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)
Exclusive legal rights or privileges applied to inventions, plants, etc.
The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
Either of two fleshy protuberances at the lower posterior section of the trunk or HIP in humans and primate on which a person or animal sits, consisting of gluteal MUSCLES and fat.
Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Surgery performed on the heart.
Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.
The number of times an organism breathes with the lungs (RESPIRATION) per unit time, usually per minute.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
The use of statistical methods in the analysis of a body of literature to reveal the historical development of subject fields and patterns of authorship, publication, and use. Formerly called statistical bibliography. (from The ALA Glossary of Library and Information Science, 1983)
A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).

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. ...
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 ...
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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
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. ...
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 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. ...
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 ...
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 ...
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.
... and enhanced external counterpulsation (EECP) for treatment of chest pain. In 2007, Lourdes began employing cool, pulsed laser ...
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. ...
... counterpulsation technology. Datascope is a diversified cardiovascular device company that develops, manufactures and markets ...
... in which blood is treated with a photosensitizing agent and subsequently irradiated with light External counterpulsation, a non ...
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 ...
Intra-aortic balloon counter-pulsation. *Assessment of fluid requirement in critically ill patients *Hemorrhage ...
... 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 ... Qin X, Deng Y, Wu D, Yu L, Huang R (2016). "Does Enhanced External Counterpulsation (EECP) Significantly Affect Myocardial ... Amin F, Al Hajeri A, Civelek B, Fedorowicz Z, Manzer BM (17 February 2010). "Enhanced external counterpulsation for chronic ...
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 ... Qin X, Deng Y, Wu D, Yu L, Huang R (2016). "Does Enhanced External Counterpulsation (EECP) Significantly Affect Myocardial ... Amin F, Al Hajeri A, Civelek B, Fedorowicz Z, Manzer BM (17 February 2010). "Enhanced external counterpulsation for chronic ...
Create healthcare diagrams like this example called Counterpulsation in minutes with SmartDraw. SmartDraw includes 1000s of ... Counterpulsation. Create healthcare diagrams like this example called Counterpulsation in minutes with SmartDraw. SmartDraw ... Counterpulsation. Image on left shows thorax with intra-aortic balloon catheter introduced via the femoral artery. Center image ...
... and left ventricular dysfunction respond very well to treatment using enhanced external counterpulsation (EECP), with little or ... and left ventricular dysfunction respond very well to treatment using enhanced external counterpulsation (EECP), with little or ...
External Counterpulsation (ECP) has improved the quality of their lives; it has allowed many to perform normal activities of ... External CounterPulsation (ECP) Centers,Looking for a way to help your patients with chronic angina or end stage cardiovascular ... External CounterPulsation (ECP) Centers. Features. ECP Clinical Benefits Clinical studies have shown that ECP treatment ... External Counterpulsation (ECP) has improved the quality of their lives; it has allowed many to perform normal activities of ...
... includes a sealed tubular housing for externally applying positive and negative relative pressure to a limb in counterpulsation ... High efficiency external counterpulsation apparatus and method for controlling same. USRE24357 *. Dec 18, 1953. Sep 17, 1957. ... 4. An external counterpulsation cardiac assist device for use on a body segment of a patient comprising means for receiving air ... External counterpulsation (ECP) device for use in an ambulance or the like for heart attack patients to limit heart muscle ...
... H. El-Halawany,1,2,3 A. Bajwa,1,2 M. Shobassy,1,2 A. ... Intra-aortic balloon pump counterpulsation (IABP) has been shown to prolong life in critically ill cardiac patients. However, ...
Enhanced external counterpulsation (EECP) is a treatment for chronic, stable chest pain known as angina. Angina happens when ... Enhanced external counterpulsation for chronic angina pectoris. Cochrane Database of Systematic Reviews. 2010;2:CD007219. ... Manchanda A, Soran O. Enhanced external counterpulsation and future directions: step beyond medical management for patients ... Enhanced external counterpulsation. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/disorders/cad/ ...
