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.
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.
Pumping that aids the natural activity of the heart. (Dorland, 27th ed)
Shock resulting from diminution of cardiac output in heart disease.
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.
The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.
Small pumps, often implantable, designed for temporarily assisting the heart, usually the LEFT VENTRICLE, to pump blood. They consist of a pumping chamber and a power source, which may be partially or totally external to the body and activated by electromagnetic motors.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
The circulation of blood through the CORONARY VESSELS of the HEART.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
The portion of the leg in humans and other animals found between the HIP and KNEE.
Devices for the compression of a blood vessel by application around an extremity to control the circulation and prevent the flow of blood to or from the distal area. (From Dorland, 28th ed)

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)

More than 6 million Americans suffer from angina, or chest pain, with as many as 350,000 new cases per year. As the group of people with heart disease increases, so does the group of patients who do not achieve complete relief of their angina despite current aggressive therapies, such as angioplasty and bypass surgery.. Our Cardiac Center offers external counterpulsation (ECP). This is a cardiac care therapy that provides relief from angina without surgery or medication. The treatment is designed to improve heart function by increasing blood flow to the heart muscle and decreasing the hearts workload. Basically, ECP improves the balance between the amount of oxygen the heart needs and the amount it receives.. External counterpulsation is a safe, well-tolerated procedure for treating angina with no significant side effect. Patients report:. ...
Hospitals, clinics and medical centers in Muntinlupa City, Philippines performing EECP treatment (Enhanced external counterpulsation).
April 2, 2009 - Vasomedical Inc. this week conducted two presentations on the beneficial effects of EECP external counterpulsation therapy at the 58th Annual Scientific Session of the American College of Cardiology (ACC) in Orlando.. The external EECP counterpulsation therapy is a noninvasive, outpatient therapy used in the treatment of ischemic cardiovascular diseases, currently used to manage chronic stable angina and heart failure. The therapy increases blood flow and oxygen supply to the heart muscle and other organs and decreases the hearts workload and need for oxygen. Function of the endothelium, the inner lining of blood vessels throughout the body, is also improved, lessening resistance to blood flow. These actions reduce or eliminate symptoms of angina and heart failure, the company said. The first presentation by Randy W. Braith, M.D., Richard C. Conti, M.D., and colleagues from the University of Florida in Gainesville demonstrated that EECP therapy significantly improves brachial ...
While an individual is undergoing ECP, he/she has pneumatic cuffs on his or her legs and is connected to telemetry monitors that monitor heart rate and rhythm. The most common type in use involves three cuffs placed on each leg (on the calves, the lower thighs, and the upper thighs (or buttock)). The cuffs are timed to inflate and deflate based on the individuals electrocardiogram. The cuffs should ideally inflate at the beginning of diastole and deflate at the beginning of systole. During the inflation portion of the cycle, the calf cuffs inflate first, then the lower thigh cuffs and finally the upper thigh cuffs. Inflation is controlled by a pressure monitor, and the cuffs are inflated to about 200 mmHg. ...
Welcome to EECP NOW, a triennial publication dedicated to the exciting world of enhanced external counterpulsation. In this second issue we take a look at the versatility of EECP treatment, answer frequently asked questions about EECP,
Hospitals, clinics and medical centers in Mandaluyong, Philippines performing EECP treatment (Enhanced external counterpulsation).
The results of the PEECH trial demonstrate that 35 1-h sessions of EECP over a period of 7 weeks benefited patients with mild-to-moderate HF and systolic LV dysfunction who were receiving PT. Enhanced external counterpulsation effected a statistically significant increase (p = 0.016) in the percentage of patients exceeding a 60-s improvement in exercise time, making this a positive trial based on the predefined statistical criteria for the primary end-point analysis. However, it must be noted that EECP did not alter the percentage of patients demonstrating an increase of ≥1.25 ml/kg/min in peak Vo2. Consistent with the improvement in the percentage of patients exceeding a 60-s improvement in exercise time, patients receiving active therapy also demonstrated a modest increase in exercise time when assessed as increase from baseline and an improvement in NYHA HF symptoms. These benefits of EECP were demonstrable after completion of EECP therapy as well as for up to 6 months. The active treatment ...
