Counterpulsation
A technique for assisting the circulation by decreasing the afterload of the left ventricle and augmenting the diastolic pressure. It may be achieved by intra-aortic balloon, or by implanting a special pumping device in the chest, or externally by applying a negative pressure to the lower extremities during cardiac systole.
Intra-Aortic Balloon Pumping
Counterpulsation in which a pumping unit synchronized with the patient's electrocardiogram rapidly fills a balloon in the aorta with helium or carbon dioxide in early diastole and evacuates the balloon at the onset of systole. As the balloon inflates, it raises aortic diastolic pressure, and as it deflates, it lowers aortic systolic pressure. The result is a decrease in left ventricular work and increased myocardial and peripheral perfusion.
Coronary-Subclavian Steal Syndrome
A complication of INTERNAL MAMMARY-CORONARY ARTERY ANASTOMOSIS whereby an occlusion or stenosis of the proximal SUBCLAVIAN ARTERY causes a reversal of the blood flow away from the CORONARY CIRCULATION, through the grafted INTERNAL MAMMARY ARTERY (internal thoracic artery), and back to the distal subclavian distribution.
Angina Pectoris
Heart-Assist Devices
Myocardial Infarction
Encyclopedias as Topic
The multicenter study of enhanced external counterpulsation (MUST-EECP): effect of EECP on exercise-induced myocardial ischemia and anginal episodes. (1/70)
OBJECTIVES: The purpose of this study was to assess safety and efficacy of enhanced external counterpulsation (EECP). BACKGROUND: Case series have shown that EECP can improve exercise tolerance, symptoms and myocardial perfusion in stable angina pectoris. METHODS: A multicenter, prospective, randomized, blinded, controlled trial was conducted in seven university hospitals in 139 outpatients with angina, documented coronary artery disease (CAD) and positive exercise treadmill test. Patients were given 35 h of active counterpulsation (active CP) or inactive counterpulsation (inactive CP) over a four- to seven-week period. Outcome measures were exercise duration and time to > or =1-mm ST-segment depression, average daily anginal attack count and nitroglycerin usage. RESULTS: Exercise duration increased in both groups, but the between-group difference was not significant (p > 0.3). Time to > or =1-mm ST-segment depression increased significantly from baseline in active CP compared with inactive CP (p = 0.01). More active-CP patients saw a decrease and fewer experienced an increase in angina episodes as compared with inactive-CP patients (p < 0.05). Nitroglycerin usage decreased in active CP but did not change in the inactive-CP group. The between-group difference was not significant (p > 0.7). CONCLUSIONS: Enhanced external counterpulsation reduces angina and extends time to exercise-induced ischemia in patients with symptomatic CAD. Treatment was relatively well tolerated and free of limiting side effects in most patients. (+info)Stabilisation of medically refractory ventricular arrhythmia by intra-aortic balloon counterpulsation. (2/70)
OBJECTIVE: To review the efficacy of intra-aortic balloon counterpulsation (IABCP) in medically refractory ventricular arrhythmia. DESIGN: Retrospective analysis of the outcome of patients with ventricular arrhythmia treated with IABCP after transfer between 1992 and 1997. SETTING: Tertiary cardiac referral centre. PATIENTS: 21 patients (mean age 58 years) who underwent IABCP for control of ventricular arrhythmia. All had significant left ventricular impairment (mean ejection fraction 28.6%); 18 had coronary artery disease. RESULTS: Before IABCP, 10 patients had incessant monomorphic ventricular tachycardia and 11 had paroxysmal ventricular tachycardia and/or ventricular fibrillation (VT/VF). IABCP resulted in suppression of ventricular arrhythmia in 18 patients, of whom 13 were weaned from IABCP. After stabilisation of ventricular arrhythmia, 10 patients were maintained on medical treatment alone and one underwent endocardial resection. IABCP was maintained until cardiac transplantation in five patients. One patient had a fatal arrest before discharge and one died from progressive heart failure. IABCP failed to control ventricular arrhythmia in three patients and was subsequently discontinued. A cardiac assist device was employed in one of these until cardiac transplantation; the other two were eventually stabilised on medical treatment. Nineteen patients were discharged from hospital. Overall survival was 95% at mean follow up of 25.7 months. CONCLUSIONS: IABCP can be an effective means of controlling refractory ventricular arrhythmia, allowing time for the institution of more definitive treatment. (+info)Improvement of regional myocardial and coronary blood flow reserve in a patient treated with enhanced external counterpulsation: evaluation by nitrogen-13 ammonia PET. (3/70)
