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is EECP(ECP)?Enhanced
External Counter-pulsation (EECP)(ECP) is a non-surgical therapy for angina,
Heart disease, high blood pressure, and other conditions involving poor
circulation. EECP(ECP) is a mechanical procedure in which long inflatable
cuffs (like blood pressure cuffs) are wrapped around both of the patient's legs.
EECP(ECP) has two potentially beneficial actions on the heart. EECP(ECP),
effectively, "pumps" blood into the coronary arteries. Second, by its
deflating action just as the heart begins to beat, EECP(ECP) creates something
like a sudden vacuum in the arteries. The EECP(ECP) pumping console then
rapidly inflates and deflates the leg cuffs in time with the heartbeat. EECP(ECP)
- The Angina and Heart Failure SolutionRandhawa
Hospital
introduces for the first time in India EECP(ECP). EECP(ECP) is available
for treating angina in all leading hospitals of the world, including Cleveland,
Mayo, Stony Brooks and Escort Heart Hospital in Delhi.
Developed
by Vasomedical, Inc., EECP(ECP) has been tested in multicentre, controlled,
clinical studies, with positive medical results and demonstrated quality of life
improvement. Enhancing your life's rhythm is the heart of EECP(ECP). And
with Medicare's coverage, there's one more good reason to ask your doctor if EECP(ECP)
is the treatment for you. EECP(ECP):
A non-invasive, outpatient treatmentUnlike
procedures such as bypass surgery, balloon angioplasty, and stents, EECP(ECP)
is entirely non-invasive (involves no surgery, drugs or needles), carries no risk,
is comfortable, and is administered in an outpatient setting. In fact, EECP(ECP)
can feel like a deep muscle massage to the legs and the patient is completely
relaxed during the process.
EECP(ECP) is administered as an out-patient
procedure, making it very convenient for the patient and the family. The EECP(ECP)
pumping console then rapidly inflates and deflates the leg cuffs in time with
the heartbeat. EECP(ECP)
will benefit whom?Nearly
everyone with coronary artery disease can benefit from EECP(ECP). EECP(ECP)
is particularly well-suited to people who:
- Have
already had angioplasty, stents or bypass surgery, and the heart disease symptoms
have returned or persisted
- Are
not candidates for surgery due to other serious medical conditions
- Do
not want to undergo surgery or angioplasty
- Rely
heavily on medicines, or have to curtail their activities to avoid angina and
other heart disease symptoms
EECP(ECP)
treatment may be the only way to obtain relieve from crippling angina. What
is Angina? Angina
pectoris literally means, 'strangling in the chest'. It is the most common symptoms
of coronary artery disease. The majority of patients with Angina complain of chest
discomfort provoked by mental, physical or emotional stress. The discomfort can
vary widely among patients who report shortness of breath, fatigue, indigestion,
faintness, pain in the chest, arm, neck, or jaw and other symptoms. What
causes Angina? Angina
signals that a part of the heart muscle is not receiving an adequate supply of
blood and oxygen. The heart requires a particularly rich blood supply because
of its heavy workload, and receives this nourishing blood supply through the coronary
arteries. When narrowed or blocked arteries restrict blood flow, oxygen supply
to portions of the heart may at times be insufficient. Increase in oxygen demand
can occur during exercise, fever, rise in emotion, periods of hypoglycemia, or
after meals, triggering the onset of Angina. How
does Angina affect people? Angina
often occurs when exertion outstrips the ability of narrowed or blocked coronary
arteries to supply blood to the heart muscle. Angina restricts activity for many
patients. They are able to walk, but not uphill nor while carrying packages. For
some, Angina is disabling as it interferes with their ability to work or engage
in almost any activity. What
is ECP treatment?ECP
treatment is a non-invasive outpatient treatment that may relieve or eliminate
Angina. Is
there any comparison of ECP treatment with other interventional treatments like
Bypass and angioplasty? Even
though the patients treated with ECP are sicker group when compare to the
patient undergone interventional procedures the results are comparable in spite
of the disparity of risk profile in the two groups.
The 5-year survivals
of ECP patients are 88% similar to the results seen in contemporary Bypass
and angioplasty trail. (April 2000 clinical cardiology)
Study comparing
two ECP registries at Pittsburgh and Angioplasty registry at National heart
lung and Blood institute (American Journal of Cardiology 2002 may 15th issue)
shows the 1-year survival and adverse events results are comparable. But 17.2%
of angioplasty patients went for repeat angioplasty procedure while only 6.3 %
of ECP patients underwent repeats ECP. Also twice the no of patients
in Angioplasty group reported to use Short time nitroglycerin when compare to
ECP group. How
popular is this treatment? In
USA 1996 ECP got FDA cleared and 1999 Medicare Insurance coverage. Leading
Cardiology centers like Mayo clinic and Cleveland clinic has ECP center.
In India after the company launched ECP a year ago now there are six centers
including Escorts Heart and research institute.
By 2006 there are
approximately 2000 ECP systems installed worldwide What
is EECP(ECP) how is it different from ECP? EECP(ECP)
stands for Enhanced External Counter Pulsation it is the registered trademark
of Vasomedical inc. USA., otherwise the treatment as such is called as ECP.
Hence EECP(ECP) treatment and ECP treatment have no difference.
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