{"title":"心绞痛和冠状窦减速器的位置","authors":"Pierre Bourbon , Matthieu Périer , Benamer Hakim","doi":"10.1016/j.ancard.2025.101928","DOIUrl":null,"url":null,"abstract":"<div><div>Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 4","pages":"Article 101928"},"PeriodicalIF":0.3000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Angor réfractaire et place du réducteur de sinus coronaire\",\"authors\":\"Pierre Bourbon , Matthieu Périer , Benamer Hakim\",\"doi\":\"10.1016/j.ancard.2025.101928\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.</div></div>\",\"PeriodicalId\":7899,\"journal\":{\"name\":\"Annales de cardiologie et d'angeiologie\",\"volume\":\"74 4\",\"pages\":\"Article 101928\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annales de cardiologie et d'angeiologie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0003392825000678\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales de cardiologie et d'angeiologie","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003392825000678","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Angor réfractaire et place du réducteur de sinus coronaire
Refractory angina is characterized by angina-type pain, which remains uncontrolled despite pharmacological optimization, and patients are not eligible or unsuitable for further interventional or surgical revascularisation. This condition may concern 5 to 10 % of coronary artery disease patients. This review gives an overview of the conventional pharmacological and interventional approaches in the field of refractory angina. It considers the variety of emerging non-pharmacological therapeutics and technologies addressing neural pain processing or myocardial perfusion, and offers a special focus on the coronary sinus reducer implantation technique, its physiopathological rationale and its clinical evidence.
期刊介绍:
Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention.
Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.