT is able to improve symptoms and perfusion in ischemic myocardium.
authors.affiliation: Department of Cardiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr University Bochum, 32545 Bad Oeynhausen, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Prinz
authors.forename: Oliver
authors.initials: O
authors.lastname: Lindner
authors.forename: Thomas
authors.initials: T
authors.lastname: Bitter
authors.forename: Detlef
authors.initials: D
authors.lastname: Hering
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Burchert
authors.forename: Dieter
authors.initials: D
authors.lastname: Horstkotte
authors.forename: Lothar
authors.initials: L
authors.lastname: Faber