Why there is a need for another ?
Despite the advances in cardiology in treatng chest pain and heart failure the problem still persists. Drugs do not always provide relief and invasive procedures have their own associated risk factors. EECP can provide the patients with all the advantage similar to that of medication and symptom relief comparable to that of invasive procedures without undergoing them.
What is Enhanced External Counterpulsation?
EECP is the first nonsurgical, non-pharmaceutical, mechanical treatment for patients with chest pain and heart failure. It helps to increase blood flow to the heart muscles deprived of adequate blood supply. The beneficial effect obtained after the completion of treatment persists for years together.
What does EECP treatment include?
In an EECP session, the patient lies on a padded table. Three large inflatable cuffs-similar to blood pressure cuffs-are strapped around the calves, lower thighs and upper thighs. The patient's heart is monitored by an electrocardiograph display in the machine, which through the computer regulates the inflation and deflation of the cuffs. During the part of the cardiac cycle when the heart is at rest (diastole), the cuffs are rapidly inflated in sequential order beginning with the cuffs at the calves and working upward. Just before systole (heart contraction), the cuffs are simultaneously deflated.
How does EECP treatment work?
EECP increases the blood flow to heart muscles. The increase in blood flow to the area of heart muscle not receiving enough blood supply is achieved by two means by EECP treatment (1) Forming new vessels around the blocked artery. (2) Because of increase blood flow and pressure during EECP there is high pressure in open coronary arteries and lower pressure in closed arteries. Blood finds its way to the low pressure zone or area, whch has decreased blood supply by opening the collaterals. These collaterals eventually become permanent.
How long does the treatment take?
EECP involves 35 days of treatment . Each treatment session is for one hour and the patients are asked to come six days a week for six weeks. It is very important that the patient adhere to the one-hour time schedule fixed by the hospital or medical center and the patient is expected to continue the treatment with out break.
Does EECP give symptom relief as Bypass and Angioplasty?
All these current mode of treatments help the heart by increasing the blood flow to the area of the heart muscle not receiving adequate blood supply. Once the blood supply is increased towards normal the patient's chest pain will be decreased or eliminated and his exercise tolerance will improve.
What are my symptoms which make me eligible for undergoing EECP treatment?
If you say yes to any of the symptoms mentioned below affects your regular lifestyle and activity consider EECP and consult with your physician.
These symptoms may be the signs of your heart getting lesser oxygenated blood than its requirement. Your blood vessel carrying nutrition to your heart muscle may have been obstructed. Your heart pumping action may have been severely reduced making your heart unable to pump enough blood to nourish all other organ in your body. Missing this early signs is like denying yourself a healthy heart and happy living.
Are you a candidates for EECP Therapy?
- You have Angina (Chest pain) and / or heart failure.
- Your heart medications no longer relieve your angina and heart failure symptoms.
- You have had open-heart (by pass) surgery, a balloon angioplasty or stent, or other invasive procedures, and your symptoms have returned.
- You have been told you cannot have another bypass surgery, balloon angioplasty or stent, or other invasive procedures.
- You have chosen not to have any further surgery, angioplasties or invasive procedures.
- You do not have any other medical conditions that may prevent you from having EECP Therapy
Do I need anything special to prepare myself fo the treatment?
EECP is a safe, out patient , non-invasive treatment.So you don't have to restrict any of your daily routine work. You can fix your one-hour time treatment schedule according to your convenience. Before you start the treatment you will asked to wear tight fitting elastic pants. This is to prevent skin irritation and abrasion.
- Avoid taking food two hours before the treatment.
- Empty your bladder before starting the treatment.
- If you are taking any diuretic medication avoid taking them before the treatment.
- Continue your regular medication as prescribed by your physician.
What should I do after EECP treatment?
To prevent the progession fo your disease after completion of the treatment you should make life style changes like
- Quitting smoking
- Following heart friendly diet
- Controlling obesity
- Doing Regular exercise
Have regular follow up with your cardiologist to lower your cholesterol, to control your blood pressure and diabetes. EECP treatment provide you with new blood vessels. It is you to prevent your vessels from developing obstruction again.
How do Bypass, Angioplasty and EECP help in relieving chest pain?
In bypass surgery the diseased section of your coronary artery are bypassed with healthy artery or vein to increase the blood flow to the heart muscle area. once the blood flow is restored chest pain may be reduced or eliminated.
EECP ADVANTAGES OVER SURGERY
EECP has numerous distinct advantages over surgery:
- No additional Medication required
- No side effect
- Patients have reported increased exercise tolerance energy and free from chest pain following treatment without risk of surgery.