Enhanced external counter pulsation in treatment of refractory angina pectoris: two year outcome and baseline factors associated with treatment failure
2008

Enhanced External Counter Pulsation for Refractory Angina Pectoris

Sample size: 86 publication Evidence: moderate

Author Information

Author(s): André Erdling, Susanne Bondesson, Thomas Pettersson, Lars Edvinsson

Primary Institution: Lund University

Hypothesis

Can the outcome of enhanced external counter pulsation (EECP) treatment for refractory angina pectoris be predicted by analyzing baseline factors?

Conclusion

EECP is a safe and effective treatment for patients with refractory angina pectoris, particularly beneficial for those with severe angina.

Supporting Evidence

  • 79% of patients improved at least one CCS class after EECP treatment.
  • 61.5% of initial responders maintained improvement at 12 months.
  • 29% maintained improvement at 24 months.
  • Diabetes and calcium channel antagonists were more common among non-responders.

Takeaway

This study shows that a special treatment called EECP can help people with severe chest pain feel better, especially if their pain is really bad.

Methodology

86 patients were treated with EECP and followed for two years, with assessments of CCS class and medication usage at multiple time points.

Potential Biases

The possibility of mass significance in the analysis of background factors associated with treatment failure cannot be ruled out.

Limitations

The study lacks a control group, which may affect the interpretation of the results due to potential placebo effects.

Participant Demographics

70 male and 16 female patients, with a mean age of 66 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2261-8-39

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