A stroke is usually caused by a blockage of one of the arteries that carries blood to the brain. Sometimes with a stroke, there may be a small amount of blood flow that manages to get through or around the blockage, and it may be possible that the amount of damage from a stroke may be reduced by increasing this blood flow. External counterpulsation (ECP) is a procedure in which a machine uses electrical signals from the heart that are detectable on the surface of the body in order to time the inflation of cuffs (similar to a blood pressure cuff) that are wrapped around a patients legs (calves, thighs and buttocks). Using a reading of the electrical activity from the patients heart (an electrocardiogram, or ECG, monitor), the machine inflates the cuffs with air at just the right time during each heart beat, during diastole, in order to change the blood pressure in a way that has been shown to increase blood flow to the kidneys, skin, eyes, heart, and brain.. In this study, patients presenting ...
Enhanced External Counterpulsation (EECP), therapy for persistant angina. Learn more about it from the nations top ranked heart center.
Learn more about Enhanced External Counterpulsation at Medical City Dallas DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
DataMed is a prototype biomedical data search engine. Its goal is to discover data sets across data repositories or data aggregators. In the future it will allow searching outside these boundaries. DataMed supports the NIH-endorsed FAIR principles of Findability, Accessibility, Interoperability and Reusability of datasets with current functionality assisting in finding datasets and providing access information about them.
EECP (Enhanced External Counterpulsation) is a trademarked term for an enhanced version of the medical treatment External Counterpulsation Therapy.
The cardiac assist device includes a sealed tubular housing for externally applying positive and negative relative pressure to a limb in counterpulsation with heart function. The applicator is assembled, in situ, to provide customized fit. It includes a fabric or sponge-like inner layer cut to size and situated around the limb. Initially deformable material is sized, sealed around the inner fabric layer and then secured by straps or the like to form a relatively rigid, non-expandable tubular shell. The shell may include an interior wall composed of a sheet of hard plastic or articulated sections of hard plastic or metal. The interior wall has a plurality of openings to the sealed shell interior. The exterior shell wall is positioned around the interior wall. The shell walls are spaced apart by radially and/or longitudinally extending spacer elements defining a multi-section air flow chamber between the walls. The interior shell wall and spacer elements may be integral. The spacer elements include
At Buena Park Heart Center (BPHC), we are dedicated to excellence in cardiovascular care with a genuine caring attitude for each patient.
Researchers from Karolinska Institute in Stockholm, Sweden have just had their abstract entitled Increases in Cardiac Output and Oxygen Consumption During Enhanced External Counterpulsation published in Heart Lung Circulation. Heart Lung Circ. 2016 Nov;25(11):1133-1136. doi: 10.1016/j.hlc.2016.04.013. Epub 2016 May 18. Ahlbom M1, Hagerman I2, Ståhlberg M2, Manouras A2, Förstedt G3, Wu E3, Lund LH4. Author information Abstract BACKGROUND: Regular enhanced external counterpulsation (EECP) […]. ...
CMAJ. 170(8):1223-1224, APRIL 13TH, 2004. DOI: 10.1053/cmaj.1031171 , Issn Print: 0820-3946. Publication Date: April 13th, 2004. ...
Buschmann, E. E.; Hillmeister, P.; Persson, A. Bondke; Liebeskind, D. S.; Schlich, L.; Kamenzky, R.; Busjahn, A.; Buschmann, I. R.; Bramlage, P.; Hetzel, A.; Reinhard, M. ...
The patient is usually instructed to wear tight-fitting, seamless cycling pants or athletic tights to prevent chafing, one of the main adverse side effects. Before the procedure, the patients weight, blood pressure, pulse, and breathing rate are measured and recorded. The patients legs are examined for areas of redness and signs of potential vascular problems. The patient is asked to record his or her symptoms during the course of treatment to determine if and how symptoms improve over time. The patient should record the severity and duration of troublesome symptoms, the time the symptoms occurred, and any activities that may have triggered the symptoms. This patient record is reviewed before each treatment session. PATIENT EDUCATION. The health care team will ensure that the patient understands the potential benefits and risks of the procedure. Informative and instructional handouts are usually provided to explain the procedure. Because the procedure requires multiple outpatient visits ...
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Legacy Heart Care, your complete resource for Enhanced External Counter Pulsation or EECP. This Web site, like our Heart Care Centers, is built around you. Helping you understand EECP, get answers to your questions, and take the next step to a healthier and happier life.
