EECP is definitely an enhanced external counterpulsation. It truly is price efficient, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure individuals. It can be FDA (USA) and NHS (UK) approved. Get far more information about eecp
How is EECP Performed?
Throughout EECP Patient lies on bed of machine. 3 or five 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 around the calves, thighs and buttocks. EECP system uses an ECG signal to electronically synchronize inflation and deflation in the cuffs.
What is duration of treatment?
Duration for chronic angina and heart failure sufferers is 35 hours ordinarily one hour every day, 5 days a week. Some patients opt for 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, how much diastolic augmentation is obtained, tolerance of patient plus the indications for application of EECP.
What’s Mechanism of EECP?
Clinical studies indicate that EECP treatment could produce a ‘natural’ bypass of blocked arteries. You can find basically two mechanisms involved within this therapy. When we produce diastolic augmentation, this benefits in opening of large amount of inactive blood vessels in heart which helps in bypass the blocked channels. In addition, this treatment encourages blood vessels to type new compact vessels i.e colletrals. These channels or collaterals may perhaps at some point develop into permanent pathways towards the heart muscle that was previously deprived of blood flow and adequate oxygen.
What are indications of EECP?
Angina patients who’re not relieved by medicine, patients who dont choose to have bypass surgery, sufferers that are contraindicated for bypass or angioplasty like kidney failure, liver failure, serious COPD cases, Diffuse diabetes disease, very old age, sufferers 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, very high blood pressure and extreme peripheral vascular illness are contraindications for EECP
Unwanted effects of EECP
EECP has no negative effects except small skin bruises specially when patient just isn’t wearing correct skin pants for the duration of treatment. In contrast to angioplasty or bypass, it’s absolutely protected process with no key risk to patient.
Benefits for the patient
Just after EECP, patient can stroll longer distance with out feeling chest pain or breathlessness. Patient’s quality of life improves remarkably. He can take part in each day activities. Above all, patients medicine also decreases, there is certainly less have to take sub lingual nitrates. Immediately after treatment heart failure sufferers do not need to take high quantity of diuretics.
EECP final results verification.
Before and after treatment we carry out ECG, Echocardiography, TMT test and Strain thallium scan. All these tests confirm the outcomes of EECP. In ECG there is mark decrease in ST segment depression or other ischaemic changes, there is certainly increase in Ejection fraction in Echo, TMT test shows that patient can walk longer distance without having chest pain, and strain thallium test also shows that there is less or no extra ischaemia in heart.
What’s Cost of EECP?
The charge for EECP is approximately one third that of angioplasty and one sixth the price 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 individuals. Medicare and Medicaid cover EECP in sufferers with class 3 or class 4 angina (chest Pain) that are not good candidates for bypass surgery (CABG)
