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Enhanced External Counterpulsation Effects on Venous Leg Symptoms.
Bilal Çuğlan1, Hasan Turhan2, Ertan Yetkin3
1Department of Cardiology, Faculty of Medicine, Beykent University, İstanbul, Turkey.
Anatolian Journal of Cardiology
|May 13, 2022
Summary
Enhanced external counterpulsation significantly reduced swelling and night cramps in patients with venous disease. This treatment also improved heart function, suggesting benefits beyond symptom relief.
Area of Science:
- Cardiology
- Vascular Medicine
Background:
- Venous diseases present with symptoms like aching and swelling.
- Enhanced external counterpulsation (EECP) is a non-invasive therapy that improves venous return and diastolic pressure.
- EECP is established for coronary artery disease and heart failure.
Purpose of the Study:
- To assess the impact of EECP on venous disease symptoms.
- To evaluate changes in quality of life and specific symptoms using a validated questionnaire.
Main Methods:
- Prospective study of 30 consecutive cardiology patients.
- Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms questionnaire administered before and after EECP.
- Treatment involved 35 hours of EECP.
Main Results:
- Significant reduction in New York Heart Association functional class (93% of patients improved).
- Marked improvement in swelling (P<.001) and night cramps (P=.05).
- Left ventricular ejection fraction significantly increased (P=.02).
Conclusions:
- EECP demonstrates significant efficacy in alleviating swelling and night cramps in venous disease patients.
- While the overall VEIN score did not change, symptom-specific improvements highlight EECP's vascular benefits.
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