Non-Pharmacological Interventions in Refractory Angina
Journal Title: Heart Research – Open Journal - Year 2018, Vol 5, Issue 1
Abstract
Refractory angina (RA) is defined by intractable cardiac chest pain despite standard medical therapy and revascularisation. Symptoms are associated with significant morbidity and compromised quality of life (QoL). Various methods of interventional pain management can be considered for the complex care of these cohorts. This review explores postulated mechanisms and evidence base underpinning therapeutic strategies such as cognitive behavioural therapy (CBT), cardiac rehabilitation, stellate ganglion blockade (SGB), enhanced external counterpulsation (EECP) and coronary sinus reducer (CSR) implantation. Use of these modalities is dependent on the local provision, but suitability is best assessed by specialist RA services using an individualised, multidisciplinary framework.
Authors and Affiliations
Noman Ali
Keywords
Related Articles
- EP ID EP556015
- DOI 10.17140/HROJ-5-146
- Views 160
- Downloads 0
Short-term Cardio-Vascular Risk Score Changes in Type 2 Diabetic Patients on Empaglifozin: A Real-Life Clinical Experience
Objective: The aim of the study was to test both efficacy and safety of empaglifozin in type 2 diabetic out patients followed-up within a single institution. Materials and Methods: One hundred seventy-eight consecutive p...
A Case Report of the Management of Residual Cardiovascular Risk in a Dyslipidaemic Patient with Metabolic Syndrome
Metabolic Syndrome (MS) is a clustering of metabolic and underlying risk factors which doubles the risk of therosclerotic cardiovascular disease. It is more prevalent in some ethnic groups, especially in the Asian world....
Interpretation of Heart Sound Signal through Automated Artifact-Free Segmentation
Purpose: Digital recording of heart sounds commonly known as Phonocardiogram (PCG) signal, is a convenient primary diagnostic tool for analyzing condition of heart. Phonocardiogram aids physicians to visualize the acoust...
Surgical Removal of Left Atrial Appendage Thrombus in a Patient with Acute Ischemic Stroke
Atrial fibrillation is a major risk factor for ischemic stroke. Left atrial appendage thrombus is responsible for the majority of cardioembolic stroke caused by atrial fibrillation. Left atrial appendage thrombus in a pa...
Dimethyl Sulfoxide Reduces Microvascular Obstruction and Intramyocardial Hemorrhage in a Porcine Ischemia-Reperfusion Model
Background: Microvascular obstruction (MVO) and Intramyocardial hemorrhage (IMH) are associated with myocardial reperfusion injury and recognized as predictors of adverse left ventricular remodeling in acute myocardial i...