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EECP EECP
Chelation Therapy @ Chennai IPT for Cancer  india

What is a angina?
Angina is the global terms for all symptoms associated with coronary artery disease, which occurs when the heart is not receiving enough blood. It occurs when vessels that carry blood to the heart muscle become dysfunctional, and are often narrowed or blocked. Angina may feel like chest pain or pressure shortness of breath, pain in the jaw, neck, arms, back, nausea, or generalized fatigue. Each patient experiences angina differently.
Chelation Therapy for Coronary Artery Disease

What does EECP stand for?
The acronym EECP stands for Enhanced External Counterpulsation.

What is EECP?
EECP is a non-surgical, non-pharmaceutical, treatment for heart disease that is used to relieve or eliminate angina. During the treatment, blood pressure cuffs are wrapped around your legs, and squeezed and released in sync with your heartbeat, promoting blood flow throughout your body and particularly to your heart. 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.

What are the advertages of EECP?
Unlike bypase surgery, balloon angioplasty, and stenting procedures, EECP is non-invasive, carries no risk, is comfortable, and is administered in outpatient sessions.
Creates Bypass Naturally
Creates Bypass Naturally
What EECP does?
EECP increases blood flow:

To heart by 20-42%
To brain by 22-26%
To kidneys by 19%

EECP also increases heart's output (stroke volume) by 12% by reducing after load. This improves LVEF.

How long does EECP take?
The standard course of treatment is one hour per day, five days per week, for seven weeks (a) total of 35 one-hour sessions). Some patients have two treatments in one day in order to complete the program more quickly. Some patients extend the program beyong 35 treatments, depending on their particular medical situation and goals.

Are there any risks or side effects of EECP?
EECP is safe. Occasionally, some patients experience mild skin irritation under the areas of the blood pressure cuffs. Experienced EECP therapists address this irritation by using extra padding to make the patient comfortable. Some patients experience a bit more fatigue at the begining of their course of treatment, but it usually subsides after the first few sessions. In fact, patients typically feel energized by EECP.

How does EECP increase the blood flow?
     * Dilating blood vessels - Small blood vessels enlarge.

     * Opening dormant blood vessels lying closed sincebirth.

     * Angiogenesis -Forming new blood vessels

        (Collaterals)
EECP
What is collateral circulation?
Formation of network of tiny blood vessels, which make it possible for blood to detour around blocked or narrow arteries, is called collateral circulation. However the development of collateral circulation is a gradual process and not everyone has the same ability to develop these networks at the rate that will relieve angina. EECP treatment triggers and accelerates this collateral circulation and makes it permanent.

How do I personally know treatment has helped me?
      * Patient can walk more distance without chest pain

      * Patient would have fewer or no angina

      * Episodes of angina would be less painful

      * Patient can return to work and can participate in their active life style once again

      * Patient would be more energetic and confidence.

What happens if I miss a treatment?
You are encouraged to come for your EECP treatment everyday. However, missing a day will not have a negative effect on your overall results. When you come back, you will simply pick up where you left off, and the missed treatment will be added to the end of your program until you have a total of 35 sessions.Just like exercise, the more consistent you are with your EECP schedule, the better your results will be.

What does EECP feel like?
EECP feels like a deep muscle massage to your legs. During the treatment. You do not feel anything in the chest or heart. You only feel the cuffs that are wrapped around your legs squeezing in time to your own heartbest. Our patients have affectionately described this sensation as "gentle huge". Most of our patients relax, listen to music, or read during their treatments. Some even sleep!

Do the benefits of EECP last?
Yes, In patients followed for three to five years after treatment, the benefits of EECP, including less angina, less nitroglycerin usage, and improved blood flow patterns documented on stress tests, had lasted.

How does EECP compare to angioplasty or bypass surgery?
The five-year outcomes for EECP patients are virtually the same as for angioplasty and bypass surgery patients.
Bypassing Bypass Surgery - Neomed Hospital Bypassing Bypass Surgery - Neomed Hospital Bypassing Bypass Surgery - Neomed Hospital
How successful is EECP treatment?
Upto 90% patients improve. Most feel better in 15 to 20 hours treatment. EECP benefits last 3 to 7 years or more. EECP is so successful, that in USA insurance reimbursement for EECP has gone up by 6% whereas that for other procedures like angioplasty, bypass surgery etc, has decreased by 5%

Is EECP a recognized 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 College of Cardiology, Cardiovasculart Reviews Reports, Cardiology, Mayo Clinical Proc., Clinical Cardiology, Journal of External Counter Pulsation, etc.

Does EECP give symptom relief as Bypass and Angioplasty?
All these current mode of treatments help the heart by increasing the blood flow to the area of the heart muscle not receiving adequate blood supply. Once the blood supply is increased towards normal the patient's chest pain will be decreased or eliminated and his exercise tolerance will improve.

During EECP hearts natural mechanism of forming new vessel is enhanced which markely increase the blood supply to the heart muscle. EECP also tends to improve your endothelial cell function that lines your coronary arteries, which determine your chance of getting heart attacks. EECP decrease your heart rate and other Neurohormones, which damage the heart muscles.

