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EECP (Enhanced External Counter Pulsation)

(Approved by Food Drug Administration-USA, NHS (England) And CE Mark Certification (Europe) and recommended by American Heart Association, American College of Cardiology Foundation, American College of Physicians and American Association for Thoracic Surgeons)

EECP stands for Enhanced External Counter Pulsation, EECP is an US FDA Approved treatment for Angina, Heart Failure and Coronary Artery Disease. EECP is a day care, non-invasive treatment. It is done on an outpatient basis. EECP is a safe process carries without any adverse effects. EECP is very effective to alleviate angina pain for heart patients.

EECP Treatment improves blood supply of the heart muscles by –

Developing collaterals or small blood tubes in the whole myocardium of heart.

Develop new small blood tubes (Angiogenesis)

Dilate coronary arteries

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EECP develops bypass route in the whole heart without any invasion. That's why it is also called as "Natural Bypass". Besides heart, EECP also improves blood supply of the whole body, Brain, Eyes, Kidneys, Lungs, Pancreases, Liver, Stomach, Hands and Legs.

EECP First introduced in Boston (USA) in late 1960's. the primary purpose of EECP was to increase amount of blood to the heart. Since then after continuous advancements and improvements. EECP was approved by US FDA in June 2002. Since then EECP is installed in more than 50 countries of the world. Today all the leading countries of the world do EECP. In India also, EECP is available in many reputed hospitals.

"SURGERY IS ALWAYS SECOND BEST IF YOU CAN DO SOMETHING ELSE, IT'S BETTER."

DR. JOHN KIRKLIN (A HEART SURGEON) MAYO CLINIC, USA

US-FDA Approved

In 2002 EECP is approved by American Food and Drug Administration

Non Invasive

Non-Surgical, Safe and Painless

Cost Effective

As compare to heart surgery EECP is least costly.

Improves Circulation

Beside Heart EECP improves blood supply of the whole body.

EECP Working Process

Lay on EECP Machine Bed

Patient needs to lay on EECP Machine bed, which is designed to give comfort to patient while an EECP Session. EECP Bed can be inclined, declined as per patient's need to relax body muscles.

Air Cuffs Wrapping

Three large inflatable cuffs – similar to blood pressure cuffs – are wrapped around the calves, thighs and buttocks. These cuffs are attached to the machine and synchronises with patient's heart rhythm.

ECG Synchronization

Three ECG Leads are placed on patient, these leads are attached with EECP machine's monitor Which measure Patient's ECG, Heart Rate and Oxygen Saturation. This Machine monitor has buttons to start, end, pause, set time, regulate pressure, take print, expand vitals views, and exit.

Treatment Process

In a cardiac cycle when heart is in Diastole (Heart Resting Phase), the cuffs are rapidly inflated in sequential manner squeezing the calves, thighs and buttocks muscles and push blood to flow upward and Just before systole (Heart Contraction Phase), the cuffs are simultaneously deflated. This inflation and deflation happens as per synchronisation with the heart pumping while not interfering with the body's natural functions.

Collaterals Development

Symmetrical movements of cuffs increase diastolic blood flow to the heart and in a one-hour session of EECP, heart works like a 100 kilometre running while you are at rest. In a period of 35-40 days on an hourly basis, Collaterals (Small tubes or Natural Bypass) develops in the whole heart. Through which blood supply in whole myocardium improves and it relieved the Angina. These collaterals also called as secondary set of tubes.

Patients Can Be Treated With Eecp Treatment In Following Diseases

  • Angina Pectoris
  • Coronary Artery Disease
  • Cardiomyopathy
  • Hypertension
  • Stroke
  • Poor Circulation
  • Congestive Heart Failure
  • Peripheral artery disease
  • Leg pain
  • Renal Failure
  • Fatigue
  • Diabetes
  • Shortness of Breath
  • Sports Enhancement
  • Erectile Dysfunction
  • Quality of Life
  • Exercise Duration and Increased Stamina
  • Improves Blood Circulation

Benefits Of EECP Treatment

  • Increases collateral circulation
  • Creates new micro blood vessels
  • Stimulates natural bypass
  • Grows new arteries
  • Reduces arterial stiffness
  • Improves organ dysfunction
  • Improves blood flow to the brain
  • Strengthens cardiovascular system
  • Increases lymphatic circulation
  • Reverses effects of heart disease
  • Increases nitric oxide
  • Improves longevity with anti-aging effects
  • Regenerates organs and tissue
  • Decreases anxiety and depression
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EECP Is A Regenerative Treatment

Regeneration is a medical term of replacing or recreating human tissues, organs or cells to restore body's normal function. According to NIH, EECP circulates hematopoietic progenitor cells (HPCs) or endothelial progenitor cells (EPCs).
The uniform inflation and deflation of the EECP cuffs helps in regeneration of new blood vessels in the heart, that improves blood supply in the whole heart and also helps in improving heart function.
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Effect Of EECP Treatment On Plasma Nitric Oxide And Endothelin-1 Levels

Nitric oxide is produced by the endothelial cells lining the arteries, it is a signalling molecule of the body. It penetrates the underlying smooth muscles and acts as a potent vasodilator that relaxes the arteries. It also keeps the endothelium in shape by curbing inflammation and oxidative stress. It helps in regulation blood pressure of the body.
According to a study conducted by NIH, EECP significantly augments diastolic blood flow and has been postulated to improve endothelial function by increased shear stress. During the course of EECP treatment, plasma NOx progressively increases and plasma ET-1 progressively decreases. It provides neurohormonal evidence to support the hypothesis that EECP improves endothelial function.
Common Faq's About EECP
  • Q. How EECP is effective for a heart patient?

    - EECP helps in developing collaterals blood circulation

    - Patients can walk longer distance then before

    - No Angina or reduced episodes of Angina

    - Patient can do day to day work or may resume active lifestyle

    - Patient would be more confidant and energetic

  • Q. Is there any side effects / risk factors of EECP?

    - EECP is safe and painless

    - Some patients may develop mild skin irritation under area of cuff set but it's be alright after putting some cotton pads during EECP sessions and use some skin healing creams.

    - Patients may feel some fatigue in the beginning of the treatment but it usually subsides after first few sessions, in fact patient feels more energetic at the end of the treatment.

  • Q. Is the pressure of EECP can cause a damage to Heart?

    - Our normal blood pressure is 120 / 80. Systolic 120 mmhg and Diastolic 80 mmhg.

    - It means that our blood vessels can bear pressure upto 120 mmhg

    - EECP can increases diastolic blood flow maximum upto 120 mmhg

    - It means pressure given by EECP is under blood vessels capacity so it is safe and cannot cause damage to Heart.

  • Q. How does EECP compare to Bypass surgery or Angioplasty?

    The five year outcomes for EECP patients are virtually the same as for Bypass surgery or Angioplasty patients.

  • Q.Is EECP treatment possible after done Bypass surgery / Angioplasty?

    - Yes, if the symptoms reoccurs

    - If surgical procedure results are inadequate

    - For additional benefits and for a better and active lifestyle

    - For a rapid recovery

  • Q. How does EECP Feel like?

    – It feels like you are taking deep muscle massage to your legs

    - Feeling of relaxation and comfort

  • Q. Long term Befefits of EECP?

    - The results of EECP sustained for atleast 3 years if you live a sedentary life

    - The results of EECP can persist for upto a lifetime if you live a healthy and active lifestyle.