By Dr. Milind Desai
Enhanced External Counterpulsation (EECP) is transforming the way chronic heart conditions are managed. Designed for patients with chronic stable angina, heart failure, or those unsuitable for invasive procedures like angioplasty or bypass surgery, EECP is a safe, outpatient therapy that improves circulation and heart function.
What is EECP?
EECP involves the use of inflatable cuffs wrapped around the legs. These cuffs inflate and deflate in sync with the patient’s heartbeat. During the resting phase of the heart (diastole), the cuffs inflate sequentially from calves to thighs, pushing oxygen-rich blood back toward the heart. This improves coronary perfusion and oxygen delivery.
Mechanism of Action
- Inflation & Deflation: Cuffs inflate in a wave-like motion from lower to upper legs during diastole, deflating just before the heart contracts (systole).
- Improved Circulation: This increases venous return and coronary perfusion while lowering cardiac workload.
- Collateral Formation: Over time, EECP encourages the development of natural bypass vessels, improving long-term blood flow.
Indications for EECP
- Chronic stable angina not responsive to medication
- Patients who cannot undergo angioplasty or bypass surgery
- Heart failure with reduced ejection fraction
Benefits of EECP
- Significant reduction in angina episodes
- Improved exercise capacity and daily function
- Enhanced blood supply to heart tissue
- Completely non-invasive, safe, and cost-effective
Treatment Protocol
A typical EECP course involves 35 one-hour sessions, usually 5–6 times per week. The therapy is performed on an outpatient basis, and the patient remains awake and relaxed during each session.
Safety Profile
EECP is generally well-tolerated with minimal side effects and no absolute contraindications in most patients. It is an excellent option for individuals looking for alternatives to invasive heart procedures.
EECP offers hope to patients suffering from debilitating heart conditions who want a non-surgical treatment path. It not only improves blood flow and reduces symptoms but also enhances overall quality of life. For many, it represents a second chance at a more active and healthier lifestyle — without the risks of surgery.
Discover more from Allycaral
Subscribe to get the latest posts sent to your email.
