Publications by authors named "Ans Durenkamp"

Introduction:   Patients suffering from chronic angina pectoris, insufficiently controllable with medication and revascularization, are an increasing medical and psychosocial problem. Although spinal cord stimulation (SCS) is proven to employ, safe, long-term anti-angina, and anti-ischemic effects for these patients, the use of SCS in this group remains limited. The reason for this restricted use is largely unknown.

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Objectives: To assess the long-term efficacy of neurostimulation for treating refractory angina pectoris-like chest pain, we followed patients, treated with either transcutaneous electrical nerve stimulation (TENS) or spinal cord stimulation (SCS).

Methods: Neurostimulation was judged successful and subsequently continued when initial pain was reduced at least 50%. All patients started with TENS, but if skin irritation occurred during TENS, a SCS system was implanted.

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Article Synopsis
  • The study aimed to evaluate how personality traits influence the effectiveness of neurostimulation in patients experiencing chest pain despite having normal coronary arteries.
  • Out of 33 patients analyzed over 5 years, 21 showed successful outcomes from neurostimulation, with those achieving success demonstrating significantly lower scores in "social inadequacy."
  • The findings suggest that personality traits, particularly low social inadequacy scores, play a critical role in predicting the success of neurostimulation treatments for these patients.
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