HARBANS SINGH  - Pathankot

Mobile : 9418453479
Residence : 0186 2223098

This 56 year old Divisional Manager forest development corporation at Chamba HP,is an old case of Diabetes and high Blood pressure.On 9th Feb 2009 he developed severe chest pain and Angiography revealed severe Triple vessel disease.Blood tests also showed that due to Diabetes his kidneys had become very weak and his Urea was 160 (normal 20-40) and Creatinine was 3.5 (normal 0.6-1.2).He was advised immediate Bypass Surgery.But he was also advised by other doctors that with a damaged kidney his chances of death were very high and there was a 50% chance of further damage to his kidney needing dialysis for life.His EF was 35% which was another risk factor.With this information in mind he refused Bypass surgery and came to us for EECP+AMT.

We explained to him that there was a zero % chance of complications with our procedure and that his kidney would also benefit from EECP.We started treatment on 25 Feb 2009 and completed 35 one hour sessions .

His chest pain completely disappeared and he no longer had any shortness of breath.His urine flow returned to normal.What was really satisfying was that his kidney function improved beyond expectations.His Urea was 43 and Creatinene 1.3,both near normal.One month ago no doctor had given him even a remote chance of his kidney ever recovering normal function.His EF improved from 38% to 50% and he could now walk 2Km daily.

Dr Randhawa says We do not do EECP+AMT for renal failure alone.But patients of CAD who are unfit for CABG due to renal impairment have done very well and their kidney function has improved beyond all medical expectations.It is due to increased blood flow within the kidney tissues due to ECP.

Surinder Kaur

W/o Saudagar Singh,
HNo 716,  ward No 10,  Subhash Nagar, 
Dutt Road, Moga, Punjab.
Tel No. : +91-98148-77768
Harpreet (Her Daughter) : +91-98783-46210

This 63 year old lady has Diabetes and High blood pressure since last 10 years.She has been having chest pain since 1998.In Feb 2004 she had an  Inferior wall Myocardial Infarction (heart attack) with a pulse rate of only 34 per minute and Blood pressure of 80/0 mm of Hg.A pace maker had to be put in at Tagore Hospital Jalandhar to save her life.By June 2004 her chest pain worsened and had breathlessness on minimal exertion, and she was then advised Bypass Surgery .Being a diabetic,physically very weak,having an EF (ejection fraction) of just 30%, she refused surgery.

We started her on EECP+AMT on 10th November 2004.Her pacemaker gave us no trouble at all and the EECP machine triggering was perfectly normal.She completed her course of 35 one hour sittings.

It has been Four and half year since we treated her.

Dr Y.R. Khanna

37- Rani ka bagh,Amritsar.
Tel Resi:  +91-183-2210514,
Mobile : +91-98145-23514,  +91-98728-93431

Meet Dr YR Khanna 68yr old MBBS general practicioner and a retd Army Captain.He has to be a fore runner for the fighter of the decade award.Here is his fight to conquer CAD. He has the unfortunate distinction of having to undergone  angiography eight times.
He first had angina in 1991.He went to Batra Hospital Delhi and an angiogram showed multiple blockages in his coronary arteries.They did ballooning at two places but did not put in stents as was the practice at that time.His relief was short lived and within a year angina had recurred in a big way.He got an angiogram repeated at All India Institute of Medical Sciences at New Delhi which showed that all the ballooned arteries had got blocked again.He then underwent a triple Bypass Surgery.The result was good and he remained free of pain for ten years.
Recurrance of angina in 2003 made him consider all options including EECP.All physicians and cardiologists he consulted during the next two years dissuaded him from undergoing EECP.Some were completely ignorant;others downright critical about the procedure.
The result was that in the next three years he had six stents placed in him in four of India's best hospitals with almost NO RELEIF AT ALL! And during this time he had spent a princely sum of Rs Fifteen lacs.
In Feb 2008 after he had two DES stents placed in him without any relief at all, he revisited all the hospitals where he had had stents placed in him.They all said that there was NOTHING they could do for him now and he should remain on medical treatment for the rest of his life.But life was unbearable on medical treatment alone.He had severe angina after every meal.He had angina while walking to the bathroom.He had severe chest pain and choking in the throat even while changing his clothes.He had not attended his clinic since the last one week.Against all cardiologists advise he came to us for EECP treatment.
Surprisingly he was on INADEQUATE medical treatment as evidenced by the numerous prescription chits he carried from all the top Hospitals in India. So the first thing we did was to start AMT or Aggressive Medical Treatment.This included full dose Statins,adequate beta blocade,addition of cardiac metabolic drugs,ACEIs,zero fat diet amongst others.
On about the fourth day he had sufficient relief of angina to start attending his clinic.On the 10th day he walked up a flight of stairs without chest pain.On the 35th day he was walking 1000 meters twice a day with tremendous improvement in QOL(quality of life), and complete disappearance of accompanying depression.
Today two months after completing his EECP course he says he never felt so good in the last 10 years.He has increased his walking to 1500 meters in the morning and evening.

