A modified regimen of extracorporeal cardiac shock wave therapy for treatment of coronary artery disease

作者：Wang, Yu; Guo, Tao^*; Ma, Tie-kun; Cai, Hong-yan; Tao, Si-ming; Peng, Yun-zhu; Yang, Ping; Chen, Ming-qing; Gu, Yun

来源：Cardiovascular Ultrasound, 2012, 10: 35.

DOI：10.1186/1476-7120-10-35

• Coronary artery disease
• Angina pectoris
• Myocardial ischemia
• Cardiac shock wave therapy

Background: Cardiac shock wave therapy (CSWT) improves cardiac function in patients with severe coronary artery disease (CAD). We aimed to evaluate the clinical outcomes of a new CSWT treatment regimen.
Methods: The 55 patients with severe CAD were randomly divided into 3 treatment groups. The control group (n = 14) received only medical therapy. In group A (n = 20), CSWT was performed 3 times within 3 months. In group B (n = 21), patients underwent 3 CSWT sessions/week, and 9 treatment sessions were completed within 1 month. Primary outcome measurement was 6-minute walk test (6MWT). Other measurements were also evaluated.
Results: The 6MWT, CCS grading of angina, dosage of nitroglycerin, NYHA classification, and SAQ scores were improved in group A and B compared to control group.
Conclusions: A CSWT protocol with 1 month treatment duration showed similar therapeutic efficacy compared to a protocol of 3 months duration.

• 出版日期2012-8-17
• 单位昆明医科大学