Enhanced external counter pulsation is a process using cuffs to compress vessels in your lower limbs to increase blood flow. Learn more about EEC procedures here at Ohio State.
External Counterpulsation Therapy Mechanisms of Action. There is evidence demonstrating improved endothelial function via the hemodynamic effects by the increased shear stress acting on the arterial wall, reducing arterial stiffness and providing protective effects against inflammation, inhibiting intimal hyperplasia and the atherosclerotic process.. There is also evidence that ECP therapy triggers a neurohormonal response that induces the production of growth and vasodilatation factors, which together with the increased pressure gradient created across the occlusive site during ECP Therapy, promotes recruitment of new arteries, while dilating and normalizing the function of existing blood vessels. The collaterals bypass stenoses and increase blood flow to ischemic areas of the heart, leading to improved clinical outcomes.. ...
Intra-aortic balloon counterpulsation therapy has been the first-line strategy for patients requiring mechanical circulatory support for more than 40 years. No other percutaneous support device has proven superiority over IABPs for treating patients with acute coronary syndrome and other complications of heart failure.
For many patients, bypass surgery and stents have not relieved chest pain and other debilitating heart conditions. For some, another surgery is not an option; so many people continue to suffer with chest pain, congestive heart failure, or other heart related conditions. There is another alternative out there that may just be the answer. External counterpulsation therapy is a therapy that has been around for many years. ECP was approved by the FDA in the 1990s and was then approved in 1999 by Medicare. ECP is a safe alternative that is low risk and is a non-evasive procedure. ...
For many patients, bypass surgery and stents have not relieved chest pain and other debilitating heart conditions. For some, another surgery is not an option; so many people continue to suffer with chest pain, congestive heart failure, or other heart related conditions. There is another alternative out there that may just be the answer. External counterpulsation therapy is a therapy that has been around for many years. ECP was approved by the FDA in the 1990s and was then approved in 1999 by Medicare. ECP is a safe alternative that is low risk and is a non-evasive procedure. ...
Enhanced external counterpulsation therapy by its name itself signifies its extraordinary process. EECP is a non-invasive, non-surgical externally stimulated treatment that pulsates the nerves and increases the blood flow to the heart. Undoubtedly, the procedure takes few sessions, but nothing… Continue Reading →. ...
EECP Treatments, Therapies EECP Roxanns Recovery. Whitaker Wellness Institute is Americas largest alternative medicine clinic and wellness center.
Enhanced External Counterpulsation (EECP) is a nonsurgical treatment for angina (chronic chest pain) and other conditions involving poor circulation.
Counterpulsation methods and systems for assisting the heart of a patient involve, for example, coordinating the operation of a pulsatile pump to suction blood from an artery through a blood flow conduit while the heart is in systole and expel the blood into the blood flow conduit and the artery while the heart is in diastole.
They also suggest that coronary angiography may be helpful if initial stress testing is inconclusive or has conflicting results. In terms of SIHD treatment, the guideline writing group updated the recommendation for chelation therapy from Class III: No Benefit to Class IIb indicating the usefulness of chelation therapy is uncertain for reducing cardiovascular events in SIHD patients. Although disodium ethylene diamine tetraacetic acid is approved by the U.S. Food and Drug Administration for specific indications, such as iron overload and lead poisoning, it is not approved for use in preventing or treating cardiovascular disease, they said. However, the writing group chose not to update the 2012 recommendation stating enhanced external counterpulsation (EECP) may be considered to help relieve refractory angina in SIHD patients. After re-examining the scientific evidence the group noted that, in general, existing data, largely from uncontrolled studies, suggest a benefit from EECP among ...
Though coverage for congestive heart failure is not currently provided under Medicare, patients with stable congestive heart failure of ischemic etiology maybe covered under the aforementioned policy if they present with concomitant angina pectoris or angina equivalent symptoms as the primary diagnosis. The Centers for Medicare and Medicaid Services provide additional information on reimbursement. You can search for both national and local coverage decisions on the CMS website, including information on the national coverage decision (NCD) for external counterpulsation ...
