e-Table 1. Systematic review – Characteristics of included trials First author/trial Total number of RA Intervention Comparator Primary outcome Follow up name (year) patients 22 SCS No SCS Exercise capacity 2-months 30 SCS ON SCS OFF Ischemic burden 48-hours 104 SCS Coronary artery Exercise capacity, 6-month, 2-years, 5- bypass graft angina symptoms years Country De Jongste (1994) Netherlands DiPede (2001) Italy EBSY (1998) Sweden Hauvast (1998) 25 SCS ON SCS OFF Exercise capacity 1.5-months 24 SCS ON SCS OFF Exercise capacity 1-months 68 SCS Percutaneous laser Exercise capacity 3, 6, 12, 14-months Netherlands Jessurum (1999) Netherlands SpiRiT (2006) UK myocardial revascularisation Eddicks (2007) 24 SCS ON SCS OFF Exercise capacity 1-month 25 SCS ON SCS OFF Angina episodes 1,3,6 & 12-months Germany Lanza (2011) Italy e-Table 2. Systematic review – Risk of bias of included trials Random Sequence sequence concealment Blinding Loss to follow Methods of Risk of bias Funding up/drop out (%) data analysis score+ Open label 8% Not stated 2/5 Government Blinded ECG 0% Not stated 2/5 Not stated 7%* Intention to 2/5 Government generation De Jongste (1994) Not stated Independent telephone service DiPede (2001) Not stated Not stated assessment EBSY (1998) Not stated Not stated Open label treat Hauvast (1998) Not stated Not stated Open label 0% Not stated 1/5 Government Jessurum (1999) Not stated Not stated Open label 0% Not stated 1/5 Industry SpiRiT (2006) Computer Independent Open label 9% Intention to 4/5 Industry generated R&D treat department Eddicks (2007) Not stated Not stated Double blind 0% Not stated 2/5 Industry Lanza (2011) Not stated Not stated Single blind - 0% Intention to 3/5 Industry patients *: at 6-months; +: number of criteria fulfilled treat eFigure 1a. Systematic review – Between group comparison in exercisecapacity eFigure 1b. Systematic review – Between group comparison in nitrate drug consumption eFigure 1c. Systematic review – Between group comparison in health-related quality of life eFigure 2. National survey – Frequency of RA therapy use across UK centres Acupuncture As required immediate release opioids Cognitive behavioural therapy Education Enhanced external counterpulsation Exercise programme Gene therapy Implanted subcutaneous stimulation Intrathecal drug delivery Multidisciplinary assessments Percutaneous myocardial laser revascularisation Regular slow release opioids Spinal cord stimulation Thoracic sympathectomy (chemical or radiofrequency) Thoracic sympathectomy (local anaesthetic) Transcutaneous electrical nerve stimulation 0 10 20 30 40 50 Percentage of UK centres that provide therapy 60