One year follow-up of patients with refractory angina pectoris treated with enhanced external counterpulsation
2006

Long-term effects of EECP treatment for refractory angina

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): Pettersson Thomas, Bondesson Susanne, Cojocaru Diodor, Ohlsson Ola, Wackenfors Angelica, Edvinsson Lars

Primary Institution: Department of Medicine, Kristianstad, Sweden; Department of Emergency Medicine, Clinical Sciences Lund, Lund University, Sweden

Hypothesis

The study aims to assess the long-term outcome of EECP treatment in relieving angina in patients with chronic refractory angina pectoris.

Conclusion

EECP is a safe treatment for highly symptomatic patients with refractory angina, with beneficial effects sustained during a 12-month follow-up period.

Supporting Evidence

  • 79% of patients improved their CCS class after EECP treatment.
  • 73% of patients who improved did so by one CCS class, while 22% improved by two CCS classes.
  • The improvement in CCS class persisted for 12 months after treatment.

Takeaway

EECP is a treatment that helps people with severe chest pain feel better, and it keeps helping them for a long time after the treatment ends.

Methodology

55 patients were treated with EECP, and their CCS class, medication use, and clinical events were recorded before, after treatment, and at six and twelve months follow-up.

Potential Biases

The improvement in CCS class could be influenced by the special attention given to patients during follow-up.

Limitations

The study lacks a control group, which means a placebo effect cannot be excluded.

Participant Demographics

55 patients (47 male, 8 female) aged 45-89 with chronic stable refractory angina.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.1186/1471-2261-6-28

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