ESMR

What is ESMR?

The acronym ESMR stands for Extracorporeal Shockwave Myocardial Revascularization. ESMR can also be termed as Non Invasive Cardiac Angiogenesis Therapy (Ni-CATh).

ESMR therapy is a new approach to non-invasive therapy using Extracorporeal Shockwave technology for Myocardial Revascularization (i.e. to improve the blood supply to heart muscles). Ischemic myocardial areas no longer accessible by conventional revascularization therapies like Bypass surgery or Ballon Angioplasty and stent, could be treated with the ESMR therapy to relieve symptoms resulted from the Myocardial Ischemia.

Why ESMR treatment is called the non-invasive or non-surgical Bypass treatment?

ESMR Treatment forms new natural blood vessels which improves the oxygenated blood supply to the affected portion of the heart non-surgically or non-pharmaceutically. For the reason it is called non-surgical Bypass treatment or Non Invasive Cardiac Angiogenesis Therapy.

What is the treatment duration and strategy?

The whole treatment duration is 20-30 minutes and the patient should undergo series of nine treatment sessions during a nine week period. 3 treatment at first week of each month - 1st week, 5th week, 9th week.

How would you feel during the ESMR treatment?

During the treatment you might feel a local tickling in the treatment area, accompanied by a certain degree of noise.

Is shock wave technology used in other field of medicine?

Shock wave technology is presently being used in the field of Urology for breaking kidney stones and in Orthopedics for bone and soft tissue injuries.

What are the distinct advantages of ESMR over surgery?

Unlike bypass surgery, Angioplasty and stenting procedures, ESMR is non-invasive, carriers no risk, painless, no anesthesia or sedatives required, no retreatment limitations and is an outpatients procedure.

What are the risk or side effects of ESMR?

No acute or long term side effects were reported.

How do you know that the treatment has helped?

  • Patient can walk more distance without chest pain.
  • Patient may have fewer or no angina.
  • Episodes of Angina would be less painful.
  • Patient need for anti anginal medications can be reduced.
  • Patient can return to work and can participate in their active life style once again.
  • Patient would be more energetic and confident.

Shock wave therapy is the optimal therapy approched for Ischemic Heart Disease.

Typical SPECT Data Pre and Post Shock Wave Application results show

Who developed the concept of ESMR?

ESMR was developed by Essen Institute of Cardiology, Essen University, Germany.