{"id":4787,"date":"2026-03-20T15:30:56","date_gmt":"2026-03-20T15:30:56","guid":{"rendered":"https:\/\/www.cswt-meyer.de\/?p=4787"},"modified":"2026-03-22T16:57:13","modified_gmt":"2026-03-22T16:57:13","slug":"patient-benefit-of-cswt-in-refractory-angina-pectoris","status":"publish","type":"post","link":"https:\/\/www.cswt-meyer.de\/en\/cswt-news\/studies\/patient-benefit-of-cswt-in-refractory-angina-pectoris","title":{"rendered":"Patient benefit of CSWT in refractory angina pectoris"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4787\" class=\"elementor elementor-4787 elementor-4710\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eec08d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eec08d9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65da0b3\" data-id=\"65da0b3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bf47509 elementor-widget elementor-widget-text-editor\" data-id=\"bf47509\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1>Cardiac shock wave therapy (CSWT): Study shows significant improvements in patients with refractory angina pectoris<\/h1><h2>What specific changes were seen in the patients treated?<\/h2><p><strong>Cardiac shock wave therapy (CSWT)<\/strong> is one of the innovative non-invasive procedures in <strong>regenerative cardiac medicine<\/strong>. The aim of the therapy is to improve blood flow to the heart muscle and trigger <strong>the body&#8217;s own repair mechanisms<\/strong>. <\/p><p>A current clinical study &#8211; see link below &#8211; investigated the effectiveness of this method in patients with <strong>coronary heart disease (CHD)<\/strong> and <strong>refractory angina pectoris<\/strong> &#8211; i.e. in patients whose symptoms persist despite drug therapy. In the study, 65 patients were observed over a period of six months. The results show significant improvements both in the patients&#8217; symptoms and in measurable cardiac parameters.  <\/p><p><strong>In the following, we explain some of the most important results of this study using graphics:<\/strong><\/p><h3><span style=\"color: #cda77e;\">Significantly lower NT-proBNP value  <\/span><\/h3><p>The laboratory value NT-proBNP is an important marker for the strain on the heart. It typically rises when the heart is under pressure or heart failure is present. In the study, the NT-proBNP value fell <strong>on average by 57%<\/strong> &#8211; from around 942 pg\/ml to 410 pg\/ml. Such a change indicates that the heart is under less strain after CSWT treatment and that cardiac function can stabilize.   <\/p><h3><span style=\"color: #cda77e;\">91 percent fewer angina attacks<\/span><\/h3><p>A particularly important point for patients is the frequency of angina attacks &#8211; i.e. the typical chest pain caused by circulatory disorders of the heart muscle.<\/p><p>The study showed a particularly clear effect here:<\/p><ul><li>average of 6.26 seizures per week before treatment<\/li><li>only 0.58 seizures per week after therapy<\/li><\/ul><p><strong>This corresponds to a reduction of around 91 percent.<\/strong><\/p><p>For many patients, this means a <strong>significant improvement in quality of life<\/strong>, as pain, shortness of breath and stress problems occur much less frequently.<\/p><h3><span style=\"color: #cda77e;\">Improved resilience in the 6-minute walk test<\/span><\/h3><p>Another important measurement is the so-called 6-minute walk test. This measures how far patients can walk within six minutes. This test gives a good impression of physical resilience.  <\/p><p>After treatment with cardiac shock wave therapy, patients were able to <strong>walk<\/strong> an average of <strong>107 meters further.<\/strong><\/p><p>Before the therapy:<strong> 280 meters<\/strong><\/p><p>After the therapy:<strong> 389 meters<\/strong><\/p><p><strong>This shows that CSWT can significantly improve physical performance.<\/strong><\/p><h3><span style=\"color: #cda77e;\">Improved heart function (ejection fraction)<\/span><\/h3><p>The pumping function of the heart also improved measurably.<\/p><p>The so-called ejection fraction &#8211; a key parameter for cardiac performance &#8211; increased on average from 37 percent to 41.6 percent in the study.<\/p><p>At the same time, <strong>ischemia of the heart muscle<\/strong>, i.e. areas with poor blood flow, also <strong>decreased<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49f72fb elementor-widget elementor-widget-image\" data-id=\"49f72fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1055\" height=\"373\" src=\"https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Significant-Improvements.jpg\" class=\"attachment-full size-full wp-image-4789\" alt=\"Angina Pectoris - CSWT-Study - Significant Improvements\" srcset=\"https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Significant-Improvements.jpg 1055w, https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Significant-Improvements-300x106.jpg 300w, https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Significant-Improvements-1024x362.jpg 1024w, https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Significant-Improvements-768x272.jpg 768w\" sizes=\"(max-width: 1055px) 100vw, 1055px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7cb92c elementor-widget elementor-widget-text-editor\" data-id=\"a7cb92c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span style=\"color: #cda77e;\">Less severe stages of heart failure<\/span><\/h3><p>The <strong>NYHA classification<\/strong>, an internationally used system for classifying heart failure, also improved significantly.