EECP is an enhanced out counterpulsation. It is cost effective, non invasive, non surgical, non pharmaceutical, outer patient therapy for Angina, Heart attack and heart failure patients. It is FDA (USA) and NHS (UK) approved.
How is EECP Performed?
During EECP Patient lies on bed of machine. Three or five electrodes are applied to the chest to record a constant ecg. A Plethysmograph is applied to index finger to record a tracing that represents blood pressure also lox saturation. Set of 3-4 cuffs is wrapped around the calves, thighs and buttocks. EECP equipment uses an ecg signal to electronically synchronize accession and deflation of the cuffs.
What is duration of treatment?
Duration for persistent angina and heart failure sufferers is 35 hours usually sole hour per day, five life a week. Some patients choose a 2-hour in line with day regimen, which reduces the time of completion of treatment. The length of treatment and interval of rest will depend on the patient’s condition, how much diastolic upping is obtained, tolerance of patient and the indications considering application of EECP.
What is Mechanism of EECP?
Clinical studies indicate that EECP treatment may create a ‘natural’ bypass of blocked arteries. There are basically two mechanisms involved in this therapy. whilst we manage diastolic augmentation, this results string opening of lot of inactive blood vessels in middle which enables in bypass the closed arrangement. Moreover, this treatment encourages blood vessels to form heavier small vessels i.e colletrals. these channels or collaterals may eventually become permanent pathways to the heart muscle that was previously deprived of blood flow and adequate oxygen.
What are indications of EECP?
Angina patients who are not relieved by medicine, patients who dont want to have road surgery, patients who are contraindicated for bypass or angioplasty like kidney failure, liver failure, stinging COPD cases, Diffuse diabetes disease, very old age, patients of Syndrome X, i.e microvessel disease, ischaemic again dilated cardiomyopathy patients uncondensed can go being EECP.
What are contraindications of EECP?
Severe arteria regurgitation further arteria stenosis, beneath shape thrombosis, pregnancy, very exceptional blood pressure and severe peripheral tube disease are contraindications for EECP
Side Effects of EECP
EECP has no side effects apart from little skin bruises specially when patient is not wearing appropriate skin pants all the way through treatment. In contrast to angioplasty or bypass, it is completely safe style with no major risk to patient.
Benefits to the patient
After EECP, patient can walk longer distance at sea feeling chest pain or breathlessness. Patient’s style of life improves remarkably. He can take element in daily actions. Above all, patients medicine also decreases, there is less need to take nautilus lingual nitrates. After cure heart failure patients don’t lap up to take skillful amount of diuretics.
EECP consequences verification.
Before and after treatment we perform ECG, Echocardiography, TMT demanding and Stress thallium scan. All these tests verify the results of EECP. drag cardiogram there is chit decrease spell ST segment melancholy or other ischaemic changes, competent is accrue in ejection fraction in Echo, TMT test shows that affected person can walk longer distance cast away chest pain, and stress thallium defiance also shows that there is less or no more ischaemia in heart.
What is cost of EECP?
The charge due to EECP is approximately one shot third that of angioplasty and matchless sixth the cost of coronary artery bypass surgery. money Pakistan EECP expenses are US $ 2400 at Dr. Armughan EECP heart Clinic Sialkot.
Insurance & Medicare Coverage
In USA, over 120 insurers are sunshade EECP. EECP has been lined locally by way of Paramount, evangelist Hancock, Senior Sense, Paramount Elite, Workman’s Comp, HMO fitness Ohio, Messa, Acordia, Access, Envirosource, EV Benefits, First Health, Harrington Benefits, Fortis, Gallagher Benefits, NGS American, United Health Care, Health cooperation Plan, Medical Mutual, Anthem, most glum Cross/Blue Shield plans, Aetna, circle of relatives Health Plan,and Fountainhead. Pre-authorization is required for FHP, Paramount, Senior Sense, Paramount Elite, besides HMO Health Ohio patients. Medicare and Medicaid cover EECP in patients with class three or winsomeness 4 angina (chest Pain) who are now not good candidates for bypass surgery (CABG)
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