TMR is a treatment aimed at improving blood flow to areas of the heart that were not treated by angioplasty or surgery. A special carbon dioxide (CO2) laser is used to create small channels in the heart muscle, improving blood flow in the heart. Frequently, it is performed with coronary artery bypass, occasionally alone.. For patients who have persistent angina symptoms and have exhausted the standard treatments without successful results, 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. EECP is a non-invasive treatment for people who have chronic, stable angina; who are not receiving adequate relief from angina by taking nitrate medications; and who do not qualify for an invasive procedure such as bypass surgery, angioplasty or stenting.. For patients who have persistent angina symptoms and have exhausted the standard treatments without successful ...
Background: Emerging circulatory support devices that operate in counterpulsation to the native heart require synchronized timing of device ejection and filling on a beat-to-beat basis with the native heart using a patients ECG. Surface leads are commonly used for short-term patient monitoring but not appropriate for long-term use, and epicardial and non-thoracotomy leads increase the complexity of the device implant/explant procedures. Subcutaneous leads have been shown to be less susceptible to artifacts than surface leads, require less invasive surgery, and have recently been used successfully with a long-term subcutaneous implantable cardioverter-defibrillator. The objective of this study was to develop subcutaneous ECG leads for synchronized timing (filling and ejection cycles) of the Symphony device and wearable pneumatic driver for chronic counterpulsation therapy. To demonstrate feasibility, we tested the hypothesis that subcutaneous ECG leads provide equivalent QRS detection, lead migration,
EECP therapy or Enhanced External Counter Pulsation therapy is a non-invasive and effective treatment for angina and heart failures. Usually, it is an outpatient treatment of total thirty five hours. Every patient will be treated for an hour a day, five days a week and thus for seven weeks. The patient will made to lie […]
EECP Treatment: EECP (enhanced external counter pulsation) therapy is an outpatient treatment used to improve blood circulation and increase cardiac output. It is normally used for angina and heart failure. In ME/CFS the treatment sessions are 30-45 minutes and are given once a week. During the treatment, the patient lies on a comfortable treatment table with large blood pressure-like cuffs wrapped around the legs and buttocks. These cuffs inflate and deflate continuously at specific times between heartbeats, a continuous electrocardiogram (EKG) set the timing so the cuffs inflate while the heart is at rest, in diastole, when it normally gets its supply of blood and oxygen. The cuffs deflate at the end of that rest period, just before the next heartbeat, systole. When timed correctly, this will decrease the afterload that the heart has to pump against, and increase the preload that fills the heart, increasing the cardiac output ...
Caused by papillary rupture, acute MR can present itself with the following symptoms and signs.. Symptoms/Signs: acute CHF, hypotension, increased pulmonary congestion. Increased Left atrium pressures because no time for left atrial compensatory mechanisms to occur and a V wave seen on the LAP, PAP, or PCWP tracing. On echocardiography, the LV and LA size will be normal (since it just occurred), yet the MR jet V wave will be increased.. Treatment: in the patient with acute severe MR and cardiogenic shock from ischemic rupture of a papillary muscle, pharmacologic support of the left ventricle, often accompanied by mechanical support with IABP counterpulsation, may be necessary.. ...
Measurements and main results: Demographic, status discharge, EF, morbidity and use of resources were evaluated. Statistical analysis was performed with ANOVA of two ways and χ2. An excellent correlation between EF and mortality, reoperations, acute renal failure, multiorganic dysfunction, cardiorrespiratory arrest, and the use of Swanz-Ganz catheter, intra-aortic ballon counterpulsation, mechanical ventilation, dialysis and blood products was observed ...
Among these activities, coronary angioplasty in high-risk patients and those who have had an acute myocardial infarction is of particular importance. The interventional cardiologists of the Monzino Cardiology Centre have, in fact, gained recognised experience in the use of cardio-circulatory support techniques, such as aortic counterpulsation and percutaneous cardiopulmonary bypass, during percutaneous myocardial revascularization procedures in patients with compromised cardiac function.. The Unit also offers prompt availability of medical, nursing and technical staff, 24 hours a day, for primary coronary angioplasty in patients who arrive at the Monzino Cardiology Centre with an acute myocardial infarction. This intervention is now considered the best means of minimising functional damage to the heart pump and decreasing mortality in patients with heart attacks.. ...
