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Related Experiment Videos

Enhanced external counterpulsation for refractory angina pectoris.

R M Sinvhal1, R M Gowda, I A Khan

  • 1Division of Cardiology, Beth Israel Medical Center, New York, New York, USA.

Heart (British Cardiac Society)
|July 16, 2003
PubMed
Summary

Enhanced external counterpulsation (EECP) offers a non-invasive option for refractory angina pectoris. Current evidence suggests limiting EECP to severe cases unresponsive to other treatments.

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Area of Science:

  • Cardiology
  • Non-invasive cardiovascular therapies

Background:

  • Angina pectoris management includes surgical, medical, and novel strategies.
  • Enhanced external counterpulsation (EECP) is an outpatient treatment for angina.
  • EECP's hemodynamic effects mimic intra-aortic balloon pumps.

Purpose of the Study:

  • To define the role of EECP in treating angina pectoris.
  • To evaluate EECP as a strategy for intractable angina.

Main Methods:

  • EECP involves sequential compression of lower limb muscles during diastole.
  • Rapid cuff deflation in early systole creates hemodynamic changes.
  • The study reviews existing data on EECP efficacy and patient selection.

Main Results:

Related Experiment Videos

  • EECP demonstrates an acute hemodynamic effect.
  • Data suggest improvement in angina symptoms for patients undergoing EECP.
  • The precise role and definition of EECP in angina treatment remain unclear.

Conclusions:

  • EECP is a potential treatment for debilitating, refractory angina pectoris.
  • Recommended for patients unsuitable for revascularization and unresponsive to maximal pharmacotherapy.
  • Patient selection is crucial, excluding those with contraindications.