“The elephant is gone”: Spinal cord stimulation for therapy‑refractory angina pectoris: A case report

Authors : Muhammet Enes Gündüz, Erkan Özduran, Volkan Hancı

Pages : 472-475

Doi:10.29058/mjwbs.1799774

View : 60 | Download : 53

Publication Date : 2025-12-31

Article Type : Other Papers

Abstract :Refractory angina pectoris (RAP) represents the group that continues to experience recurrent angina attacks despite optimal treatment, lifestyle modifications, and implemented revascularization options. This condition, called RAP, results in significant deterioration in quality of life and a high healthcare burden. Previous studies have reported that spinal cord stimulation (SCS) therapy provides significant improvement in symptoms in patients with RAP, reduces the frequency of angina attacks, reduces the need for antianginal medication, and improves quality of life. Our case demonstrates the potential benefit of spinal cord stimulation in carefully selected patients with refractory RAP. After treatment, our patient achieved sustained symptomatic relief, functional gains, and reduced nitrate dependence. This case provides a good example of an innovative and promising treatment approach for patients with RAP, whose options are limited due to the inadequacy or inapplicability of conventional treatment methods. In the future, cardiologists\\\' adoption of SCS as a component of their treatment strategies and their application of this approach in a multidisciplinary framework together with neurosurgeons and interventional pain specialists will be a decisive factor in SCS gaining a strong place in RAP treatment guidelines.
Keywords : Angina pektoris, nöromodülasyon, omurilik stimülasyonu, refrakter angina pektoris

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