Treatment FAQ

how does eecp treatment work

by Dustin Kilback Published 2 years ago Updated 2 years ago
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EECP treatment applies pressure to blood vessels in your lower limbs. The pressure increases blood flow back to your heart, so your heart works better. When your heart pumps better, symptoms ease. This type of therapy can also encourage blood vessels to open new pathways for blood to flow to your heart.Mar 17, 2022

Full Answer

How does eecp therapy reverse cardiovascular disease?

You probably should not have EECP if you have: 7

  • Aortic insufficiency
  • Recent cardiac catheterization
  • Irregular heart rhythm such as atrial fibrillation
  • Severe hypertension (high blood pressure)
  • Peripheral artery disease involving the legs
  • A congenital heart defect
  • Hypertrophic cardiomyopathy
  • Valvular disease
  • Enlarged heart
  • A pacemaker

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Where to get eecp therapy?

  • Chest pain symptoms improved in 97% of patients
  • Fatigue improved in 88% of patients
  • Walking distance improved in 83% of patients
  • Breathing difficulty improved in 63% of patients

Is eecp therapy right for me?

Now more and more proofs showed ECP treatment not only good for patient,it is also good for healthy people. EECP system is a natural bypass for chest pain.non-invasive,safe and no side effect.Omay EECP machine is durable,produced by Omay Medical.China EECP manufacturer with more than 10 years experiences in EECP field.

How beneficial is eecp?

  • A noninvasive treatment exists
  • It's safe and well-tolerated
  • It's supported by available evidence (albeit imperfect) that strongly suggests the treatment is quite effective in many
  • Those being treated can tell pretty definitively whether it substantially reduces angina symptoms

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How effective is EECP treatment?

The overall 5-year survival of EECP-treated patients was 88%, comparable to that seen with medical and revascularization therapies. At 5-years of follow-up, 64% of patients were alive without interim cardiovascular events or need for revascularization.

Is EECP a substitute for heart surgery?

When the coronary arteries that carry blood supply to the heart get blocked, it causes the following problems: Severe chest pain.

How is EECP treatment done?

Enhanced External Counter Pulsation (EECP) is performed as a non-invasive treatment to lower the number and intensity of angina episodes. Treatment is administered through three pairs of external inflatable cuffs that are applied around the lower legs, upper legs and buttocks.

What are the benefits of EECP treatment?

EECP helps grow new collaterals for blood to flow, like a natural bypass around blocked arteries. Increases blood flow. EECP acts like a second heart and improves circulation of oxygenated blood throughout the arterial system and organs of the body when the heart is at rest.

Can EECP remove heart blockage?

This type of therapy can also encourage blood vessels to open new pathways for blood to flow to your heart. These pathways eventually become "natural bypass" vessels that help relieve symptoms of angina if your coronary arteries are narrowed or blocked.

Is EECP better than bypass?

While EECP therapy can be a good alternative for people who are not good candidates for stents or bypass surgery, it is not a replacement for those who can have surgery. EECP can not correct blocked arteries like surgery can.

What is the cost of EECP?

How much does it cost for EECP Treatment in India? Heal your Heart is a reputed organization of EECP treatment in India since 2001, EECP treatment cost in India is between Rs 90,000 to Rs 1,40,000. Natural bypass therapy is cost effective, risk-free, Less pain when compared to Bypass Surgery and angioplasty.

How much does EECP therapy cost?

The average hospitalization and physician charge in the US was $17,995, and the average EECP treatment cost was $4,880, yielding an annual cost savings/pt of $17,025.

Can EECP reduce blood pressure?

Conclusions: EECP therapy leads to a reduction in both systolic and diastolic blood pressure, which is most prominent in patients with baseline hypertension.

Is EECP approved in India?

The Government Order in G.O. No. 174 has approved the treatment of Enhanced External Counter Pulsation Therapy (EECP), which is a non-invasive one.

Does EECP make you tired?

A: EECP® therapy is often described as being like “passive exercise,” so you may feel tired after the first few days of treatment. This is normal, especially if you haven't been exercising.

Can EECP increase ejection fraction?

The International EECP Patient Registry reported that EECP treatment decreases angina episodes and improves quality of life in patients with severe LVD (ejection fraction ≤ 35%) and that these improvements can last up to 5 years.

History of EECP Treatment

EECP treatment originated in China where it has been extensively used since the 1960s. In the past 10 years it has been introduced to the United St...

Who Is Eligible For EECP Treatment?

