Echo-guided extracorporeal shock wave therapy for refractory angina improves regional myocardial blood flow and longitudinal

Lother Faber, Oliver Lindner*, Christian Prinz, Nicola Bogunovic, Detlef Hering, Wolfgang Burchert*, Dieter Horstkotte

Departments of Cardiology and *Radiology, Nuclear Medicine and Molecular Imaging,Heart and Diabetes Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany

Introduction and Background

At high energy levels, electrohydraulical shock waves (SW) can be used to mechanically desintegrate calculi in the urinary and biliary tract (nephro- and cholelithotripsy). Low intensity SW therapy (SWT) has been shown to increase capillary density and regional myocardial blood flow in animal experiments. We used low energy SWT in patients (pts.) with end-stage coronary artery disease (CAD) not suitable for revascularization, suffering from severe chronic angina pectoris (CCS class III or IV) refractory to individually optimized medical treatment.

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