Do I need any investignation to be done after the treatment?
Some patients want to visualize the post EECP treatment improvement when compared with their previous reports. They can repeat their Exercise treatmill test or Echo cardiography or Nuclear scan after the treatment. Some physician might feel follow-up test is unnecessary since the patient symptomatic clinical improvement itself has demonstreated increase blood flow to the heart muscle.

Do I need anything special to prepare myself for the treatment?
EECP is a safe, out patient, non-invasive treatment. So you don't have to restrict any of your daily routine work. You can fix your one-hour time treatment schedule according to your convenience. Before you start they treatment you will be asked to wear tight fitting elastic pant. This is to prevent skin irritation and abrasion.

I have a pacemaker. Is that a problem with EECP?
No, Pacemakers and internal defibrillators do not interfere in any way with EECP.

I am on Coumadin/warfarin Is that a problem with EECP?
No. Patients on Coumadin are able to undergo EECP treatments safely.
Pre EECP Post EECP

I have congestive heart failure (CHF). Is that a problem with EECP?
No. In fact, in July 2002 the FDA approved EECP as a treatment for congestive heart failure (CHF). After completion a course of EECP treatment, Patients with CHF typically have less swelling in their legs, less shortness of breath, less fatigue, and often require less diuretic medication.

Is there an age limit for EECP?
No. We have successfully treated patients as young as 36 and as old as 97 without any difficulties. Many of our patients are in their 80s and complete the entire EECP program with excellent results.

I have already had bypass surgery/angioplasty/stents. Can I still have EECP?
Yes! Most of our patients have already had one (or many) of these procedures. They come for EECP treatment because they still have angina.

Can EECP dislodge plaque and cause a stroke or heart attack?
No. Our bodies obey the laws of physics, and one principle law is that fluid will follow the path of least resistance. Atheroscierotic 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 around the blockages is a longer trip, but it is a much earier one. In time, these new pathways are reinforced and become lasting routes for blood to reach your heart beyong the blockages. Every EECP patient has had multiple, serious blockages. No one has ever had a heart attack or a stroke as a result of the treatment.

Are there any patients who are not able to have EECP?
There are very few patients who are unable to have EECP. Those who should not be treated include pregnant women, individuals with a severe leakage in their aortic valvbe requiring surgical repair, and patients with an active blood clot in their leg.

I had a blood clot in my leg three years ago. Can I have EECP?
Yes. Having a history of a blood clot (deep venous thrombosis or DVT) in your leg does not preclude you from having EECP. It is recommended that you have Doppler ultrasound of your leg to confirm the blood clot has resolved before beginning the EECP program.

Does EECP aggravate high blood pressure (hypertension)?
No. If you have hypertension that is properly managed, you may undergo EECP without difficulty. Oftentimes, patients with hypertension find that their blood pressure improves as they proceed with EECP. If your hypertension is uncontrolled, you must seek medical care to get your blood pressure under control with proper medications before proceeding with EECP.

I have bad circulation in my legs (peripheral vascular disease or PVD). May I still have EECP?
Yes, and you should! EECP improves blood flow throughout the entire body, including your legs. If you have poor leg circulation, you might need more than 35 treatments. My patients typically require at least 50 treatments to get the full benefit of the program. In addition to improved stamina, less angina, and less nitroglycerin use, patients with PVD have a marked improvement in their leg circulation in response to EECP.

have atrial fibrillation and an irregular heartbeat. May I still have EECP?
Yes, An irregular heartbeat, including one caused by atrial fibrillation, will not interfere with EECP if the heart rate is controlled and no faster than 100 beats per minute.
EECP
I have varicose veins. May I still have EECP?
Yes. Varicose veins are typically a cosmetic issue, not a medical one. As such, they do not preclude individuals from receiving EECP. We often use extra padding in patients with varicose veins to ensure maximum comfort.

What happens if my angina returns months or years after I finish my EECP treatment course? Can I come back for more?
Yes. EECP is not a once-in- a- lifetime treatment. Heart disease is a chronic illness and symptoms may return at some point in the future. The door is alway open for you to return for additional courses of EECP as needed..
Before EECP After EECP
What is the current status and the expected future of EECP?
Leading technology for treating cardiovascular disease is slowly moving from very invasive methods to less invasive. Medical history is witnesses that in the seventies bypass surgery was the big news in the treatment of coronary artery disease. In the eighties it was balloon angioplasty and in the nineties it was the stent now we can move still a step further to a totally noninvasive treatment with EECP. The Future belongs to those who succeed and EECP in 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%/

What should I do after EECP treatment?
To prevent the progression of your disease after completion of the treatment you should make life style changes like

     * Quitting smoking

     * Following heart friendly diet

     * Controlling obesity

     * Doing Regular exercise.

Have regular follow up with your cardiologist to lower your cholesterol, to control your blood pressure and diabetes. EECP treatment provide you with new blood vessels. It is you to prevent your vessel from developing obstruction again.
EECP at Neomed Hospital
EECP has numerous distinct advantages over surgery:
* Noninvasive * Outpatient * Lowrisk

* No additional Medication required

* No recuperation time required

* No side effect

Patients reported increased exercise tolerance energy and free from chest pain following treatment without risk of surgery.
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