Enhanced external counterpulsation (EECP) is a noninvasive treatment for chronic stable angina, which works by recruiting and developing the coronary collateral vessels. Coronary perfusion and coronary flow reserve (CFR) were evaluated by nitrogen-13 (13N) ammonia positron emission tomography (PET) in a patient who had undergone EECP. The patient, who had 3-vessel coronary artery disease, required a percutaneous transluminal coronary angioplasty (PTCA) for the right coronary artery. The PTCA was successful, but 6 months later he again felt chest oppression. The coronary angiography showed re-stenosis at the PTCA site, and other progressive coronary stenosis. The patient was again treated with EECP for 35 h. The 13N-ammonia PET was performed both at baseline and during dipyridamole provocation, before and after EECP treatment. Coronary perfusion of each myocardial wall increased at the baseline (anterior: 0.52-0.75; septal: 0.48-0.66; lateral: 0.61-0.68; inferior: 0.46-0.57 ml min(-1) g(-1), and the CFRs in the septal and inferior walls (septal: 2.07-2.15; inferior: 1.99-2.06) also increased after the treatment. Thus, the EECP treatment improved both coronary perfusion at baseline and CFR, which suggests that it may be one of the choices for treatment of angina. (+info)Cardiogenic shock triggered by verapamil and atenolol: a case report of therapeutic experience with intravenous calcium. (4/70)
Cardiogenic shock developed in a 72-year-old Japanese woman during combination therapy with verapamil and atenolol for recurrent supraventricular arrhythmia. She had coronary atherosclerosis, liver cirrhosis and bradycardia-tachycardia syndrome. Despite of the high-dose catecholamines and counterpulsation, she progressively deteriorated. Bolus administration of intravenous calcium chloride (CaCl2) immediately resolved her hemodynamic collapse. (+info)Enhanced external counterpulsation improves exercise tolerance, reduces exercise-induced myocardial ischemia and improves left ventricular diastolic filling in patients with coronary artery disease. (5/70)
OBJECTIVES: We examined whether enhanced external counterpulsation (EECP) improves myocardial ischemia, exercise tolerance and cardiac function in patients with coronary artery disease (CAD). BACKGROUND: Enhanced external counterpulsation reduces angina and improves exercise tolerance in patients with CAD. Some objective improvements of ischemia by EECP have been reported, but they should be confirmed further. Detailed hemodynamic effects of EECP have been less well documented. METHODS: Enhanced external counterpulsation was performed for a total of 35 h in patients with stable CAD (n = 12) who showed evidence of exercise-induced myocardial ischemia despite conventional medical or surgical therapies. All patients had significant stenotic lesions in major coronary arteries. RESULTS: Enhanced external counterpulsation improved all exercise test parameters (p < 0.05): exercise duration, time to 1-mm ST segment depression, rate-pressure product at peak exercise and rate-pressure product at 1-mm ST segment depression. Moreover, the prevalence of exercise-induced reversible perfusion defects by thallium scintigraphy decreased after treatment (p < 0.01). Enhanced external counterpulsation did not alter systolic function but improved diastolic filling, left ventricular (LV) end-diastolic pressure (p < 0.05) by cardiac catheterization and LV peak filling rate end-diastolic volume/s (p < 0.01) and time to peak filling rate (p < 0.05) by radionuclide scintigraphy. These hemodynamic improvements were associated with decreased plasma brain natriuretic peptides levels after EECP (p < 0.05). CONCLUSIONS: Thus, EECP treatment improves exercise tolerance and reduced myocardial ischemia by thallium scintigraphy in association with improved LV diastolic filling in patients with stable CAD. (+info)Enhanced external counterpulsation improved myocardial perfusion and coronary flow reserve in patients with chronic stable angina; evaluation by(13)N-ammonia positron emission tomography. (6/70)
AIMS: The mechanism by which enhanced external counterpulsation therapy exerts its beneficial effects on chronic and symptomatic stable angina is largely unknown. To clarify the mechanism of action of enhanced external counterpulsation, we used(13)N-ammonia positron emission tomography to evaluate myocardial perfusion. METHODS AND RESULTS: This was not a randomized controlled study. Eleven patients (eight male, age: 61.6+/-9.7) with angina pectoris underwent enhanced external counterpulsation therapy for 35 1 h sessions. They underwent a treadmill exercise test and(13)N-ammonia positron emission tomography, both at rest and with dipyridamole, before and after enhanced external counterpulsation therapy. Neurohumoral factors and nitric oxide were also evaluated. Myocardial perfusion increased at rest after therapy (0.69+/-0.27 to 0.85+/-0.47 ml x min(-1) x g(-1), P<0.05). In ischaemic regions, particularly the anterior region, myocardial perfusion at rest and with dipyridamole and coronary flow reserve improved significantly after therapy (at rest: 0.71+/-0.26 to 0.86+/-0.31;P<0.05, with dipyridamole: 1.26+/-0.65 to 1.84+/-0.94;P<0.02, coronary flow reserve: 1.75+/-0.24 to 2.08+/-0.28;P<0.04). Exercise time was prolonged and the time to 1-mm ST depression improved markedly (P<0.01). After therapy, nitric oxide levels increased (P<0.02) and neurohumoral factors decreased. CONCLUSIONS: Enhanced external counterpulsation therapy improved myocardial perfusion at rest and with dipyridamole and was associated with an increased exercise tolerance with(13)N-ammonia positron emission tomography and increased nitric oxide levels. These results suggest that one of the enhanced external counterpulsation mechanisms is development and recruitment of collateral vessels. (+info)Left ventricular systolic unloading and augmentation of intracoronary pressure and Doppler flow during enhanced external counterpulsation. (7/70)
