[Cardiac shock wave therapy--a new method for treatment of advanced coronary disease and refractory angina].

Abstract:

:Despite continuous progress in pharmacological management and development of myocardial revascularisation techniques, a significant number of patients with advanced ischemic heart disease and refractory angina pectoris cannot be treated successfully. For the group of patients with chronic refractory angina therapeutic options are, however, limited. Several alternative therapies, such as transmyocardial laser revascularisation, transcutaneous electrical nerve stimulation or angiogenesis by gene or cell therapy have been clinically tested. This paper presents a new promising method, non-invasive cardiac shock wave therapy with a review of available clinical information on therapeutic potential in advanced ischemic heart disease and refractory angina treatment. The method is based on percutaneous application of low frequency ultrasound, i.e. mechanical shock waves with ECG gating. Therapeutic sessions are performed under echocardiographic monitoring. In the last thirty years the shock wave therapy has become a method efficiently employed in nephrology, gastroenterology, orthopedics, rehabilitation and dermatology, as well as--pending confirmation through further research--cardiology.

journal_name

Kardiol Pol

journal_title

Kardiologia polska

authors

Sobczak M,Kasprzak JD

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

1391-6

issue

12

eissn

0022-9032

issn

1897-4279

journal_volume

68

pub_type

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