Transcutaneous electrical nerve stimulation

It is often thought that chest pain after provocation that disappears totally after 30-60 seconds of high-intensity stimulation is a strong indicator of ischemic origin. Manheimer et alls41 randomized unblended study of 22 patients revealed a significant reduction in angina episodes (17 percent) and an increased exercise tolerance (15 percent).

The most frequent side effect of transcutaneous electrical nerve stimulation (TENS) is the development of skin reactions to the adhesive of the pads and skin sensitivity to the effect of the electrical current. Its efficacy may be limited if there is cutaneous change following left internal mammary artery (LIMA) harvest. These often limit the long-term use of this therapy, and spinal cord stimulation appears to be less problematic in this respect.20 TENS has a documented effect on symptoms.20[V]

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