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KMID : 1155520230180030302
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Anesthesia and Pain Medicine
2023 Volume.18 No. 3 p.302 ~ p.306
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Burst stimulation for refractory angina pectoris
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Yun Dae-Hun
Lee Kae-Hong
Kwak JI-Soo
Je Lee-Gyeong
Kim Tae-San
Park Yoon-Sun
Koh Jae-Chul
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Abstract
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Background: Refractory angina pectoris (RAP) is a chronic, severe chest pain associated with coronary artery disease that cannot be resolved using optimal medical or surgical approaches. Spinal cord stimulation (SCS) is a suitable treatment option. Conventional waveforms of SCS have shown a potent effect on the tempering of RAP. However, SCS is associated with undesired paresthesia. The new burst SCS waveforms have been reported to have fewer adverse effects.
Case: We reviewed a case in which RAP was successfully treated with burst SCS in a middle-aged man, with a tonic waveform employed for breakthrough pain as needed.
Conclusions : Appropriate use of tonic and burst stimulations according to the symptoms is expected to maximize the effect of relieving chest pain induced by RAP.
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KEYWORD
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Angina pectoris, Breakthrough pain, Burst stimulation, Chest pain, Coronary artery disease, Spinal cord stimulation
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