. EECP-Heart Therapy – CARE – Center of advanced rehabilitative excellence

+91-135-355-5970

+91-7310-801-115

[email protected]

+91-7310-801-115

131 Vasant Vihar, P-II

Dehradun, Uttarakhand

"The 1st comprehensive & most advanced multi-superspeciality rehabilitation & wellness centre of the region"

"The 1st comprehensive & most advanced multi-superspeciality rehabilitation & wellness centre of the region"

What is EECP?

EECP, an acronym for Enhanced External Counterpulsation, is an entirely safe, non-pharmaceutical, non-invasive outpatient treatment for relieving and eliminating chest pain or shortness of breath. EECP Treatment /EECP Therapy is painless, carries no risk, and has no major adverse side effects. Treatment is FDA approved. It is recommended in the guideline of American and European cardiology
E – “Enhanced” stands for the treatment advanced through clinical and technical advancement.
E – “External” stands for the treatment is entirely external and doesn’t need any invasive procedures.
C – ” Counter” stands for the primary treatment principle is to counter the natural heart pumping function.
P – ” Pulsation” stands for the rhymic blood flow in the arteries during the treatment.

Who can benefit from EECP?

Patients with blockages in the artery carrying blood to the heart muscle, Patients who had a Heart attack, and patients who want alternative treatment to Bypass Surgery and Angioplasty can benefit from the treatment. For patients whom Bypass surgery and Angioplasty has failed, Poor pumping Function or Poor health, EECP is the only treatment option to restore their health.

Who can benefit from EECP?

Patients with blockages in the artery carrying blood to the heart muscle, Patients who had a Heart attack, and patients who want alternative treatment to Bypass Surgery and Angioplasty can benefit from the treatment. For patients whom Bypass surgery and Angioplasty has failed, Poor pumping Function or Poor health, EECP is the only treatment option to restore their health.

Who is a Candidate of EECP?

Patients as young as 20 and as old as 95 have successfully completed EECP without any complications. Many of our EECP Patients, in spite of their advanced age have shown excellent results.

How Does EECP Treatment Work?

EECP increases the blood flow to the heart muscles. The increase in blood flow to the area of heart muscle not receiving enough blood supply is achieved by two means by EECP treatment (1) Forming new vessels around the blocked artery. (2) Because of increase blood flow and pressure during EECP there is high pressure in open coronary arteries and lower pressure in closed arteries. Blood finds its way to the low pressure zone or area, which has decreased blood supply by opening the collaterals. These collaterals eventually become permanent.

EECP Enhances coronary collateral circulation – opening and enlarging normally closed arteries when there is blockade thereby creating alternative route of blood supply to heart muscle.

Three sets of cuffs in lower limbs inflate sequentially from distal to proximal one by one and then all cuffs deflate simultaneously for every cardiac cycle

Beneficial effects of Diastolic Augmentation of EECP

EECP Vs Bypass Surgery & Angioplasty

Why Is There A Need For Another Treatment Apart From Bypass And Angioplasty?

Despite the advances in cardiology in treating chest pain and heart failure, the problem still persists. Drugs do not always provide relief and invasive procedures have their own associated risk factors. EECP can provide the patients with all the advantage similar to that of medication. Further, symptom relief upon EECP usage is comparable to that of invasive procedures without undergoing them.

How Is The EECP Treatment Conducted?

In an EECP session, the patient lies on a padded table. Three large inflatable cuffs, similar to blood pressure cuffs, are strapped around the calves, lower thighs, upper thighs and buttocks. The patient’s heart beat is monitored by an electrocardiograph display in the machine, which through the computer regulates the inflation and deflation of the cuffs. During the part of the cardiac cycle when the heart is at rest (diastole), the cuffs are rapidly inflated in sequential order beginning with the cuffs at the calves and working upward. Just before systole (heart contraction), the cuffs are simultaneously deflated.

The treatment is delivered for a period of 35 hours. This period is broken into every day one hour periods spread over five days a week.

How Long Does The Treatment Take?

EECP involves 35 days of treatment. Each treatment session is for one hour and the patients are asked to come six days a week for six weeks. It is very important that the patients adhere to the one-hour time schedule fixed by the hospital or medical center and that the treatment is continued without a break.

How Do I Feel During EECP Therapy?

EECP treatment is painless and comfortable. 
The treatment is like a ‘Passive Exercise’, without increasing your blood pressure and heart rate. There is a feeling of rhythmic pressure from the cuffs around your legs and buttocks. Usually, patients can watch TV or listen to music when the session is being delivered. It is not abnormal to feel tired after the first few sessions. But this will pass as the number of sessions increase

Does EECP Give Symptom Relief As Bypass And Angioplasty?

Whether it is bypass surgery or angioplasty, the basic idea is to increase the blood flow to the area of the heart muscle not receiving adequate blood supply. Once the blood supply is increased towards normal, the patient’s chest pain will be decreased or eliminated and his or her exercise tolerance will improve.

When I Can Feel The Improvement?

Each patient responds differently. Most patients begin to feel the improvement after about 15 to 20 sessions. The usual feeling of increase in energy level is experienced about halfway through the six week session.

What Are The Risks Expected During EECP Therapy?

Occasionally, patients develop mild skin irritation and sometimes minor abrasion in the areas under the treatment cuffs or experience muscle or joint discomfort. Rarely, patients develop shortness of breath requiring immediate medical attention and hospitalization. Your EECP therapist and supervising doctors are trained to make your treatments safe and to minimize risk.

If I Already Had Any Of These Cardiac Procedures Like Bypass Surgery/ Angioplasty / Stent Can I Still Have EECP?

Yes. Many of the patients with Bypass surgery / Angioplasty or Stent may develop cardiac symptoms either due to bypass graft getting occluded or stent getting blocked again or new blockage appearing in the coronary vessels, which were normal before. EECP treatment will be the only option for them to improve their blood flow to the heart muscle without risk of repeat interventional procedures.

Can Vaso-Medical EECP help My Diabetic Condition?

Yes. EECP treatment has shown improvement in blood sugar control in patients with a diabetic condition, similar to what is achieved by aggressive exercise. The additional advantage is that it is achieved in a shorter time duration.

Is It Advisable To Take EECP Therapy More Than Once?

Yes. You can repeat the EECP treatment again if your symptoms return. Since the treatment is non-invasive, and similar to a passive exercise, it can be repeated without any risk. Heart disease is a chronic progressive illness and no treatment for heart disease is once in your lifetime treatment.

Contra indications of EECP

Severe arotic insufficiency. * Arotic aneurysm or dissection. * Decompensated Heart Failure with fluid overload.* Severe peripheral vascular disease.* Aortoiliac occlusive disease * Uncontrolled severe hypertension * Right Side heart failure with fluid overload. *  Severe pulmonary hypertension * Pregnancy * INR more than 2.5 * Severe arrhythmias * Deep vein thrombosis and Cellulitis *  Bleeding piles. 

Adverse Effect of EECP

* Most common is muscular pains due to cuff compression.
* worsening of back pain
* Occasional Skin Bruise and ecchymoses in patients who are on anticoagulants
* Worsening of Pulmonary Oedema