EECP - Enhanced External Counterpulsation
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EECP is an enhanced external counterpulsation. It is actually cost successful, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure patients. It is FDA (USA) and NHS (UK) approved.
How is EECP Performed?
For the duration of EECP Patient lies on bed of machine. Three or five electrodes are applied towards the chest to record a continuous ECG.
A Plethysmograph is applied to index finger to record a tracing that represents blood pressure and oxygen saturation.
Set of 3-4 cuffs is wrapped about the calves, thighs and buttocks. EECP system uses an ECG signal to electronically synchronize inflation and deflation from the cuffs.
What's duration of treatment?
Duration for chronic angina and heart failure patients is 35 hours commonly one hour every day, 5 days per week. Some sufferers pick a 2-hour every day regimen, which reduces the time of completion of treatment. The duration of treatment and interval of rest will rely on the patient's condition, how much diastolic augmentation is obtained, tolerance of patient as well as the indications for application of EECP.
What's Mechanism of EECP?
Clinical studies indicate that EECP treatment may generate a 'natural' bypass of blocked arteries. There are basically two mechanisms involved in this therapy. When we produce diastolic augmentation, this benefits in opening of large amount of inactive blood vessels in heart which aids in bypass the blocked channels. Moreover, this treatment encourages blood vessels to kind new smaller vessels i.e colletrals. These channels or collaterals could at some point develop into permanent pathways to the heart muscle that was previously deprived of blood flow and sufficient oxygen.
What are indications of EECP?
Angina patients that are not relieved by medicine, individuals who dont choose to have bypass surgery, patients who're contraindicated for bypass or angioplasty like kidney failure, liver failure, severe COPD cases, Diffuse diabetes illness, very old age, individuals of Syndrome X, i.e microvessel illness, ischaemic and dilated cardiomyopathy sufferers all can go for EECP.
What are contraindications of EECP?
Severe aortic regurgitation and aortic stenosis, deep vein thrombosis, pregnancy, pretty higher blood pressure and severe peripheral vascular disease are contraindications for EECP
Unwanted effects of EECP
EECP has no negative effects except tiny skin bruises specially when patient isn't wearing proper skin pants in the course of treatment. In contrast to angioplasty or bypass, it truly is totally secure procedure with no major danger to patient.
Benefits towards the patient
After EECP, patient can stroll longer distance with no feeling chest pain or breathlessness. Patient's excellent of life improves remarkably. He can take part in daily activities. Above all, patients medicine also decreases, there is certainly less have to take sub lingual nitrates. Just after treatment heart failure patients never need to take high quantity of diuretics.
EECP benefits verification.
Prior to and right after treatment we carry out ECG, Echocardiography, TMT test and Anxiety thallium scan. All these tests verify the outcomes of EECP. In ECG there is mark reduce in ST segment depression or other ischaemic adjustments, there's boost in Ejection fraction in Echo, TMT test shows that patient can stroll longer distance devoid of chest pain, and stress thallium test also shows that there is less or no much more ischaemia in heart.
What is Price of EECP?
The charge for EECP is around one third that of angioplasty and one sixth the price of coronary artery bypass surgery. In Pakistan EECP charges are US $ 2400 at Dr. Armughan EECP heart Clinic Sialkot.
Insurance & Medicare Coverage
In USA, over 120 insurers are covering EECP. EECP has been covered locally by Paramount, John Hancock, Senior Sense, Paramount Elite, Workman's Comp, HMO Health Ohio, Messa, Acordia, Access, Envirosource, EV Benefits, First Health, Harrington Benefits, Fortis, Gallagher Benefits, NGS American, United Health Care, Health Alliance Plan, Medical Mutual, Anthem, most Blue Cross/Blue Shield plans, Aetna, Family Health Plan,and Fountainhead. Pre-authorization is required for FHP, Paramount, Senior Sense, Paramount Elite, and HMO Health Ohio sufferers. Medicare and Medicaid cover EECP in individuals with class 3 or class 4 angina (chest Pain) who're not good candidates for bypass surgery (CABG)
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Datum: 22.09.2021 - 12:26 Uhr
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