BACKGROUND: Enhanced external counterpulsation (EECP) is a noninvasive, pneumatic technique that provides beneficial effects for patients with chronic, symptomatic angina pectoris. However, the physiological effects of EECP have not been studied directly. We examined intracoronary and left ventricular hemodynamics in the cardiac catheterization laboratory during EECP. METHODS AND RESULTS: Ten patients referred for diagnostic evaluation underwent left heart catheterization and coronary angiography from the radial artery. At baseline and then during EECP, central aortic pressure, intracoronary pressure, and intracoronary Doppler flow velocity were measured using a coronary catheter, a sensor-tipped high-fidelity pressure guidewire, and a Doppler flow guidewire, respectively. Similar to changes in aortic pressure, EECP resulted in a dramatic increase in diastolic (71+/-10 mm Hg at baseline to 137+/-21 mm Hg during EECP; +93%; P<0.0001) and mean intracoronary pressures (88+/-9 to 102+/-16 mm Hg; +16%; P=0.006) with a decrease in systolic pressure (116+/-20 to 99+/-26 mm Hg; -15%; P=0.002). The intracoronary Doppler measure of average peak velocity increased from 11+/-5 cm/s at baseline to 23+/-5 cm/s during EECP (+109%; P=0.001). The TIMI frame count, a quantitative angiographic measure of coronary flow, showed a 28% increase in coronary flow during EECP compared with baseline (P=0.001). CONCLUSIONS: EECP unequivocally and significantly increases diastolic and mean pressures and reduces systolic pressure in the central aorta and the coronary artery. Coronary artery flow, determined by both Doppler and angiographic techniques, is increased during EECP. The combined effects of systolic unloading and increased coronary perfusion pressure provide evidence that EECP may serve as a potential mechanical assist device. (+info)Enhanced external counterpulsation improves endothelial function in patients with symptomatic coronary artery disease. (8/70)
OBJECTIVES: The goal of this study was to examine the effect of enhanced external counterpulsation (EECP) on endothelial function. BACKGROUND: Enhanced external counterpulsation improves symptoms and exercise tolerance in patients with symptomatic coronary artery disease (CAD). However, the exact mechanisms by which this technique exerts its clinical benefit are unclear. METHODS: Reactive hyperemia-peripheral arterial tonometry (RH-PAT), a noninvasive method to assess peripheral endothelial function by measuring reactive hyperemic response in the finger, was performed in 23 patients with refractory angina undergoing a 35-h course of EECP. In each patient RH-PAT measurements were performed before and after the first, at midcourse, and the last EECP session. In addition, RH-PAT response was assessed one month after completion of EECP therapy; RH-PAT index, a measure of reactive hyperemia, was calculated as the ratio of the digital pulse volume during reactive hyperemia divided by that at rest. RESULTS: Enhanced external counterpulsation led to symptomatic improvement (>/=1 Canadian Cardiovascular Society class) in 17 (74%) patients; EECP was associated with a significant immediate increase in average RH-PAT index after each treatment (p < 0.05). In addition, average RH-PAT index at one-month follow-up was significantly higher than that before EECP therapy (p < 0.05). When patients were divided by their clinical response, RH-PAT index at one-month follow-up increased only in those patients who experienced clinical benefit. CONCLUSIONS: Enhanced external counterpulsation enhances peripheral endothelial function with beneficial effects persisting at one-month follow-up in patients with a positive clinical response. This suggests that improvement in endothelial function may contribute to the clinical benefit of EECP in patients with symptomatic CAD. (+info)
External Counterpulsation - Mayo Clinic Health System
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Effects of enhanced external counterpulsation on skeletal muscle gene expression in patients with severe heart failure | ...
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Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last? | Journal of...
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clinicaltrialresults.org
Intra-aortic balloon counterpulsation augments cerebral blood flow in the patient with cerebral vasospasm: a xenon-enhanced...
Coronary Collateral Growth Induced by Physical ExerciseCLINICAL PERSPECTIVE | Circulation
Intraaortic balloon pumping through the common iliac artery: management of the ambulatory intraaortic balloon pump patient.
Early vascular complications of intraaortic balloon counterpulsation in patients undergoing open heart surgery.
Intraaortic balloon pump support during high-risk coronary angioplasty. - ScienceOpen
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External counterpulsation
... therapy (ECP) is a procedure that may be performed on individuals with angina, heart failure, or ... "Decision Memo for External Counterpulsation (ECP) Therapy (CAG-00002R2)". Zhao M, Huang Y, Li L, Zhou L, Wu Z, Liu Y, Zhang H, ... Lin S, Liu M, Wu B, Hao Z, Yang J, Tao W (18 January 2012). "External counterpulsation for acute ischaemic stroke". The ... Qin X, Deng Y, Wu D, Yu L, Huang R (2016). "Does Enhanced External Counterpulsation (EECP) Significantly Affect Myocardial ...
