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Revista de la Sociedad Española del Dolor
Print version ISSN 1134-8046
Abstract
CASTRO, M. and ATANASSOFF, P. G.. Thoracal epidural analgesia for the management of unstable angina. Rev. Soc. Esp. Dolor [online]. 2005, vol.12, n.5, pp.283-288. ISSN 1134-8046.
Ischemic cardiomyopathy in patients with unstable angina refractory to medical therapy is a difficult medical condition. Unfavorable anatomy or excessive surgical risk can advise against the performance of angioplasty or coronary bypass surgery. This study has reviewed the use of thoracal epidural analgesia/anesthesia for the management and stabilization of this type of patients, with a brief description of the physiopathology of cardiac ischemia, experimental studies in animals and human beings, use of cardiac surgery and side effects.
Keywords : Epidural analgesia; Unstable angina.