EECP Pakistan ( Hub of non invasive treatment )

EECP PAKISTAN 

Enhance external counterpulsation (EECP) is a mechanical form of treatment for angina. Although respective medical studies have shown that this treatment may be helpful in reducing the symptoms of angina in patients with coronary artery disease (CAD), EECP therapy is widely used by cardiologists. Has not accepted and they have not entered the prevailing of heart disease.

What is EECP?

EECP is a non-invasive procedure in which long inflatable cuffs (such as blood pressure cuffs) are wrapped around both legs of the patient. When the patient is in bed, the leg cuff is dilated in harmony with each heartbeat. Inflation and iftar are controlled by a computer, which uses a patient's electrocardiogram (ECG) to trigger inflation at the onset of diastole (when the heart is calm and filled with blood). Is used for, and as soon as the systole (heart contraction) begins. Inflammation of the cuffs occurs continuously from the lower part of the legs to the upper part, so that the blood in the legs is "milked" towards the heart.

 At the heart of the EECP are at least two potentially beneficial functions. First, breastfeeding of the leg cuffs increases blood flow to the coronary arteries during diastole. (Coronary arteries, unlike other arteries in the body, receive their blood flow between heartbeats during each heartbeat.)

It has been speculated that EECP improves peripheral arterial function, which helps reduce myocardial oxygen demand.

How effective is EECP?

Numerous studies have shown that EECP can be very effective in treating chronic stable angina and keep treatment for heart blockage.  A small randomized trial showed that EECP significantly improved symptoms of angina (a personal measurement) and exercise tolerance (a more reasonable measure) in CED patients. The ECPP has also improved "quality of life" measures compared to placebo therapy

Other studies have shown that symptom improvement persists for five years after a course of EECP (although 1 in 5 patients may need another course of EECP to maintain their improvement).

How does EECP work?

The procedure is not known for the obvious stable benefits shown with EECP. There is some evidence to suggest that EECP may help in the formation of collateral vessels in the coronary artery tree, and may encourage the release of nitric oxide and other growth factors within the coronary arteries. There is also evidence that EECP can act as a form of "passive" exercise, leading to similar permanent beneficial changes in the autonomic nervous system that can be combined with real exercise. Is seen.

Can EECP be harmful?

EECP can be somewhat uncomfortable but is not usually painful. In studies, the vast majority of patients have largely tolerated the procedure.

But not everyone can have an EECP. People may not have EECP if they have anemia, or if they have recent cardiac catheterization, irregular heart rhythms such as atrial fibrillation, severe hypertension, arterial disease of the legs, legs. Inclusion, a history of congenital heart failure, hypertrophic cardiomyopathy, valvular disease, enlarged heart, a rapid brain, hypertension, heart rate greater than 120 beats per minute, or a history of deep viral thrombosis. For others, however, this procedure may seem safe.

When the EECP is recommended?

Based on what we know today, EECP should be considered in a person who still has angina despite extensive medical therapy, and in whom stent or bypass surgery is not considered a good option. Is. Medicare has approved EECP coverage for angina patients who have canceled all their other options. In 2014, several professional organizations (American College of Cardiology, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons) finally launched a The Focus Update agreed that EECP should consider other treatments for angina refractory patients.

Why is EECP not used often?

In general, cardiologists have chosen to ignore such an unconventional form of mass therapy, and many cardiologists do not even consider the offer of EECP as a therapeutic treatment. Are, As a result, most patients with angina never hear of it. Nevertheless, when there is no nonviolent treatment for angina that can be safely and well-tolerated when the available evidence (as incomplete as it may be) strongly suggests that the treatment is quite effective in many patients, and They will be able to tell when the patient can be treated. Whether or not treatment has helped in their individual case (due to the presence or absence of a significant reduction in angina symptoms), it does not seem unreasonable for patients with stable angina to use this nanoscope. Allowing a therapy trial to be chosen, perhaps before they are pushed into invasive treatment.

If you are treating stable angina and have symptoms despite the therapy, it is perfectly appropriate for you to try EECP. Your doctor should be prepared to discuss this possibility with you, without reason or prejudice.

 

---

Read More

Heart Surgery Vs Natural Bypass,    EECP in Lahore,     FAQ,    Natural Bypass in Pakistan 

Coronary Artery Disease  ,History of EECP