Among these activities, coronary angioplasty in high-risk patients and those who have had an acute myocardial infarction is of particular importance. The interventional cardiologists of the Monzino Cardiology Centre have, in fact, gained recognised experience in the use of cardio-circulatory support techniques, such as aortic counterpulsation and percutaneous cardiopulmonary bypass, during percutaneous myocardial revascularization procedures in patients with compromised cardiac function.. The Unit also offers prompt availability of medical, nursing and technical staff, 24 hours a day, for primary coronary angioplasty in patients who arrive at the Monzino Cardiology Centre with an acute myocardial infarction. This intervention is now considered the best means of minimising functional damage to the heart pump and decreasing mortality in patients with heart attacks.. ...
EVIDENCE OF CLINICAL EFFICACY OF COUNTERPULSATION THEARPY METHODS Springer, December 2014 Abstract Although heart transplantation remains the ultimate treatment for end-stage heart failure, its epidemiological impact is limited by donor organ availability. Surgical and device-based approaches have been introduced with the aim of increasing systemic perfusion and in some circumstances promoting left ventricular recovery by […]. Read More. ...
The Cardiac Rehab Specialist in an RN who works in Cardiac Rehab inpatient and outpatient departments. Duties include ambulation, education and promotion of outpatient program to cardiac population inpatients post-acute MI, CABG, Heart failure and cardiac cath. Outpatient departments include evaluation, education and telemetry monitoring of cardiac patients during early recovery and long term maintenance programs and EECP therapy administration ...
Medical grade battery for DataScope - Mindray 95 Intra-Aorta Balloon Pump replaces manufacturer part 0146-00-0039. The output of this battery is 12.0V and the capacity is 18.0Ah. Batteryheads part LIF00928-1
Bauer (Sawyer), Patricia W. (Ph.D.). The Effects of Past Pregnancy Physical Activity Participation on Current Physical Activity, Barriers to Physical Activity, & Body Size, & the Validation of a Historical Physical Activity Recall Tool (Pivarnik). Colon, Geffrey (Ph.D.) Examination of Physical Education Teachers Perceived Preparation and Perceived Competence to Teach (Branta/Feltz). Coughlin, Adam (Ph.D.). Acute and Chronic Effects of Enhanced External Counterpulsation on Hemostatic Factors in CVD Patients (Womack). Dompier, Thomas P. (Ph.D). A Non-Invasive Method of Maturity Estimation and Intrinsic Risk Factors for Injury in Youth Football Players: Analysis of the 2002 and 2003 Seasons (Powell). Ferrara, Merissa (Ph.D.). The Effect of Self-Efficacy, Outcome Expectations, and Social Communication on Adherence to a Meal Replacement Program (Pivarnik). Learman, Jerome (Ph.D.). Comparison of Selected Kinesthetic Performance Variables from Two Different Weight Training Methods (Brown). Mackowiak, ...
There was no instant improvement in blood pressure or heart rate among sufferers in whom an intraaortic balloon pump was inserted, in comparison with those who didnt possess a balloon pump inserted. Although there is a positive aftereffect of intraaortic balloon counterpulsation on multiorgan dysfunction at day time 2 and day 3, as assessed with the use of the SAPS II, this impact had not been evident at day 4. There were also no significant results on C-reactive proteins level or serum lactate level, that have been assessed as measures of tissue and inflammation oxygenation. Experimental and clinical research have indicated that intraaortic balloon counterpulsation results in a hemodynamic benefit because of afterload reduction and diastolic augmentation with improvement in coronary perfusion.17 However, the consequences on cardiac output are modest and might not be sufficient to lessen mortality.17 In a recent, small, randomized trial, there were no significant variations in cardiac power ...
CRISP AMI: Intra-aortic Balloon Counterpulsation and Infarct Size in Patients with Acute Interior Myocardial Infarction Without Shock. -Trial Overview by Dr. Magnus Ohman and Dr. Manesh Patel (ESC 2011). IABP-SHOCK II: Randomized comparison of intra-aortic balloon counterpulsation versus optimal medical therapy in addition to early revascularization in acute myocardial infarction complicated by cardiogenic shock. -Trial Overview by Dr. Holger Thiele (ESC 2012). PROTECT II: Prospective Multicenter Randomized Trial Comparing IMPELLA to IABP in High Risk PCI. -90-Day Results by Dr. John Lasala (C3 Complex Intervention Meeting 2011) ...