Intra-aortic balloon pump
Unstable angina pectoris benefits from counterpulsation. Post cardiothoracic surgery-most common and useful is counterpulsation ... Counterpulsation.htm Intra Aortic Balloon Pump (IABP) Counterpulsation by P. J Overwalder, M.D. Khan, Tahir M.; Siddiqui, Abdul ... The first publication of intra-aortic balloon counter-pulsation appeared in the American Heart Journal of May 1962; 63: 669-675 ... The balloon inflates and deflates via counter pulsation, meaning it actively deflates in systole and inflates in diastole. ...
Virtua Our Lady of Lourdes Hospital
... and enhanced external counterpulsation, or EECP, for treatment of chest pain. In 2007, Lourdes began employing cool, pulsed ...
Impella
Cellular response to cardiogenic shock is poorly described by either method (counterpulsation or continuous flow). Control of ... intra-aortic balloon pump counterpulsation for treatment of cardiogenic shock " a meta-analysis of controlled trials". European ...
Outline of cardiology
Enhanced external counterpulsation (EECP): Pneumatically assisting the heart to move blood using inflatable cuffs on the legs. ...
Leslie Lam (doctor)
In 2001, Lam was the first doctor in Singapore to conduct an Enhanced External Counterpulsation for coronary artery disease in ...
Maquet
... counterpulsation technology. Datascope is a diversified cardiovascular device company that develops, manufactures and markets ...
Adrian Kantrowitz
Based on Kantrowitz's theory of "counterpulsation", the device inflated the balloon with helium gas when the heart relaxed and ...
Pulmonary artery catheter
Assessment of types of shock Assessment of therapy Afterload reduction Vasopressors Beta blockers Intra-aortic balloon counter-pulsation ...
ECP
... in which blood is treated with a photosensitizing agent and subsequently irradiated with light External counterpulsation, a non ...
Adventist HealthCare Shady Grove Medical Center
... electrophysiology service Catheter ablation Pacemaker and defibrillator implants Enhanced external counterpulsation (EECP), the ...
Ricardo Armentano
Experimental and Clinical Aortic Counterpulsation: its Evaluation with a Novel Non-invasive Index 2001 he was awarded the Luis ...
List of MeSH codes (E04)
... counterpulsation MeSH E04.050.215.400 - intra-aortic balloon pumping MeSH E04.050.430 - heart-assist devices MeSH E04.062.249 ...
External counterpulsation - Wikipedia
"Decision Memo for External Counterpulsation (ECP) Therapy (CAG-00002R2)".. *^ a b Zhao M, Huang Y, Li L, Zhou L, Wu Z, Liu Y, ... External counterpulsation therapy (ECP) is a procedure that may be performed on individuals with angina, heart failure, or ... Lin S, Liu M, Wu B, Hao Z, Yang J, Tao W (18 January 2012). "External counterpulsation for acute ischaemic stroke". The ... El-Sakka A, Morsy A, Fagih B (May 2007). "Enhanced External Counterpulsation in Patients with Coronary Artery Disease- ...
Enhanced external counterpulsation therapy benefits long COVID-19 patients
... after undergoing 15-35 hours of enhanced external counterpulsation (EECP) therapy. ... Enhanced external counterpulsation therapy benefits long COVID-19 patients. *Download PDF Copy ... after undergoing 15-35 hours of enhanced external counterpulsation (EECP) therapy. The study is being presented at the American ...
Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last? | Journal of...
Objective External counterpulsation (ECP) is a non-invasive method used to augment cerebral perfusion in ischaemic stroke. We ... Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last? ... Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last? ...
Intra-aortic Balloon Pump Counterpulsation : WFSA - Resources
IABP counterpulsation is usually weaned by reducing the ratio of augmented to non-augmented beats. This can be done by reducing ... WEANING FROM IABP COUNTERPULSATION. Successful weaning from IABP requires the patient to not be in cardiogenic shock and to ... Intra-aortic balloon counterpulsation in cardiogenic shock. Report of a co-operative clinical trial. N Engl J Med. 1973;288(19 ... IABP counterpulsation does not need to be discontinued during defibrillation, but staff must remain clear of the IABP console ...
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IMSEAR at SEARO: "No-option" Patients-Role of Enhanced External Counterpulsation.
Treatment of refractory angina in patients not suitable for revascularization | Nature Reviews Cardiology
Enhanced external counterpulsation improves systolic blood pressure in patients with refractory angina. Am. Heart J. 156, 1217- ... Effect of enhanced external counterpulsation on circulating CD34+ progenitor cell subsets. Int. J. Cardiol. 153, 202-206 (2011 ... Enhanced external counterpulsation improves endothelial function in patients with symptomatic coronary artery disease. J. Am. ... Akhtar, M., Wu, G. F., Du, Z. M., Zheng, Z. S. & Michaels, A. D. Effect of external counterpulsation on plasma nitric oxide and ...
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Enhanced external counterpulsation (EECP). Enhanced external counterpulsation (EECP) is an outpatient procedure. It can be ... 2016). Enhanced external counterpulsation reduces indices of central blood pressure and myocardial oxygen demand in patients ... 2013). The role of enhanced external counter pulsation therapy in clinical practice. DOI: 10.3121/cmr.2013.1169. ...
Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation?<...
Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation? / Kimman, Jesse; van ... Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation?. In: Current Heart ... Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation? Current Heart Failure ... Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation?. ...
