ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
A New Approach in the Treatment of Refractory Angina: Spinal Cord Stimulator [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2000; 28(8): 512-515

A New Approach in the Treatment of Refractory Angina: Spinal Cord Stimulator

Yüksel ÇAVUŞOĞLU1, Y. Ahmet ÜNALIR1, Bilgin TİMURALP1, Ali ASLANTAŞ1, Bülent GÖRENEK1, Necmi ATA1, Eşref TEL2
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Angina pectoris is an important symptom of coronary heart disease. Antiischemic drugs, interventional cardiologic procedures and by-pass operations are usually helpful in the relief of angina. In some patients who had previously revascularisati on procedures or not suitable for revascularisation procedure, it may be difficult to control angina pectoris. In these patients new treatment strategies are necessary. Spinal cord stimulation is an alternative way of controlling angina. Dorsal spinal cord could be stimulated by high frequency electrical waves with the use of spinal cord stimulator (SCS). This device inhibits the delivery of pain originating from myocardial ischemia to thalamus and brain cortex and inhibits the sympathetic activity. Thus, pain, oxygen consumption of myocardium and coronary vasomotor tonus decrease. We implanted a SCS to a patient who had chest pain despite maximal medical treatment after by-pass operation. His coronary arteries were not suitable for a new revascularisation procedure. After implantation of SCS, the frequency, duration and severity of anginal episodes decreased and his quality of life was improved . This is the first case report of SCS application in Turkey and it opens a new perspective in the management of patients with refractory angina pectoris.

Keywords: Spinal cord stimulator, angina pectoris

How to cite this article
Yüksel ÇAVUŞOĞLU, Y. Ahmet ÜNALIR, Bilgin TİMURALP, Ali ASLANTAŞ, Bülent GÖRENEK, Necmi ATA, Eşref TEL. A New Approach in the Treatment of Refractory Angina: Spinal Cord Stimulator. Turk Kardiyol Dern Ars. 2000; 28(8): 512-515
Manuscript Language: Turkish


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