This is the first report demonstrating the ability of IABC to improve CBF in a patient with vasospasm. We suggest that IABC is a rational treatment option in select patients with refractory cerebral vasospasm who do not respond to traditional treatment measures.
Since the first description of the coronary collateral circulation in 1958,15 extensive investigations have been performed to elucidate the mechanisms that stimulate coronary collateral growth. Buschmann and colleagues16 were able to show a significant increase in collateral formation after 7 weeks of intermittent external counterpulsation in 23 patients with stable CAD in comparison with an inactive control group. An increase of collateral blood flow was detected by Zbinden in a nonrandomized clinical trial in 40 patients10 following regular physical exercise, performed 3 times a week over 3 months. However, PCI of the diseased vessel was performed before exercise training was initiated, which eliminated any possible ischemic trigger of collateral formation.. The underlying mechanism for increasing collateral blood flow has been the center of considerable debate.17 There are 2 distinct mechanisms that can be activated in the presence of ischemia caused by a flow-limiting lesion in an epicardial ...
Indications for use of the intraaortic balloon pump have expanded as advances in the treatment of heart disease have continued. The intraaortic balloon pump is the most widely used circulatory assist device inserted as short term or long term therapy
BACKGROUND AND OBJECTIVES: The use of IABP is helpful for haemodynamic stability of patients with low cardiac output and compromised left ventricular function in patients who undergo coronary artery bypass grafting. This procedure is also associated
Intraaortic balloon pump support has been demonstrated to be of clinical benefit when used therapeutically and prophylactically in high-risk patients undergoing percutaneous transluminal coronary angioplasty (PTCA). Afterload reduction and post-PTCA-enhanced coronary blood flow afforded by diastolic augmentation during intraaortic balloon pumping provides hemodynamic stabilization, attenuates clinical perturbations of myocardial ischemia, and may provide an important bridge to emergent coronary bypass surgery following abrupt vessel closure complicating PTCA. Recent studies demonstrate a reduction in cardiac morbidity and improved coronary artery patency among patients receiving prophylactic intraaortic balloon pumping after establishing infarct artery reperfusion during acute cardiac catheterization for acute myocardial infarction. A modest increase in cardiac output (20-30%), the requirement of a stable, regular cardiac rhythm, peripheral vascular disease and aortic insufficiency
kos″tŏ-kon-drīt′ĭs) [cost- + chondritis] Inflammation of the costochondral joints of the chest, which can cause chest pain. The pain of costochondritis can sometimes be distinguished from other, more serious forms of chest pain by its reproducibility on palpation of the involved joints and the absence of abnormalities on chest x-ray examinations, electrocardiograms, and blood tests. SYN: Tietze syndrome. SEE: arthritis. ...
TY - JOUR UR - http://lib.ugent.be/catalog/pug01:7037711 ID - pug01:7037711 LA - eng TI - Is there a place for intra-aortic balloon counterpulsation support in acute right ventricular failure by pressure-overload? PY - 2015 JO - (2015) INTERNATIONAL JOURNAL OF CARDIOLOGY SN - 0167-5273 PB - 2015 AU - Vanden Eynden, Frédéric GE10 000120959808 AU - Mets, Gilles AU - De Somer, Filip GE10 801002082325 0000-0001-7113-4565 AU - Bouchez, Stefaan 002005599884 AU - Bové, Thierry GE10 000080791094 ER ...
Fingerprint Dive into the research topics of Early and long-term results of NIR stent implantation in patients with symptomatic coronary artery disease who underwent single vessel percutaneous coronary angioplasty. Together they form a unique fingerprint. ...
ABSTRACT. The mortality rate for cardiogenic shock has decreased over the past decade. These improvements are presumed to reflect increased use of intraaortic ballon counterpulsation and coronary reperfusion strategies which, by restoring patency to the infarct-related artery, can limit infarct size. Despite these therapeutic measures, mortality rates remain elevated. Current strategies are aimed at decreasing reperfusion times and measures to preserve and prolong myocardial cell viability. References. ...