New Counterpulsation Center Opens at Xiangtan City Hospital in China
This new multi-bed counterpulsation center above offers external counterpulsation therapy to patients in the Xiangtan City ... Short-term External Counterpulsation Augments Cerebral Blood Flow and Tissue Oxygenation in Chronic Cerebrovascular Occlusive ... Effectiveness of enhanced external counter pulsation on clinical profile and health-related quality of life in patients with ...
Comparison of the Hemodynamic Response to Intra-Aortic Balloon Counterpulsation in Patients With Cardiogenic Shock Resulting...
Dive into the research topics of Comparison of the Hemodynamic Response to Intra-Aortic Balloon Counterpulsation in Patients ... Comparison of the Hemodynamic Response to Intra-Aortic Balloon Counterpulsation in Patients With Cardiogenic Shock Resulting ... Comparison of the Hemodynamic Response to Intra-Aortic Balloon Counterpulsation in Patients With Cardiogenic Shock Resulting ... Comparison of the Hemodynamic Response to Intra-Aortic Balloon Counterpulsation in Patients With Cardiogenic Shock Resulting ...
PDF] Basic Principles of the Intraaortic Balloon Pump and Mechanisms Affecting Its Performance | Semantic Scholar
We briefly describe the basic disciplines of counterpulsation by IABP and the induced hemodynamic changes while clarifying the ... The basic disciplines of counterpulsation by IABP and the induced hemodynamic changes while clarifying the biologic mechanisms ... Intra-aortic balloon counterpulsation in cardiogenic shock. Report of a co-operative clinical trial.. *S. Scheidt, G. Wilner, + ... The efficacy of the high volume counterpulsation technique at very low levels of aortic pressure.. *C. Charitos, J. Nanas, +5 ...
Right Ventricular Infarction Treatment & Management: Approach Considerations, Right Ventricular Dysfunction and Shock,...
Enhanced External Counterpulsation and Short-Term Recovery From High-Intensity Interval Training - Fissac
Enhanced external counterpulsation (EECP) is a recovery strategy whose use has increased in recent years owing to the benefits ... Enhanced external counterpulsation and short-term recovery from high-intensity interval training ... Enhanced External Counterpulsation and Short-Term Recovery From High-Intensity Interval Training. International journal of ...
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Dr. John Hui, Medical Pioneer of Enhanced External Counterpulsation (EECP®) Therapy Passes Away - ECP Forum
Angina (Ischemic Chest Pain): Symptoms, Causes, Diagnosis, and Treatment
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IABP-SHOCK II: Randomized comparison of intraaortic balloon counterpulsation versus optimal medical therapy in addition to...
Clinical Outcomes of Intra-Aortic Balloon Counterpulsation in Patients with ST Elevation Myocardial Infarction: Experience at...
Clinical Outcomes of Intra-Aortic Balloon Counterpulsation in Patients with ST Elevation Myocardial Infarction: Experience at ... This study was undertaken to analyze morbidity and mortality benefit of IABP counterpulsation in patients with Acute Myocardial ... Joshi et al., Clinical Outcomes of Intra-Aortic Balloon Counterpulsation in Patients with ST Elevation Myocardial Infarction: ... Clinical Outcomes of Intra-Aortic Balloon Counterpulsation in Patients with ST Elevation Myocardial Infarction: Experience at ...
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EECPExternal CounterpulsationIABPBalloonTherapyEfficacyHeartExternal Counterpulsation TherapyAortic counterpulsationTherapyBalloon counterpulsation following cardiopulmonEvolution of Counterpulsation TechniquesPercutaneous coronary intCirculationCoronary collateralMyocardialCirculatoryAugmentationAmbulatoryPumpPatientsHemodynamicStimulateInflationClinicalHydraulicTreatmentVisceralHeart failureSignificantMethod
EECP5
- Does Enhanced External Counterpulsation (EECP) Significantly Affect Myocardial Perfusion? (wikipedia.org)
- In a small study of long COVID-19 patients, those with and without coronary artery disease demonstrated improvement of a variety of symptoms, including fatigue, breathing difficulties and chest discomfort, after undergoing 15-35 hours of enhanced external counterpulsation (EECP) therapy. (news-medical.net)
- Enhanced external counterpulsation (EECP) is an outpatient procedure. (healthline.com)
- Enhanced external counterpulsation (EECP) is a recovery strategy whose use has increased in recent years owing to the benefits observed in the clinical setting in some cardiovascular diseases (ie, improvement of cardiovascular function). (fissac.com)
- But, there is a cutting-edge all-natural therapy that can… It's called enhanced external counterpulsation, or EECP. (alsearsmd.com)
External Counterpulsation7
- External counterpulsation therapy ( ECP ) is a procedure that may be performed on individuals with angina , heart failure , or cardiomyopathy . (wikipedia.org)
- Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last? (bmj.com)
- Objective External counterpulsation (ECP) is a non-invasive method used to augment cerebral perfusion in ischaemic stroke. (bmj.com)
- IMSEAR at SEARO: "No-option" Patients-Role of Enhanced External Counterpulsation. (who.int)
- This new multi-bed counterpulsation center above offers external counterpulsation therapy to patients in the Xiangtan City Hospital in Xiangtan City, China. (ieecps.org)
- A non-invasive therapy called enhanced external counterpulsation may also be used to relieve chest pain in certain patients. (cardiosmart.org)
