EECP - Enhanced External Counterpulsation



EECP is an enhanced external counterpulsation. It truly is expense helpful, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure individuals. It's FDA (USA) and NHS (UK) approved. Get more facts about eecp


How is EECP Performed?


In the course of EECP Patient lies on bed of machine. Three or five electrodes are applied to the chest to record a continuous 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 with the cuffs.


What exactly is duration of treatment?


Duration for chronic angina and heart failure patients is 35 hours normally one hour per day, 5 days per week. Some patients choose a 2-hour per day regimen, which reduces the time of completion of treatment. The duration of treatment and interval of rest will depend on the patient's condition, just how much diastolic augmentation is obtained, tolerance of patient along with the indications for application of EECP.


What exactly is Mechanism of EECP?


Clinical studies indicate that EECP treatment might build a 'natural' bypass of blocked arteries. You will find fundamentally two mechanisms involved within this therapy. When we produce diastolic augmentation, this results in opening of large amount of inactive blood vessels in heart which helps in bypass the blocked channels. Furthermore, this treatment encourages blood vessels to kind new smaller vessels i.e colletrals. These channels or collaterals might at some point turn into permanent pathways to the heart muscle that was previously deprived of blood flow and adequate oxygen.


What are indications of EECP?


Angina sufferers that are not relieved by medicine, sufferers who dont need to have bypass surgery, sufferers that are contraindicated for bypass or angioplasty like kidney failure, liver failure, extreme COPD cases, Diffuse diabetes illness, incredibly old age, patients of Syndrome X, i.e microvessel illness, ischaemic and dilated cardiomyopathy sufferers all can go for EECP.


What are contraindications of EECP?


Extreme aortic regurgitation and aortic stenosis, deep vein thrombosis, pregnancy, quite high blood pressure and extreme peripheral vascular disease are contraindications for EECP


Negative effects of EECP


EECP has no side effects except little skin bruises specially when patient just isn't wearing proper skin pants through treatment. In contrast to angioplasty or bypass, it can be totally secure process with no big threat to patient.


Benefits for the patient


Immediately after EECP, patient can walk longer distance with out feeling chest pain or breathlessness. Patient's high quality of life improves remarkably. He can take part in every day activities. Above all, patients medicine also decreases, there is less ought to take sub lingual nitrates. After treatment heart failure sufferers do not must take higher quantity of diuretics.


EECP final results verification.


Ahead of and immediately after treatment we perform ECG, Echocardiography, TMT test and Tension 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 improve in Ejection fraction in Echo, TMT test shows that patient can walk longer distance with out chest pain, and pressure thallium test also shows that there's much less or no a lot more ischaemia in heart.


What is Cost of EECP?


The charge for EECP is roughly 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) who are not good candidates for bypass surgery (CABG)



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