Enhanced exterior counterpulsation (EECP) is a non\invasive assisted circulation technique and a rich pool of evidence has accumulated for its clinical application in the prevention and management of multiple comorbidities in the elderly population, including angina, heart failure, ischemic cerebrovascular diseases, neurodegenerative diseases, sleep disorder, diabetes and its own complications, ischemic eyes diseases, unexpected hearing loss and erection dysfunction, aswell simply because various psychiatric and psychological conditions. of EECP EECP as well as the intra\aortic balloon pump (IABP) are helped circulation methods. IABP simply because Epirubicin Hydrochloride tyrosianse inhibitor an intrusive treatment can be used for circulatory support in cardiogenic surprise. For the working concepts, EECP and IABP are equivalent for the reason that both attain improvement in coronary blood flow and myocardial contractility through electrocardiogram\gated, mechanised diastolic enhancement in the ...
TY - JOUR. T1 - Current and future treatment strategies for refractory angina. AU - Yang, Eric H.. AU - Barsness, Gregory W.. AU - Gersh, Bernard J.. AU - Chandrasekaran, Krishnaswamy. AU - Lerman, Amir. PY - 2004/10. Y1 - 2004/10. N2 - Patients with refractory angina are not candidates for revascularization and have both class III or IV angina and objective evidence of ischemia despite optimal medical therapy. An estimated 300,000 to 900,000 patients In the United States have refractory angina, and 25,000 to 75,000 new cases are diagnosed each year. This review focuses on treatment strategies for refractory angina and includes the mechanism of action and clinical trial data for each strategy. The pharmacological agents that have been used are ranolazine, ivabradine, nicorandll, L-arginine, testosterone, and estrogen; currently, only L-arginine, testosterone, and estrogen are approved by the Food and Drug Administration. Results with the noninvasive treatments of enhanced external ...
Results. The overall incidence of CNS complications was 19.8% (78/393) in heart transplantation, 3.1% (176/5734) in elective CABG, 9.5% (161/1689) in elective valve surgery, 10.3% (15/146) in emergency CABG and 51.3% (20/39) in emergency valve surgery. Most powerful predictors of CNS complications were preoperative intra-aortic counterpulsation (IABP) in the heart transplantation group, age >65 years in the CABG group and preoperative use of catecholamine in the valve group ...
Selfies are a fun way of taking in-the-moment shots, but they can also magnify what patients want to change about their appearance. Thats where noninvasive treatments can help.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
Introduction Angina pectoris is the most common symptomatic manifestation of ischaemic heart disease (IHD), and is usually caused by an imbalance between myocardial oxygen supply and demand. Standard therapy for angina pectoris includes pharmacological agents, such as rate-limiting drugs and vasodilators. When sym ...
This simple, effective angina treatment helps over 80% of patients resolve symptoms for 3-5 years with no drugs and no surgery required.
Preliminary results from a randomized trial of a device for refractory angina were positive, and renal denervation will be studied in U.S. patients with moderate uncontrolled hypertension.
What is HIFU? High Intensity Focused Ultrasound is noninvasive treatment that kills prostate tissue with precision focused sound waves using MRI image guidance.
An FDA-cleared, noninvasive treatment approach that utilizes neural stimulation to desensitize patients to the disturbing impact of tinnitus has achieved consistently positive results in a controlled clinical study in Australia.
... 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 ...
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. ...
... and enhanced external counterpulsation, or EECP, for treatment of chest pain. In 2007, Lourdes began employing cool, pulsed ...
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 ...
Enhanced external counterpulsation (EECP): Pneumatically assisting the heart to move blood using inflatable cuffs on the legs. ...
In 2001, Lam was the first doctor in Singapore to conduct an Enhanced External Counterpulsation for coronary artery disease in ...
... counterpulsation technology. Datascope is a diversified cardiovascular device company that develops, manufactures and markets ...
Based on Kantrowitz's theory of "counterpulsation", the device inflated the balloon with helium gas when the heart relaxed and ...
Assessment of types of shock Assessment of therapy Afterload reduction Vasopressors Beta blockers Intra-aortic balloon counter-pulsation ...
... in which blood is treated with a photosensitizing agent and subsequently irradiated with light External counterpulsation, a non ...
... electrophysiology service Catheter ablation Pacemaker and defibrillator implants Enhanced external counterpulsation (EECP), the ...
Experimental and Clinical Aortic Counterpulsation: its Evaluation with a Novel Non-invasive Index 2001 he was awarded the Luis ...
... counterpulsation MeSH E04.050.215.400 - intra-aortic balloon pumping MeSH E04.050.430 - heart-assist devices MeSH E04.062.249 ...