<\/p><p>The proportion of patients with severe heart failure stages (NYHA III or IV) <strong>fell from around 15 percent to less than 2 percent.<\/strong><\/p><p>This shows that many patients <strong>were less severely restricted<\/strong> after treatment.<\/p><h3><span style=\"color: #cda77e;\">Improved blood flow to the heart muscle<\/span><\/h3><p>Imaging examinations of the heart muscle also showed a <strong>significant improvement in blood flow.<\/strong><\/p><p>The area of perfusion defects &#8211; i.e. areas with insufficient blood supply &#8211; decreased significantly. Overall, myocardial ischemia was <strong>reduced<\/strong> by around <strong>30 percent.<\/strong> <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56aabd1 elementor-widget elementor-widget-image\" data-id=\"56aabd1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1055\" height=\"373\" src=\"https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Improved-Heart-Function-Fewer-Severe-Stages.jpg\" class=\"attachment-full size-full wp-image-4790\" alt=\"\" srcset=\"https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Improved-Heart-Function-Fewer-Severe-Stages.jpg 1055w, https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Improved-Heart-Function-Fewer-Severe-Stages-300x106.jpg 300w, https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Improved-Heart-Function-Fewer-Severe-Stages-1024x362.jpg 1024w, https:\/\/www.cswt-meyer.de\/wp-content\/uploads\/2026\/03\/Angina-Pectoris-CSWT-Study-Improved-Heart-Function-Fewer-Severe-Stages-768x272.jpg 768w\" sizes=\"(max-width: 1055px) 100vw, 1055px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d0194e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d0194e4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9a1dc4a\" data-id=\"9a1dc4a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2112723 elementor-widget elementor-widget-text-editor\" data-id=\"2112723\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Good tolerability of CSWT therapy<\/h2><p>In addition to efficacy, the study also examined <strong>the safety of the treatment<\/strong>. <strong>No serious side effects<\/strong> were observed during the entire observation period, in particular no cardiac arrhythmia or damage to the heart muscle. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f9366bb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f9366bb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b94271\" data-id=\"7b94271\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-990e8be elementor-widget elementor-widget-text-editor\" data-id=\"990e8be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span style=\"color: #cda77e;\">Conclusion of the study with cardiac shock wave therapy (CSWT)<\/span><\/h3><p>The results of this study show that <strong>cardiac shock wave therapy (CSWT)<\/strong> can bring about significant improvements in patients with <strong>coronary heart disease (CHD)<\/strong> and <strong>refractory angina pectoris<\/strong>.<\/p><p><strong>Here is a summary of the study results:<\/strong><\/p><ul style=\"margin-bottom: 15px;\"><li>fewer angina attacks<\/li><li>better resilience<\/li><li>Improved heart function<\/li><li>Reduced circulatory disorders of the heart muscle<\/li><li>Good tolerability of the therapy<\/li><\/ul><p><strong>CSWT<\/strong> therefore represents a promising <strong>non-invasive approach to<\/strong> <strong>regenerative heart medicine <\/strong>, which may be of particular interest to patients for whom conventional therapies have only limited effect.<\/p><p>If you would like to find out more about cardiac shock wave therapy (CSWT) or whether this treatment could be suitable for you, we will be happy to advise you in person at our Schloss Meyer practices.<\/p><p><strong>\u27a1\ufe0f Click here for our <a style=\"text-decoration: underline;\" href=\"https:\/\/www.cswt-meyer.de\/en\/contact\">contact form<\/a><\/strong><\/p><p><strong>You can find these and many other studies on CSWT in our &#8220;CSWT studies&#8221; section:<\/strong><\/p><p><a style=\"text-decoration: underline;\" title=\"Click here for the studies\" href=\"https:\/\/www.cswt-meyer.de\/en\/cswt\/cswt-studies\"><strong>Click here for the studies<\/strong><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Cardiac shock wave therapy (CSWT): Study shows significant improvements in patients with refractory angina pectoris What specific changes were seen in the patients treated? Cardiac shock wave therapy (CSWT) is one of the innovative non-invasive procedures in regenerative cardiac medicine. The aim of the therapy is to improve blood flow to the heart muscle and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4794,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-4787","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studies"],"_links":{"self":[{"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/posts\/4787","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/comments?post=4787"}],"version-history":[{"count":5,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/posts\/4787\/revisions"}],"predecessor-version":[{"id":4795,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/posts\/4787\/revisions\/4795"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/media\/4794"}],"wp:attachment":[{"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/media?parent=4787"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/categories?post=4787"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cswt-meyer.de\/en\/wp-json\/wp\/v2\/tags?post=4787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}