La stimolazione spinale nell'angina pectoris cronica refrattaria: 100 Soggetti trattati in 12 anni di esperienza

Translated title of the contribution: Spinal cord stimulation for refractory chronic angina pectoris: The experience of 100 subjects treated for 12 years

Andrea Fumero, Elisabetta Lapenna, Maurizio Taramasso, Ottavio Alfieri

Research output: Contribution to journalArticle


Background. The aim of this study was to evaluate the quality of life (QoL) benefit of patients with chronic refractory angina treated with spinal cord stimulation (SCS) in our experience. Methods. Between February 1998 and August 2010, 100 patients with chronic refractory angina who could not benefit from myocardial revascularization underwent SCS at the San Raffaele Scientific Institute of Milan (Italy). All patients were prospectively followed up at our outpatient clinic. The Spitzer index was used to evaluate QoL of patients before the procedure and at follow-up. Results. Mean age was 66 ± 8 years (range 46-79). Ninety-four patients (94%) were in CCS class III-IV (mean CCS class 3.5 ± 0.1) and 62 patients (62%) were in NYHA class III-IV (mean NYHA class 2.6 ± 0.1). The preoperative Spitzer index was 4.4 ± 1.4. Mean angina episodes per week were 12.6 ± 9.3 and mean consumption of sublingual nitrates was 11.0 ± 9.4. At follow-up, overall mortality was 11% (n = 11), and cardiovascular death was 3%. A reduction in angina episodes per week >50% was observed in 88% of patients (from 12.6 ± 9.3 to 2.7 ± 1.13; p

Original languageItalian
Pages (from-to)599-605
Number of pages7
JournalGiornale Italiano di Cardiologia
Issue number9
Publication statusPublished - Sep 2011


ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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