Individuals are eligible for treatment if they have: 1. Had coronary artery bypass (CABG) or stents placed in the coronary arteries with ongoing an...

Who Should Not Seek EECP Treatment?

Patients who should not undergo EECP include those with: 1. Hypertrophic cardiomyopathy 2. Congenital heart disease 3. Valvular disease 4. Enlarged...

What Are The Benefits of EECP Treatment?

1. Increased oxygen supply for the heart 2. Decrease in chest pain 3. Improved EKG response to exercise 4. Decrease in nitroglycerin use 5. Increas...

University of Michigan EECP Program Overview

Before beginning EECP, you should: 1. Get a physician referral 2. Schedule your pre-treatment appointments, which include: 1. Nursing assessment 2....

History of EECP Treatment

EECP conduct originated in China where it has been at length used since the 1960s. In the past 10 years, it has been introduced to the United States, where there are at present around 1200 machines in the procedure. The thought for EECP stems from the expansion of the intra-aortic balloon force (IABP).

How does EECP work?

The EECP treatment quietly but firmly compresses the blood vessels in the lower limb to gain blood run to your heart. Each wave of force is by electronic means time to the heartbeat, so that the enlarged blood flow is delivered to your heart at the accurate instant it is calming.

Stress Test

Persons will total a stress test prior to starting EECP treatment. This will set up their work out capacity and give final clearance to begin action. More highly, it will identify the severity, incidence, and duration of chest pain with work out.

What is EECP in medical terms?

EECP is a mechanical procedure in which long inflatable cuffs (like blood pressure cuffs) are wrapped around both of the patient’s legs. While the patient lies on a bed, the leg cuffs are inflated and deflated synchronously with each heartbeat.

How long does EECP last?

3 . Other studies have shown that the improvement in symptoms following a course of EECP seems to persist for up to five years (though 1 in 5 patients may require another course of EECP to maintain their improvement).

What is EECP in cardiology?

While several clinical studies appear to show that this treatment can help reduce symptoms of angina in people with coronary artery disease (CAD), EECP has yet to be accepted by most cardiologists and has not entered mainstream cardiology practice.

How is deflation controlled?

The inflation and deflation are controlled by a computer, which uses the patient’s electrocardiogram ( ECG) to trigger inflation early in diastole (when the heart relaxes and is filled with blood), and deflation just as systole (heart contraction) begins.

Does EECP help with endothelial dysfunction?

It is also speculated that EECP may help reduce endothelial dysfunction.

Does EECP help the heart?

EECP has at least two potentially beneficial actions on the heart. First, the milking action of the leg cuffs increases the blood flow to the coronary arteries during diastole. (Unlike other arteries, coronary arteries receive their blood flow in between heartbeats, not during them.)

Does Medicare cover EECP?

Medicare has approved coverage for EECP for patients with angina who have exhausted all their other choices. In 2014, several professional organizations finally agreed in a focused update that EECP ought to be considered for patients with angina that's not helped by other treatments.

How does EECP work?

Treatment is administered through three pairs of external inflatable cuffs that are applied around the lower legs, upper legs and buttocks. These cuffs continuously inflate and deflate between the resting period of the heartbeat and increase blood returned to the heart. The basic principle of EECP treatment involves increasing the amount ...

How does EECP affect the heart?

EECP Increases the amount of blood going back to the heart, providing more blood for the heart to work with. This also decreases how hard the heart has to work but on a much greater scale, especially for people with damaged heart tissue.

Where did EECP originate?

EECP treatment originated in China where it has been extensively used since the 1960s. In the past 10 years it has been introduced to the United States, where there are currently around 1200 machines in operation. The idea for EECP stemmed from the development of the intra-aortic balloon pump (IABP). IABP resulted in increasing the amount of blood that can get pumped out of the heart by inflating a balloon in the aorta between each heartbeat. Opening up the aorta allows more blood flow and therefore decreases how hard the heart has to work. This same theory is applied to EECP but is taken one step further. EECP Increases the amount of blood going back to the heart, providing more blood for the heart to work with. This also decreases how hard the heart has to work but on a much greater scale, especially for people with damaged heart tissue.

What is the purpose of stress test for EECP?

Individuals will complete a stress test prior to beginning EECP treatment. This will establish their exercise capacity and provide final clearance to begin treatment. More importantly, it will identify the severity, frequency and duration of chest pain with exercise.

Does Michigan Medicine offer EECP?