Here is the summary of his fight against CAD in th last Sixteen years:

Kirandeep Kaur

47year old housewife
W/o Gurnam Singh-DVR Roadways,
Hasan Khaira Patti, Seron,
Distt Amritsar.
Tel: +91-98886-34745,  +91-98726-00144.

This lady had a history of HT-high blood pressure since 10years and DM-diabetes mellitus since 7years.Since last two years she started getting chest pain and breathlessness on exertion and later even at rest.

She got her angiography done at Escorts Hospital Amritsar on 12th April 2008,which revealed all three arteries blocked at SIX different places from 70% to 90%.

(RCA Proximal 90%, mid 80%. LAD prox 70%, mid 70%. LCX prox 90%, PDA prox 80%. Impression : Triple Vessel Disease, advised CABG).

Her EF was 45%.She was advised immediate Bypass surgery.Now this patient had a very bad experience with two earlier surgeries (Hystrectomy and subsequent incisional hernia repair) due to her diabetes.She had repeated wound infection,delayed healing and prolonged recovery.In view of this she refused Bypass Surgery .

On 2nd June 2008 she opted for ECP+AMT as it was completely safe for a diabetic and noninvasive.She went through the procedure smoothly and had complete relief of pain and breathlessness.Today she is back to her normal life.

Mrs Ruby Tandon

Tel: +91-98144-43433

S. Anokh Singh

Age : 72 Year

House No 3, Gali 20,Abadi Gobindpura,
P.O. Rayon silk mills, Amritsar.

Tel :   +91-94642-63073, +91-98153-77085

Mrs  Sonia

Krishna bakery, Sheesh mahal bazar, Hoshiarpur

Tel Residence:  01882-326192;   Mobile: +91-94634-11633

This 39 year old housewife from Hoshiarpur suffered a major heart attack on 16th Jan 2007 (Extensive anterior wall MI).She was in a critical stage and ECHO showed a dilated heart(LV 64mm) with a very low EF 30%.She was stabilized and a DES Stent put in LAD on 22 Jan 2007 at Escorts Hospital Amritsar.She was pain free for about 6 months but continued to have breathlessness on walking within the house.Her condition gradually worsened and she was advised to undergo another Angiography with a view to do Bypass Surgery .Having had no relief with a stent,she refused the invasive option.

She started with EECP+AMT on 12 March 2008 and duly completed 35 one hour sessions .Within 10 days her heaviness of chest disappeared and she could walk 100meters without breathlessness.

With AMT- aggressive medical treatment she lost  4Kg weight  and her lipid profile improved as shown below.

And all this amazing improvement in 35 days.She now walks 40 minutes twice a day comfortably.

Surinder Singh

Age : 63 Years

Surinder Singh a 63 yrs old had his first heart attack in 1991 and the second one in 1997. He was so incapacitated that he had to undergo CORONARY ARTERY BYEPASS GRAFTING(CABG)- Bypass surgery in 1998.

After about five years he started getting chest pain on walking which rapidly worsened till mid 2005 when he used to get severe choking pain in the chest and throat on walking even 10 steps. His angiography was repeated on 08/08/2005 at Apollo Hosp Ludhiana which showed all arteries blocked and was advised immediate Bypass Surgery which HE REFUSED.He started EECP(ECP) at Randhawa Hospital from 26/08/2005 and completed 35 one hour sittings on  09/10/2005

He can now walk one km without pain twice daily. His EF improved from 35% to 40% and his exercise time on TMT increased from5min to 7mins.
With AMT advanced medical treatment his LDL decreased from 187 to 114mg% and TG from 157 to 92mg % in about 40 days. He has also lost 9kg weight in 4months. We conclude that patients who have had bypass surgery in the past can prevent a second surgery with EECP(ECP) and AMT.

Surjit Singh Dhillon BDO MOGA II

Vill Thamanwalla,Distt Moga.

Tel 01636 274065; +91-98725-83325.

Diabetic since 6yrs with high BP since 1yr.Had severe chest pain for 7 days. Angiography done at BBC /Pruthi hospital Jalandhar on 09 Oct 06 showed all three arteries blocked 80%,80%70% and 70% at four different places. He also had serious ventricular arrhythmias.

He was advised immediate Bypass Surgery .He did not want to take such a surgical risk so he chose EECP(ECP) at Randhawa Hospital, Amritsar starting from 12 Oct 2006.
Today he is off all antidiabetic medicines and has never had chest pain since then. He has rejoined his duties as a BDO and walks three Km twice daily.

