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| Slide Lecture Programs |
| 2006 Core Curriculum |
| Contemporary Management of Myocardial Ischemia |
May 17, 2006
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| V: |
New Therapeutic Options for Chronic Stable Angina |
Slide 75 |
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Current nonpharmacologic antianginal strategies
- The three main nonpharmacologic antianginal techniques currently under evaluation are enhanced external counterpulsation, transmyocardial revascularization, and spinal cord stimulation. They are generally reserved for refractory angina.
- EECP uses three paired pneumatic cuffs that are applied to the lower extremities. The cuffs are sequentially inflated then deflated.
- TMR involves the creation of channels in the myocardium with a laser.
- SCS uses an implanted device with an electrode tip that extends into the dorsal epidural space, usually at the C7-T1 level.1
- Their mechanisms of action are not completely understood and a number of hypotheses have been proposed.
- Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, et al. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina: A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for the Management of Patients with Chronic Stable Angina). 2002. Available at www.acc.org/clinical/guidelines/stable/ stable.pdf.
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