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Is EECP an alternative to bypass surgery?

Posted on September 2, 2022 by Author

Is EECP an alternative to bypass surgery?

Enhanced External Counterpulsation (EECP) is a non-invasive alternative therapy for patients who are not fit for CABG or PCI. EECP has been shown to be an effective treatment strategy that can improve the quality of life of patients.

What is natural bypass therapy?

“In the process, EECP develops new pathways around blocked arteries in the heart by expanding networks of tiny blood vessels (collaterals) that help increase and normalize blood flow to the heart muscle. For this reason, it is often called the natural bypass,” said Dr Ruchi.

How effective is EECP?

Overall, EECP has been proven to be a safe therapy, as reported by the International EECP patient registry (IEPR) in 2000. Of 2511 patients treated, 0.3\% died, 0.9\% had a myocardial infarction, 0.2\% had bypass grafting, and 0.8\% had percutaneous coronary intervention (PCI) during the treatment period.

Who Cannot do EECP?

Uncontrolled atrial fibrillation, atrial flutter, and frequent PVCs may interfere with the triggering of the EECP system. The average beats should be of 50-100/min. However, if the heart rate is controlled and no faster than 100 bpm, atrial fibrillation will not interfere with EECP.

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Can EECP remove blockage?

Enhanced External Counterpulsation (EECP) may stimulate the openings or formation of collaterals (small branches of blood vessels) to create a natural bypass around narrowed or blocked arteries.

Does EECP improve ejection fraction?

Left ventricular systolic unloading and augmentation of intracoronary pressure and Doppler flow during enhanced external counterpulsation. Pilot data have shown that a LV ejection fraction ≤35\% is not associated with an increase in adverse events during EECP.

How long does EECP last?

“The great majority of participants have more energy and can exercise with much less angina or heart pain,” Rubenfire adds. “For some, the effects of EECP treatment can last up to two years.”

How effective is natural bypass?

“While the success rate of natural bypass is over 90 per cent, there are cases where surgery is unavoidable.

Can EECP increase ejection fraction?

Pilot data have shown that a LV ejection fraction ≤35\% is not associated with an increase in adverse events during EECP….

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Death 0.8\%
Percutaneous coronary intervention 0.8\%
Death/myocardial infarction/coronary bypass/percutaneous coronary intervention 1.9\%
Unstable angina pectoris 4.1\%

Can EECP remove heart blockage?

What are the side effects of EECP treatment?

Can EECP Be Harmful?

  • Aortic insufficiency.
  • Recent cardiac catheterization.
  • Irregular heart rhythm such as atrial fibrillation.
  • Severe hypertension (high blood pressure)
  • Peripheral artery disease involving the legs.
  • A congenital heart defect.
  • Hypertrophic cardiomyopathy.
  • Valvular disease.

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