"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- ...
... 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 ...
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? ...
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 ...
Dr. Suvro Banerjee, famous heart specialist in kolkata, has dome may research and clinical trials about heart diseases also undertakes treatment of coronary Artery Diseases and different kinds of heart diseases etc, now practising at apollo hospitals in kolkata, India.
Gothwal A, Mittal S. No-option Patients-Role of Enhanced External Counterpulsation. Indian Heart Journal. 2006 May-Jun; 58(3 ...
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 ...
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? / 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?. ...
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 ...
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 ...
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 ...
Counterpulsation and dobutamine. Their use in treatment of cardiogenic shock due to right ventricular infarct. Arch Intern Med ...
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 ...
Counterpulsation and dobutamine. Their use in treatment of cardiogenic shock due to right ventricular infarct. Arch Intern Med ...
John Hui, Medical Pioneer of Enhanced External Counterpulsation (EECP®) Therapy Passes Away. * Quote ... John Hui, Medical Pioneer of Enhanced External Counterpulsation (EECP®) Therapy Passes Away. General discussion topics for ...
Enhanced external counterpulsation. Enhanced external counterpulsation (EECP) may be an option to relieve your angina. Your ... HeartHealthyWomen.org: "EECP: What is enhanced external counterpulsation (EECP)?". Cleveland Clinic: "Enhanced external ...
Enhanced external counter pulsation (EECP) therapy. This procedure can stimulate the blood vessels smaller branches to create ... Enhanced external counter pulsation therapy can also encourage blood vessels to form extra branches that could naturally bypass ...
IABP-SHOCK II: Randomized comparison of intraaortic balloon counterpulsation versus optimal medical therapy in addition to ... 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 ... 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 ...
Intra-aortic balloon counterpulsation (IABP) to help the heart work better. *Pacemaker ...
Two high-dose inotropic medications (Including intraaortic counter pulsation). Respiratory support (2). Murray score ,3.0 based ...
Counter Pulsation System. Cryostat. Cryosurgical Unit. CT Chiller. CT Coach (w/o CT) ...
EECP, Enhanced External Counterpulsation http://www.eecp.com Electrical Intramuscular Stimulation http://www.eims.org ...
Intraaortic balloon counterpulsation: patterns of usage and outcome in cardiac surgery patients. Creswell LL, Rosenbloom M, Cox ...
And I also was using Enhanced External Counterpulsation (EECP) in our practice; that was something that I got wrong -- again, I ...
Pulmonary Artery Balloon Counterpulsation for Right Ventricular Failure: II. Clinical Experience. Moran, J. M., Opravil, M., ...
External Counterpulsation (ECP) Therapy ECP therapy is a clinically proven, non-invasive treatment option available to patients ...
Enhanced external counterpulsation (EECP). *Fitness center. *Guided imagery. *Healing touch. *Imaging and early detection ...
  • 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 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)
  • 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)
  • 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)
  • 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)
  • 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)
  • 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 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)
  • 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)
  • 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)
  • Stewart S, Biddle T, DeWeese J. Support of the myocardium with intra-aortic balloon counterpulsation following cardiopulmonary bypass. (org.ua)
  • The Evolution of Counterpulsation Techniques. (nih.gov)
  • 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)
  • I was just reading that EECP (enhanced external counterpulsation) can significantly improve kidney function by improving circulation. (dr-bob.org)
  • 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)
  • 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)
  • 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)
  • 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)
  • iVAS is the first minimally invasive, long-term, ambulatory counterpulsation device that works in sync with the heart. (nupulsecv.com)
  • 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)
  • 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)
  • 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)
  • 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)
  • To achieve optimal effect of counterpulsation, inflation and deflation need to be correctly timed to the patient's cardiac cycle. (ispub.com)
  • 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)
  • 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)
  • Counterpulsation is a treatment method to increase blood flow in the body and reduce workload of the heart. (vasomedical.com)
  • Superior mesenteric flow pattern during counterpulsation: is simply a shorter balloon the solution for visceral hypoperfusion? (maastrichtuniversity.nl)
  • Studies on External Counterpulsation as a Potential Measure for Acute Left Heart Failure. (nih.gov)
  • 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)
  • External counterpulsation is an elegant method to enhance non-invasively the shear stress in the arterial system. (morebooks.de)