- Passive tobacco exposure may impair symptomatic improvement in patients with chronic angina undergoing enhanced external counterpulsation. (bvsalud.org)
IABP5
- This article will review the basic principles underlying IABP counterpulsation, the device's indications, contraindications, techniques for insertion and operating instructions. (wfsahq.org)
- Synchronized counterpulsation is the core principle of IABP therapy. (wfsahq.org)
- The magnitude of the effects of IABP counterpulsation on systemic and coronary haemodynamics depends on a number of factors. (wfsahq.org)
- This study was undertaken to analyze morbidity and mortality benefit of IABP counterpulsation in patients with Acute Myocardial Infarction (AMI) Methodology: This cross-sectional study done for three years in the Department of Cardiology of a tertiary care centre in North Karnataka from June 2009 to June 2012. (indjst.org)
- While intra-aortic balloon counterpulsation (IABP), percutaneous MCS devices and left ventricular assist devices are quite common in the ICU setting, this review will focus mainly on use of extracorporeal membrane oxygenation (ECMO) in the ICU. (lww.com)
Balloon4
- Mechanical Support in Early Cardiogenic Shock: What Is the Role of Intra-aortic Balloon Counterpulsation? (eur.nl)
- Intra-aortic balloon counterpulsation in decompensated cardiomyopathy patients: bridge to transplantation or assist device. (semanticscholar.org)
- Intra-aortic balloon counterpulsation , which can be used to provide temporary mechanical circulatory support, is contraindicated in patients with severe AR. (medscape.com)
- Perera D, Stables R, Thomas M, et al Elective intra-aortic balloon counterpulsation during high-risk percutaneous coronary intervention. (bmj.com)
Therapy1
- OBJECTIVES OF THE ASSESSMENT: The Ministère de la Santé et des Services sociaux (MSSS) asked the Agence d'évaluation des technologies et des modes d'intervention en santé (AETMIS) to evaluate the efficacy of photodynamic therapy using porfimer sodium for its approved oncological indications. (bvsalud.org)
Efficacy1
- The Société de l'assurance automobile du Québec (SAAQ) asked the Agence d'évaluation des technologies et des modes d'intervention en santé (AETMIS) to assess the efficacy and safety of t. (bvsalud.org)
Heart2
- Devices are categorized as standard full support, less-invasive full support, partial support: rotary pumps, partial support: counterpulsation devices, right ventricular assist device, and total artificial heart. (elsevier.com)
- This process is called "counterpulsation" and improves blood flow to the heart muscle and reduces its workload. (medmovie.com)
External Counterpulsation Therapy13
- External Counterpulsation Therapy (also known as ECP or EECP) is a safe, non-surgical treatment procedure that delivers great clinical benefits to patients with symptomatic coronary artery disease. (ecptherapy.com)
- External Counterpulsation Therapy has been around for decades dating back to the orginial research at Harvard in the 1950's. (ecptherapy.com)
- The initial use of External Counterpulsation Therapy in the U.S employed a hydraulic mechanism that was later revised in China with today's standard of inflating air (pseumatic) in a sequential format. (ecptherapy.com)
- External Counterpulsation Therapy is FDA approved for the treatment of Angina Pectoris from Coronory Artery Disease. (ecptherapy.com)
- External Counterpulsation Therapy is growing in popularity due to the treatment being a low risk, non-surgical treatment at a fraction of the cost of other traditional invasive procedures. (ecptherapy.com)
- The concept of External Counterpulsation Therapy (ECP and EECP) is quite simple when you think of the natural progression of heart disease. (ecptherapy.com)
- And that is where External Counterpulsation Therapy can be an ideal supplement. (ecptherapy.com)
- The mechanical process of External Counterpulsation Therapy augments the body's natural circulatory process. (ecptherapy.com)
- In other words, External Counterpulsation Therapy restores pathways for adequate & necessary blood flow back to heart through vessels that already exist! (ecptherapy.com)
- The benefits of External Counterpulsation Therapy are proven by over 190 clinical studies in credible US physician review publications. (ecptherapy.com)
- The physical mechanism of External Counterpulsation Therapy delivers oxygenated blood to every vital organ of the body where blockages may exist. (ecptherapy.com)
- Arterial Clearance Therapy / Chelation Therapy and/or EECP (Enhanced External Counterpulsation) Therapy may also be prescribed in certain cases of hypertension with heart disease or high-risk uncontrolled hypertension patients. (ipcheartcentre.com)
- VasoMedical - Biox is a diversified medical technology company specializing in the design, manufacture and sale of medical devices, including EECP® Therapy systems, the gold standard of external counterpulsation therapy, ECG Holter and ambulatory blood pressure monitors (ABPM), analysis and reporting software and its newest addition MobiCare™ a unique, wireless patient monitoring system. (acc.org)
Aortic counterpulsation4
- The modern intra-aortic counterpulsation device, which consists of a balloon mounted on a flexible catheter, was described by Moulopoulos et al at the Cleveland Clinic in 1962. (medscape.com)
- In contrast to the results of previous studies, recent randomized controlled trials (RCTs) failed to show a benefit of prophylactic aortic counterpulsation in high-risk patients undergoing cardiac surgery. (uni-koeln.de)
