EECP – Enhanced External Counterpulsation
EECP is an enhanced external counterpulsation. It really is price helpful, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure sufferers. It is FDA (USA) and NHS (UK) approved. Get a lot more information about enhanced external counterpulsation near me
How is EECP Performed?
For the duration of EECP Patient lies on bed of machine. Three or 5 electrodes are applied towards the chest to record a constant 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 in the cuffs.
What’s duration of treatment?
Duration for chronic angina and heart failure individuals is 35 hours generally one hour per day, five days per week. Some individuals pick out a 2-hour every day regimen, which reduces the time of completion of treatment. The duration of treatment and interval of rest will rely on the patient’s condition, just how much diastolic augmentation is obtained, tolerance of patient and also the indications for application of EECP.
What’s Mechanism of EECP?
Clinical studies indicate that EECP treatment may possibly produce a ‘natural’ bypass of blocked arteries. You will discover generally two mechanisms involved in this therapy. When we make diastolic augmentation, this benefits in opening of lot of inactive blood vessels in heart which aids in bypass the blocked channels. Additionally, this treatment encourages blood vessels to type new tiny vessels i.e colletrals. These channels or collaterals may perhaps at some point grow to be permanent pathways towards the heart muscle that was previously deprived of blood flow and adequate oxygen.
What are indications of EECP?
Angina patients that are not relieved by medicine, individuals who dont want to have bypass surgery, sufferers who’re contraindicated for bypass or angioplasty like kidney failure, liver failure, severe COPD cases, Diffuse diabetes illness, incredibly old age, individuals of Syndrome X, i.e microvessel illness, ischaemic and dilated cardiomyopathy individuals all can go for EECP.
What are contraindications of EECP?
Severe aortic regurgitation and aortic stenosis, deep vein thrombosis, pregnancy, incredibly higher blood pressure and extreme peripheral vascular illness are contraindications for EECP
Unwanted side effects of EECP
EECP has no unwanted effects except tiny skin bruises specially when patient is just not wearing right skin pants in the course of treatment. In contrast to angioplasty or bypass, it is entirely safe process with no key danger to patient.
Benefits to the patient
Soon after EECP, patient can stroll longer distance without having feeling chest pain or breathlessness. Patient’s top quality of life improves remarkably. He can take part in everyday activities. Above all, sufferers medicine also decreases, there is less ought to take sub lingual nitrates. Just after treatment heart failure sufferers never need to take higher quantity of diuretics.
EECP benefits verification.
Before and just after treatment we execute ECG, Echocardiography, TMT test and Anxiety thallium scan. All these tests verify the results of EECP. In ECG there is certainly mark decrease in ST segment depression or other ischaemic changes, there is certainly raise in Ejection fraction in Echo, TMT test shows that patient can stroll longer distance devoid of chest pain, and pressure thallium test also shows that there’s significantly less or no extra ischaemia in heart.
What’s Price of EECP?
The charge for EECP is around 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)