Age 78 Years

Mr Yash Pal kapoor a frail bedridden 78 yr old came to us with multiple diseases like Diabetes Mellitus, Bilateral Pleural effusion, Parkinsonism, Septic Arthritis, BHP in addition to CAD (Coronary Artery Disease), CCF( Congestive Cardiac Failure-Last stage). He had undergone CABG(Bypass Surgery) in 1991 and had been having symptoms since last 5yrs. He had now reached a stage where no surgeon would touch him and no medicine would work on him. He was getting 100mg of FRUSEMIDE and 300mg of SPIRONOLACTONE per day (in addition to 16 other pills) and even then he was breathless in bed.

On 16Sept 2005 ,14 days after starting EECP(ECP) his EF had improved to 28%.(An improvement of 65%; 28-17=11;11/17=65%).

So EECP(ECP) is THE ONLY modality of treatment to improve EF- Ejection Fraction in a patient with failed Bypass Surgery who now has disabling Cardiac Failure. Patients who  are not yet disabled by Cardiac Failure (say EF of 30 to 50%) may take EECP(ECP) so as to pre empt and delay onset of Cardiac Failure. In all these patients EECP(ECP) definately improves the quality of life and avoids repeated Bypass Surgery.

S. Balwant Singh

Age : 65 Years

Village Buttar, Distt Moga.
Tel. No +91-1636-288145.

Balwant Singh a 65yr old farmer of village Buttar distt Moga, had severe chest pain on walking even 10meters. His weight was 88kg and BP was 180/110. He went to Hero DMC heart hospital where they did an coronary angiogram and told him that he had 100% blockage in two arteries and 90% blockage in the third. Effectively he had only 10% blood flowing in one of the three arteries supplying blood to the heart.

The doctors told him that bypass surgery was the only way out or else he could die any moment. Like any one of us he was afraid of surgery and all its complications including death on the table. He started treatment on 7th Jan 2004 and took 35 sittings of ECP lasting 1 hr each.He was also given advanced medical treatment to open up his blocked arteries. He was started on special weight reducing diet.

Suresh Khurana

Age : 49 Years

Suresh Khurrana a 49 yr old businessman from 135-Green Avenue, Amritsar, who suffered two major heart attacks in April 2004 and Oct 2004. He was advised bed rest at home since last two months. He had chest pain even while walking to the toilet and one night he had severe difficulty in breathing. He was shifted to the ICU and advised immediate Angiography followed by Bypass surgery. Since he did not want to undergo bypass surgery he did not see the point to undergo the pain and trauma of Angiography just" to see whats wrong".

On 13 Oct 2004 his echocardiography report showed an ejection fraction of just 26% (normal 55-75%), indicating severe myocardial damage and dysfunction. Two different cardiologists opined that the only way out was bypass surgery. He chose EECP(ECP) and started treatment on 8th Nov 2004 and within 7days he was walking 200 meters without pain. After 15 days he had started walking one Km twice a day. At the end of 35 one hour sittings Mr Khurrana could walk 3 Kms twice a day. So Angiography is not a prerequisite for EECP(ECP). Those who chose the non invasive path can go for EECP(ECP) without any traumatic procedures like Angiography.

Mr. Govardhan Das

Rattan Lal (Gram Sevak)

Age : 43 Years

V.P.O. Hyatnagar. Distt : Gurdaspur
Tel 01874-210172

This 43yr old gram sevak suffered his first heart attack in Oct 2004. He got a second attack in March 2006.Angiography done at Escorts Amritsar showed two arteries blocked 100% and 80% with EF of 40%. It also showed an 80%blockage of Rt renal artery. He was advised Bypass surgery, but he refused because of the cost and fear factor.

We started him on ECP on 26/08/06 and  he successfully conpleted 35hrs on 10/10/06. He was also given AMT or Aggressive medical treatment and graded, progressively increasing exercise programme.

Today he feels he is completely disease free and healthy.

Kirpal Singh

Age : 63 Years

Retired school teacher
Adress 157 B; Krishna Square II, Shivala. Amritsar

March 2006: Diabetes since 25 yrs; Poorly controlled  Blood Sugar 307mg% even with 48 units of Insulin + 1700 mg Metformin. Severe chest pain at night needing 4 tablets of Sorbitrate daily.Weight 98 Kg.

Took EECP(ECP) treatment from 13 March to 24 April 2006.
Unbelievable improvement.
April 2008: Weight 84 Kg- 14 Kg weight loss.
No chest pain in the last nine months.
Blood Sugar 100 to 120 fasting since April.Insulin dosage reduced from 48 units to 10 units per day.Metformin reduced from 1700 to 250 mg per day.
Tremendous change in quality of life!!

H.S. Dhot (Senior Advocate)

Age : 63 Years

48 Golden Avenue, Amritsar.

Tel : +91-94174-08400,  +91-183-2589265.