EECP – Enhanced External Counterpulsation

EECP is an enhanced external counterpulsation. It is actually expense helpful, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure individuals. It really is FDA (USA) and NHS (UK) authorized. Get additional facts about enhanced external counterpulsation

How is EECP Performed?

Throughout EECP Patient lies on bed of machine. Three or 5 electrodes are applied for the chest to record a continuous ECG.

A Plethysmograph is applied to index finger to record a tracing that represents blood pressure and oxygen saturation.

Set of 3-4 cuffs is wrapped about the calves, thighs and buttocks. EECP system uses an ECG signal to electronically synchronize inflation and deflation from the cuffs.

What exactly is duration of treatment?

Duration for chronic angina and heart failure individuals is 35 hours normally one hour every day, five days per week. Some sufferers pick a 2-hour each day regimen, which reduces the time of completion of treatment. The duration of treatment and interval of rest will depend on the patient’s situation, just how much diastolic augmentation is obtained, tolerance of patient plus the indications for application of EECP.

What exactly is Mechanism of EECP?

Clinical studies indicate that EECP treatment may well develop a ‘natural’ bypass of blocked arteries. There are actually fundamentally two mechanisms involved within this therapy. When we make diastolic augmentation, this final results in opening of lot of inactive blood vessels in heart which assists in bypass the blocked channels. Furthermore, this treatment encourages blood vessels to kind new small vessels i.e colletrals. These channels or collaterals could ultimately become permanent pathways to the heart muscle that was previously deprived of blood flow and sufficient oxygen.

What are indications of EECP?

Angina individuals who’re not relieved by medicine, individuals who dont choose to have bypass surgery, patients who are contraindicated for bypass or angioplasty like kidney failure, liver failure, extreme COPD cases, Diffuse diabetes disease, incredibly old age, sufferers of Syndrome X, i.e microvessel disease, ischaemic and dilated cardiomyopathy sufferers all can go for EECP.

What are contraindications of EECP?

Serious aortic regurgitation and aortic stenosis, deep vein thrombosis, pregnancy, incredibly high blood pressure and serious peripheral vascular disease are contraindications for EECP

Negative effects of EECP

EECP has no unwanted side effects except small skin bruises specially when patient just isn’t wearing right skin pants for the duration of treatment. In contrast to angioplasty or bypass, it is actually absolutely secure procedure with no big risk to patient.

Benefits for the patient

Soon after EECP, patient can stroll longer distance without having feeling chest pain or breathlessness. Patient’s high quality of life improves remarkably. He can take part in everyday activities. Above all, patients medicine also decreases, there is significantly less must take sub lingual nitrates. Soon after treatment heart failure individuals do not must take high quantity of diuretics.

EECP final results verification.

Just before and after treatment we perform ECG, Echocardiography, TMT test and Tension thallium scan. All these tests confirm the results of EECP. In ECG there is certainly mark decrease in ST segment depression or other ischaemic changes, there is certainly increase in Ejection fraction in Echo, TMT test shows that patient can stroll longer distance without having chest pain, and anxiety thallium test also shows that there is certainly much less or no a lot more ischaemia in heart.

What’s Expense of EECP?

The charge for EECP is about one third that of angioplasty and one sixth the cost of coronary artery bypass surgery. In Pakistan EECP charges are US $ 2400 at Dr. Armughan EECP heart Clinic Sialkot.

Insurance & Medicare Coverage

In USA, over 120 insurers are covering EECP. EECP has been covered locally by Paramount, John Hancock, Senior Sense, Paramount Elite, Workman’s Comp, HMO Health Ohio, Messa, Acordia, Access, Envirosource, EV Benefits, First Health, Harrington Benefits, Fortis, Gallagher Benefits, NGS American, United Health Care, Health Alliance Plan, Medical Mutual, Anthem, most Blue Cross/Blue Shield plans, Aetna, Family Health Plan,and Fountainhead. Pre-authorization is required for FHP, Paramount, Senior Sense, Paramount Elite, and HMO Health Ohio sufferers. Medicare and Medicaid cover EECP in patients with class 3 or class 4 angina (chest Pain) that are not good candidates for bypass surgery (CABG)

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