- Despite contradictory results from recent trials, the present study confirms the findings of previous meta-analyses that prophylactic aortic counterpulsation reduces hospital mortality, incidence of LCOS and ICU requirement in high-risk patients undergoing on-pump cardiac surgery. (uni-koeln.de)
- Intra-aortic counterpulsation balloon support is a most common supportive therapy method which increases coronary and cerebral blood flow in patients with left-sided heart failure. (org.ua)
Therapy7
- ECP therapy is a non-invasive and non-surgical therapy process that uses a medical device to deliver External Counterpulsation (ECP). (lifecare.com.my)
- Several studies on MI and Cardiogenic shock were reported during the 1970's.This book has been written with the basic concept of Enhanced External Counterpulsation (EECP) therapy. (bookpi.org)
- Suggested mechanisms contributing to the clinical benefit of EECP include improvement in endothelial function, promotion of coronary collateralization, enhancement of ventricular function, and peripheral effects similar to those observed with regular physical exercise.Enhanced external counterpulsation (EECP) is a noninvasive outpatient therapy for the treatment of chronic angina. (bookpi.org)
- MAQUET Cardiovascular provides healthcare professionals with products in four business units: Cardiopulmonary (perfusion products), Cardiac Surgery (clampless beating heart and endoscopic vessel harvesting), Vascular Interventions (grafts for vascular surgery), and Cardiac Assist (intra-aortic balloon counterpulsation therapy). (salesandmarketingnetwork.com)
- The Center for Cardiopulmonary Fitness and Wellness in Easton also offers Enhanced External Counterpulsation (EECP), a non-invasive outpatient therapy that may relieve or eliminate symptoms related to chronic angina (chest pain). (umms.org)
- In a recent case study, we found that Enhanced External Counterpulsation (EECP) therapy provides promising results for patients with POTS. (flowtherapy.com)
- As previously reported , Shah was convicted June 14, 2019 of submitting fraudulent claims to private and federal insurance programs between 2008 and 2013 for external counterpulsation (ECP) therapy, a lower limb compression treatment approved for patients with coronary artery disease and refractory angina. (medscape.com)
Balloon counterpulsation following cardiopulmon1
- Stewart S, Biddle T, DeWeese J. Support of the myocardium with intra-aortic balloon counterpulsation following cardiopulmonary bypass. (org.ua)
Evolution of Counterpulsation Techniques1
- The Evolution of Counterpulsation Techniques. (nih.gov)
Percutaneous coronary int1
- Using MRI, researchers have found that intra-aortic balloon pump counterpulsation prior to percutaneous coronary intervention in patients with ST segment elevation myocardial infarction does not reduce infarct size, according to a study presented on Tuesday at the European Society of Cardiology (ESC) congress. (onradinc.com)
Circulation1
- I was just reading that EECP (enhanced external counterpulsation) can significantly improve kidney function by improving circulation. (dr-bob.org)
Coronary collateral2
- Background The efficacy of external counterpulsation (ECP) on coronary collateral growth has not been investigated in a randomised controlled study. (bmj.com)
- In this prospective, controlled, proof-of-concept study the effect of external counterpulsation on coronary collateral artery growth was investigated via invasive pressure measurements. (morebooks.de)
Myocardial4
- Intra-aortic balloon counterpulsation is the most common form of mechanical circulatory support (MCS) used in the setting of myocardial ischemia and cardiogenic shock. (medscape.com)
- Enhanced external counterpulsation (EECP) has been shown to reduce angina and to improve objective measures of myocardial ischemia in patients with refractory angina. (bookpi.org)
- Relative Evaluation of Left Heart Bypass, Whether Pulsatile or Pulseless, with Counterpulsation as Technique for Myocardial Augmentation. (nih.gov)
- Mechanical stimulation of our limbs, have similar external counterpulsation effect, so as to reduce the burden of the heart, make the heart calm, decrease myocardial oxygen consumption, improve cardiovascular function. (escortdubai1.com)
Circulatory2
- Furthermore, it has been observed repeatedly that cardiac patients who undergo EECP ® treatment have seen improvement in circulatory processes in systems other than cardiac (i.e. diabetic neuropathy, PVD, erectile dysfunction, etc.) and these findings will hopefully lead to more research to expand the indications for use of external counterpulsation not just for cardiac patients but for many patients who suffer from diseases of the circulatory system in the future. (vasomedical.com)
- Select appropriate mechanical circulatory support devices, including intra-aortic balloon counterpulsation, axial flow pumps ( Impella), left atrial-femoral bypass (Tandem Heart) and ECMO. (cviphiladelphia.org)
Augmentation2
- However, the hemodynamic effects of EECP are similar to those of intra-aortic balloon counterpulsation, with similar diastolic augmentation and afterload reduction. (medscape.com)
- Left ventricular systolic unloading and augmentation of intracoronary pressure and Doppler flow during enhanced external counterpulsation. (ucsf.edu)
Ambulatory1
- iVAS is the first minimally invasive, long-term, ambulatory counterpulsation device that works in sync with the heart. (nupulsecv.com)
