Enhanced External Counterpulsation (EECP)
What is Enhanced External CounterPulsation (EECP)?
Enhanced External CounterPulsation (EECP) is a non-invasive outpatient therapy designed for patients experiencing persistent anginal symptoms. This treatment is particularly beneficial for individuals who have exhausted standard revascularization options such as stents or bypass surgery and continue to experience symptoms despite maximal medical therapy.
How does EECP work?
EECP works by stimulating the opening or formation of collaterals, which are small branches of blood vessels. These collaterals serve as natural bypasses around narrowed or blocked arteries, improving blood flow to the heart.
Who is eligible for EECP?
You may be a candidate for EECP if you:
– Experience chronic stable angina
– Do not experience adequate relief from angina symptoms with medication alone
– Do not qualify for further invasive procedures such as bypass surgery, angioplasty, or stenting
What occurs during EECP therapy?
1. Patients recline on a cushioned table within a treatment room.
2. Continuous monitoring of the electrocardiogram (ECG) takes place.
3. Cuffs are securely wrapped around the calves, thighs, and buttocks. These cuffs connect to air hoses linked to valves that inflate and deflate them. As the cuffs inflate, patients experience a sensation akin to a firm “hug” moving upward from calves to thighs to buttocks, followed by rapid pressure release upon deflation.
4. The inflation and deflation cycles are electronically synchronized with the heartbeat and blood pressure, facilitated by ECG and blood pressure monitors.
How frequently are patients treated?
Patients undergo 35 hours of EECP therapy over a span of seven weeks. Treatment sessions last one hour each day, occurring five days a week. Published studies have highlighted various benefits, including:
– Reduced reliance on anti-anginal medication
– Alleviation of angina symptoms
– Enhanced capacity for activities without experiencing symptoms
– Improved ability to resume enjoyable activities
