Prinz Christian, Lindner Oliver, Bitter Thomas, Hering Detlef, Burchert Wolfgang, Horstkotte Dieter, Faber Lothar
Department of Cardiology, Heart and Diabetes Center North Rhine-Westphalia, Ruhr University Bochum, 32545 Bad Oeynhausen, Germany.
Case Rep Med. 2009;2009:639594. doi: 10.1155/2009/639594. Epub 2009 Aug 20.
Different therapeutic options are being used for chronic coronary artery disease (CAD). We report about a 51-year-old female with CAD and refractory angina pectoris despite maximally tolerated medical therapy and after both percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). The patient received cardiac shock wave therapy (CSWT) over a period of 6 month. There was no arrhythmia during or after treatment; enzyme levels were normal at all times. PET imaging showed a substantial improvement of myocardial stress perfusion. Since the patient reported that she now was fully capable to deal with her everyday life, further treatment options were postponed. Our case report suggests that ultrasound-guided CSWT is able to improve symptoms and perfusion in ischemic myocardium.
针对慢性冠状动脉疾病（CAD），目前正在使用不同的治疗方案。我们报告了一名51岁的女性CAD患者，尽管接受了最大耐受量的药物治疗，并且在经皮冠状动脉介入治疗（PCI）和冠状动脉旁路移植术（CABG）后仍患有顽固性心绞痛。该患者在6个月的时间里接受了心脏冲击波治疗（CSWT）。治疗期间及治疗后均未出现心律失常；酶水平始终正常。PET成像显示心肌应激灌注有显著改善。由于患者报告称她现在完全有能力应对日常生活，因此推迟了进一步的治疗方案。我们的病例报告表明，超声引导下的CSWT能够改善缺血心肌的症状和灌注。