Pump1
- The heart-to-muscle pump synchronization achieved during guided natural counterpulsation is nearly identical to medical forms of mechanical counterpulsation, which have been shown to increase blood flow to the heart, skeletal muscles, and brain. (counterpace.com)
Patients9
- To assess the feasibility of using enhanced external counterpulsation to treat patients with heart failure, 26 patients with stable heart failure (New York Heart Association classes II-III), with a left ventricular ejection fraction at or below 35%, and without fluid overload, were treated with enhanced external counterpulsation (1 hour daily, 5 days a week, to a total of 35 hours). (medscape.com)
- Patients were followed for 6 months after completing the course of enhanced external counterpulsation. (medscape.com)
- This study suggests that enhanced external counterpulsation is safe and well tolerated in patients with stable heart failure, and that a randomized, controlled study of enhanced external counterpulsation in these patients is warranted. (medscape.com)
- [ 5 ] In this series, most patients (25 of 30) achieved hemodynamic stabilization and reversal of shock after the introduction of counterpulsation. (medscape.com)
- Since the early 1970's the first successful clinical studies by Professor Zeng Zhengsheng from China demonstrated external counterpulsation (ECP) increased survival rates of patients during heart attacks and cardiogenic shock, as well as relieved angina pains. (counterpulsation.co.za)
- Enhanced external counterpulsation has been shown to provide long-term symptom relief in patients with ischemic heart disease in several case series, as well as in a randomized trial. (bookpi.org)
- Approximately 1 in every 300 patients with chest pain transported to the ED by private vehicle goes into cardiac arrest en route. (medscape.com)
- EECP ® (Enhanced External Counterpulsation) systems are FDA cleared non-invasive medical devices used as an adjunctive treatment for patients who suffer from coronary artery disease or ischemic heart failure. (vasomedical.com)
- A new article entitled "Can enhanced external counterpulsation as a non-invasive modality be useful in patients with ischemic cardiomyopathy after coronary artery bypass grafting? (eecpforum.com)
Hemodynamic2
- Hemodynamic effects of standard versus larger-capacity intraaortic balloon counterpulsation pumps. (org.ua)
- The hemodynamic efficiencies of natural counterpulsation may provide an important competitive advantage in athletic training and competition. (counterpace.com)
Stimulate1
- Enhanced External Counterpulsation (EECP) may stimulate the openings or formation of collaterals (small branches of blood vessels) to create a natural bypass around narrowed or blocked arteries. (clevelandclinic.org)
Inflation1
- To achieve optimal effect of counterpulsation, inflation and deflation need to be correctly timed to the patient's cardiac cycle. (ispub.com)
Clinical4
- However, although the concept of external counterpulsation was introduced almost four decades ago, and despite growing evidence supporting the clinical benefit and safety of this therapeutic modality, little is firmly established regarding the mechanisms responsible for the beneficial effects associated with this technique. (bookpi.org)
- During the past 25 years, technological and clinical advancement led to the development of EECP ® - Enhanced External Counterpulsation, the therapeutic systems exclusively designed and manufactured by VasoMedical with sequential pneumatic compression to increase retrograde diastolic flow, venous return and systolic unloading, greatly improve the ease of use, patient safety and clinical effectiveness. (vasomedical.com)
- Most other manufacturers of external counterpulsation devices don't have any published clinical evidence showing the efficacy of their device. (vasomedical.com)
- Besides, it's the AHA Demonstration Center (USA), National Atrial Fibrillation Center, National Syncope Center, National Heart Failure Center Construction Unit, National Hypertension Standardization Center and Medical Consortium Certification Unit, and Global External Counterpulsation Clinical Registration Research China Regional Collaboration Center. (div11.com)
Hydraulic2
- Initial equipment for non-Invasive Counterpulsation was hydraulic driven with a single water filled bladder applied in the lower limb. (bookpi.org)
- External counterpulsation (ECP) is a term used to describe systems using a single hydraulic chamber wrapped around the lower extremities. (vasomedical.com)
Treatment1
- Counterpulsation is a treatment method to increase blood flow in the body and reduce workload of the heart. (vasomedical.com)
Visceral1
- Superior mesenteric flow pattern during counterpulsation: is simply a shorter balloon the solution for visceral hypoperfusion? (maastrichtuniversity.nl)
Heart failure1
- Studies on External Counterpulsation as a Potential Measure for Acute Left Heart Failure. (nih.gov)
Significant2
- There were no clinically significant problems associated with the administration of enhanced external counterpulsation. (medscape.com)
- Significant improvements were seen in exercise capacity (peak oxygen uptake and exercise duration), and in quality of life assessments, at 1 week and 6 months after the course of enhanced external counterpulsation. (medscape.com)
Method1
- External counterpulsation is an elegant method to enhance non-invasively the shear stress in the arterial system. (morebooks.de)