Enhanced External Counterpulsation (EECP) therapy is a non-invasive treatment primarily used for patients with chronic stable angina, heart failure, and other cardiovascular conditions. It serves as an alternative or complementary therapy for those who are not candidates for surgical procedures like coronary artery bypass grafting (CABG) or angioplasty.
How EECP Therapy Works:
Procedure: During EECP therapy, the patient lies on a treatment table with large cuffs (similar to blood pressure cuffs) wrapped around the legs, thighs, and buttocks. These cuffs inflate and deflate in synchronization with the heart’s rhythm, timed to the diastolic phase (when the heart is at rest between beats). The inflation of the cuffs pushes blood from the lower body towards the heart, increasing blood flow to the coronary arteries.
Mechanism: This process enhances blood flow to the heart muscle, helping to open up small blood vessels (collateral circulation) that can bypass blockages in the main coronary arteries. The improved blood flow can relieve symptoms of angina and improve heart function.
Duration: EECP therapy usually requires about 35 one-hour sessions, often spread over several weeks (e.g., 5 sessions per week for 7 weeks).
Benefits of EECP Therapy:
Reduces Angina Symptoms: Many patients report a significant reduction in the frequency and severity of angina attacks.
Improves Quality of Life: Enhanced exercise capacity and reduced dependence on medication are common outcomes.
Non-Invasive and Safe: EECP is considered safe with minimal risks and side effects compared to invasive procedures.
Long-Lasting Effects: The benefits of EECP can last for years, although the exact duration varies among patients.
Indications for EECP Therapy:
Chronic Stable Angina: Particularly in patients who have not responded adequately to medication or are not suitable for surgery.
Heart Failure: EECP can improve symptoms and functional capacity in some patients with heart failure.
Other Indications: Some studies suggest benefits for patients with other conditions like peripheral artery disease and microvascular angina.
Side Effects and Considerations:
Side Effects: While generally safe, some patients may experience mild discomfort due to the pressure from the cuffs, skin irritation, or leg pain.
Contraindications: EECP is not recommended for patients with certain conditions, such as severe peripheral artery disease, aortic aneurysm, severe aortic insufficiency, or those who are pregnant.
Availability and Cost:
EECP therapy is widely available in specialized cardiac centers and clinics. The cost can vary depending on the location, number of sessions required, and whether insurance coverage is available.
EECP therapy is a promising option for those seeking to manage their cardiovascular conditions non-invasively. It’s essential to consult with a healthcare provider to determine if EECP is appropriate for your specific condition.