Michigan Medicine Preventive Cardiology offers a combination of EECP and cardiac rehabilitation during the same visit to maximize a patient’s time commitment. This has proved to be effective in enhancing wellness as patients are given the opportunity to undergo EECP treatment, exercise and learn about nutrition, stress management and strategies for behavior change.

How does EECP work?

EECP increases blood flow to the heart while stimulating the formation of new collaterals pathways (small branches of blood vessels around the heart) to allow a natural bypass around narrowed or blocked arteries .

What is the purpose of EECP?

EECP increases blood flow to the heart, while simultaneously stimulating the opening and formation of collaterals (small branches of blood vessels around the heart) to create a natural bypass around narrowed or blocked arteries.

How is EECP administered?

EECP treatment is administered through three sets of cuffs that are applied around the calves, thighs, and buttocks. The cuffs inflate and deflate synchronized with the heartbeat using an electrocardiograph (ECG).

How does EECP work?

EECP increases the blood flow to the 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 ...

What is EECP treatment?

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. Thus any need for surgery is totally ...

How long does EECP treatment last?

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 patients adhere to the one-hour time schedule fixed by the hospital or medical center and that the treatment is continued without a break.

Does EECP help with angina?

However, the development of collateral circulation is a gradual process and not everyone has the same ability to develop these networks at the rate that will relieve angina. EECP treatment triggers and accelerates this collateral circulation and makes it permanent.

Is EECP surgery safe?

Now, a new treatment called EECP is introduced, which has been approved by F.D.A., U.S.A. EECP is a mechanical procedure that avoids surgery , is completely safe, pain less and non-invasive in nature.

Does EECP provide relief?

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. Further, symptom relief upon EECP usage is comparable to that of invasive procedures without undergoing them.

Is EECP painless?

EECP treatment is painless and comfortable. The treatment is like a ‘Passive Exercise’, without increasing your blood pressure and heart rate. There is a feeling of rhythmic pressure from the cuffs around your legs and buttocks. Usually, patients can watch TV or listen to music when the session is being delivered.

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Treatment

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Enhanced external counterpulsation (EECP) is a mechanical form of treatment for angina. While several clinical studies appear to show that this treatment can be helpful in reducing symptoms of angina in patients with coronary artery disease (CAD), EECP has yet to be accepted by most cardiologists and has not entered th…
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Operation

  • The inflation and deflation are controlled by a computer, which uses the patients ECG to trigger inflation early in diastole (when the heart relaxes and is filled with blood), and deflation just as systole (heart contraction) begins. The inflation of the cuffs occurs sequentially, from the lower part of the legs to the upper, so that the blood in the legs is milked upwards, toward the heart.
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Mechanism of action

  • Second, by its deflating action just as the heart begins to beat, EECP creates something like a sudden vacuum in the arteries, which reduces the work the heart muscle has to perform in pumping blood. It is also speculated that EECP may help reduce endothelial dysfunction. The mechanism for the apparent sustained benefits seen with EECP is unknown. ...
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Research

  • Several studies suggest that EECP can be quite effective in treating chronic stable angina. A small randomized trial showed that EECP significantly improved both the symptoms of angina (a subjective measurement) and exercise tolerance (a more objective measurement) in patients with CAD. EECP also significantly improved quality of life measures, as compared to placebo therapy…
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Benefits

  • There is also evidence that EECP may act as a form of passive exercise, leading to the same sorts of persistent beneficial changes in the autonomic nervous system that are seen with real exercise.
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Prognosis

  • EECP can be somewhat uncomfortable but is generally not painful. In studies, the large majority of patients have tolerated the procedure quite well.
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Risks

  • But not everyone can have EECP. People probably should not have EECP if they have aortic insufficiency, or if they have had a recent cardiac catheterization, an irregular heart rhythm such as atrial fibrillation, severe hypertension, peripheral artery disease involving the legs, or a history of deep venous thrombosis. For anyone else, however, the procedure appears to be safe.
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Contraindications

  • Based on what we know today, EECP should be considered in anybody who still has angina despite maximal medical therapy, and in whom stents or bypass surgery are deemed not to be good options. Medicare has approved coverage for EECP for patients with angina who have exhausted all their other choices. In 2014, several professional organizations (the American Coll…
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Criticism

  • In general, the cardiology community has largely chosen to ignore such an outlandish form of therapy, and many cardiologists fail to even consider offering EECP as a therapeutic option. Consequently, most patients who have angina never hear about it. Indeed, EECP is a little outlandish. It certainly does not look like cardiology. Nobody can really explain how it works. An…
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