EECP is definitely an enhanced external counterpulsation. It's cost efficient, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure patients. It truly is FDA (USA) and NHS (UK) approved. Get extra info about eecp
How is EECP Performed?
Throughout EECP Patient lies on bed of machine. 3 or 5 electrodes are applied for 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 from the cuffs.
What exactly is duration of treatment?
Duration for chronic angina and heart failure patients is 35 hours commonly one hour each day, 5 days per week. Some individuals pick out a 2-hour per day regimen, which reduces the time of completion of treatment. The duration of treatment and interval of rest will rely on the patient's situation, just how much diastolic augmentation is obtained, tolerance of patient and the indications for application of EECP.
What is Mechanism of EECP?
Clinical studies indicate that EECP treatment may make a 'natural' bypass of blocked arteries. You will discover essentially two mechanisms involved in this therapy. When we produce diastolic augmentation, this final results in opening of large amount of inactive blood vessels in heart which aids in bypass the blocked channels. Moreover, this treatment encourages blood vessels to kind new tiny vessels i.e colletrals. These channels or collaterals may eventually turn out to be permanent pathways to the heart muscle that was previously deprived of blood flow and sufficient oxygen.
What are indications of EECP?
Angina sufferers who are not relieved by medicine, patients who dont want to have bypass surgery, patients who are contraindicated for bypass or angioplasty like kidney failure, liver failure, serious COPD cases, Diffuse diabetes disease, incredibly old age, sufferers of Syndrome X, i.e microvessel disease, ischaemic and dilated cardiomyopathy sufferers all can go for EECP.
What are contraindications of EECP?
Serious aortic regurgitation and aortic stenosis, deep vein thrombosis, pregnancy, really high blood pressure and extreme peripheral vascular illness are contraindications for EECP
Unwanted side effects of EECP
EECP has no side effects except tiny skin bruises specially when patient is not wearing proper skin pants through treatment. In contrast to angioplasty or bypass, it really is completely safe procedure with no key threat to patient.
Benefits to the patient
Soon after EECP, patient can walk longer distance with out feeling chest pain or breathlessness. Patient's quality of life improves remarkably. He can take part in everyday activities. Above all, individuals medicine also decreases, there is significantly less need to take sub lingual nitrates. Soon after treatment heart failure patients don't must take high quantity of diuretics.
EECP final results verification.
Just before and immediately after treatment we perform ECG, Echocardiography, TMT test and Anxiety thallium scan. All these tests verify the results of EECP. In ECG there is mark decrease in ST segment depression or other ischaemic adjustments, there is certainly increase in Ejection fraction in Echo, TMT test shows that patient can stroll longer distance without the need of chest pain, and strain thallium test also shows that there is certainly less or no extra ischaemia in heart.
What is Price of EECP?
The charge for EECP is around 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 patients. Medicare and Medicaid cover EECP in sufferers with class 3 or class 4 angina (chest Pain) who're not good candidates for bypass surgery (CABG)
