EECP Therapy (Enhanced External Counterpulsation)

EECP Therapy, A patients guide blocking in the coronary arteries carrying the blood supply to the heart can lead to disabling and severe chest pain, shortness of breath at rest and more on walking and tiredness. Physicians usually treat coronary artery blockage by medicine, angioplasty, and stent or bypass surgery. Despite these therapeutic advances certain problems in the treatment of chest pain persist. Drugs do not always provide relief and invasive procedures have their own associated risks. Many a time the blood flow which is restored across the blocked arteries may fail again causing angina.The searches for effective treatment, which can increase the blood flow again by alternative pathway, decreases the chest pain and improve the quality of life without complicated invasive procedures, has yielded the new treatment called Enhanced External Counter Pulsation (EECP). This is the only non-invasive, non- pharmaceutical treatment approved by USFDA.

What Is Enhanced External Counter Pulsation (EECP) Therapy

EECP is an outpatient treatment for patients suffering from chest pain and poor heart function. During the treatment the patient lies on a comfortable with large BP machine-like cuff wrapped around his/her legs and buttocks. These cuffs inflate and deflate at specific times between patient’s heart beats.A continuous electrocardiogram (ECG) is used to set the timing so the cuffs inflate while the heart is at rest, when it normally gets its supply of blood and oxygen. The cuffs deflate at the end of the rest heart beat. The special sensor applied to your finger checks the oxygen level in your blood and monitors the pressure waves created by the cuff inflations and deflation.EECP develops new pathways around blocked arteries in the heart by expending networks of tiny blood vessels (“capillaries”) that helps increase and normalize blood flow to the heart muscle.

What are the advantages of the EECP Therapy?

EECP is non-invasive, simple, safe, risk free and cost effective treatment without surgery or hospital stay. Patient can take this treatment without treatment without disturbing his/her daily routine life.


EECP causes immediate and sustained increase in heart’s blood supply by
  • Dilating coronary blood vessels
  • Opening dormant (unused) capillaries
  • Forming new blood vessels (angiogenesis)
There is a feeling of pressure from the cuffs around your legs and buttocks. It is like being tightly hugged by the cuffs. Ones you become accustomed this pressure, the sessions but this usually pass comfortably.
There is a feeling of pressure from the cuffs around your legs and buttocks. It is like being tightly hugged by the cuffs. Ones you become accustomed this pressure, the sessions but this usually pass comfortably.

To prevent the progress of your disease after completion of the treatment you should make life style changes likes:

  • Quit smoking
  • Controlling obesity
  • Doing regular exercise
  • Following heart friendly diet
  • Have regular follow-up with your cardiologist to lower your cholesterol, to control your blood pressure and diabetes.
  • EECP treatment provides you new vessels. It is up to you to prevent your vessels from developing obstructions.
Most of the patients begin feeling the clinical improvement from EECP between 15th to 20th sessions. These benefits include increase in overall energy level, decrease in angina or breath, completely stopping or decreasing nitroglycerin.
Although EECP is not considered a replacement for coronary artery bypass surgery or angioplasty EECP will re-establish the coronary blood flow to render them unnecessary with improved collateral flow (natural bypass). EECP is also used in patients who already undergone surgery or angioplasty but not getting sufficient relief of their symptoms.
No. Our bodies obey the low of physics, and one principal law is that fluid will follow the path of least resistance. Atherosclerotic plaques are calcified and hard, and they create an obstruction that detours the blood through alternate routes. During EECP, when your blood is flowing to your heart it will naturally bypass arteries with plaque and enter healthy, non diseased blood vessels to go around the blockages. Going around the blockages is a longer trip, but it is much easier one. In time, these new pathways are reinforced and become lasting routes for blood to reach your heart beyond the blockages. Every EECP patient has had multiple, serious blockages. No one ever had a heart attack or a stroke as a result of the treatment.
  • EECP is internationally recognized by FDA (USA), CE mark (Europe) etc.
  • EECP is mentioned in medical textbooks. Many articles have been published in the journal of the American Collage of Cardiology, Cardiovascular Reviews Reports, Proceedings of Mayo clinic, Journal of External Counter Pulsation, etc.
  • EECP is now provided world-wide by leading hospitals. The success of EECP can be judged by the fact that in the US
  • Medicare reimbursement rate for EECP has increased by 7% whereas that for other procedures like angioplasty and bypass surgery decreased by 6%.
  • The international EECP patient Registry (IEPR) collets data on safety, effectiveness and long –term benefits of EECP therapy can last up to 5 years after completing the first course (35hours) of treatment.
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