Enhanced External Counterpulsation (EECP), therapy for persistant angina. Learn more about it from the nations top ranked ... Home / Health Library / Treatments & Procedures / Enhanced External Counterpulsation (EECP) Enhanced External Counterpulsation ... Enhanced External Counterpulsation (EECP) may stimulate the openings or formation of collaterals (small branches of blood ...
Care guide for Intra-aortic Balloon Counterpulsation Pump. Includes: possible causes, signs and symptoms, standard treatment ... What is an intra-aortic balloon counterpulsation pump?. An intra-aortic balloon counterpulsation pump (IABP) is a device that ...
Counterpulsation (IABP). Intra-aortic Balloon Counterpulsation therapies for the operating room or critical care enhance ... Counterpulsation Therapy: Should we continue to use it? * Treatment Strategies for the Complex Decompensated Heart Failure ... Web Seminar: Hemodynamics of Counterpulsation. The Intra-aortic balloon pump (IABP) has been the first-line choice for ... Assess the physiologic effects of Intraaortic Balloon Counterpulsation (IABP) therapy. *Understand the clinical utility of IAB ...
... for external counterpulsation (ecp) therapy for severe angina (20.20). ... External counterpulsation (ECP), commonly referred to as enhanced external counterpulsation, is a noninvasive outpatient ... External Counterpulsation (ECP) for Severe Angina - Version 1, Effective between 11/15/2001 - 3/20/2006. ... Original consideration for External Counterpulsation (ECP) Therapy (CAG-00002N) opens in new window ...
Intra-aortic balloon counterpulsation therapy has been the first-line strategy for patients requiring mechanical circulatory ... The purpose of this session is to share an experts experience on the use of counterpulsation therapy in the treatment of ... larger-capacity intra-aortic balloon counterpulsation pumps. The first reported patient comparison on 40cc vs. 50cc supports ...
Care guide for Intra-aortic Balloon Counterpulsation Pump (Discharge Care). Includes: possible causes, signs and symptoms, ... An intra-aortic balloon counterpulsation pump (IABP) is a device that is used for a short time to help your heart work normally ... Learn more about Intra-aortic Balloon Counterpulsation Pump (Discharge Care). Micromedex® Care Notes. *Intra-aortic Balloon ...
EECP is a safe, non-invasive outpatient treatment at Scripps for angina. Learn about EECP benefits, who is a candidate and what happens during treatment.
Learn more about Enhanced External Counterpulsation at Medical City Dallas DefinitionReasons for ProcedurePossible ... Enhanced external counterpulsation (EECP) is a treatment for chronic, stable chest pain known as angina . Angina happens when ... Enhanced external counterpulsation for chronic angina pectoris. Cochrane Database of Systematic Reviews. 2010;2:CD007219. ... Manchanda A, Soran O. Enhanced external counterpulsation and future directions: step beyond medical management for patients ...
In another thread here, I mentioned the use of EECP, or Enhanced External Counterpulsation. This was recently mentioned at a Dr ... Enhanced External Counterpulsation (EECP) may stimulate the openings or formation of collaterals (small branches of blood ... HealingWell.com Forum , Diseases & Conditions , Heart & Cardiovascular Disease , EECP, or Enhanced External Counterpulsation ...
External Counterpulsation (ECP) is an ingenious method for treating angina that doesnt use drugs, is non-invasive, inexpensive ... The History of Counterpulsation. [Counterpulsation9]. Kantrowitz and Kantrowitz were the first to describe the principle of " ... 4One major company representing counterpulsation devices, Cardiomedics, uses the term ECP for external counterpulsation. See ... 3 This procedure is called either External Counterpulsation (ECP)4 or Enhanced External Counterpulsation (EECP)5 and has ...
External Counterpulsation More than 6 million Americans suffer from angina, or chest pain, with as many as 350,000 new cases ... External counterpulsation is a safe, well-tolerated procedure for treating angina with no significant side effect. Patients ... Our Cardiac Center offers external counterpulsation (ECP). This is a cardiac care therapy that provides relief from angina ...
External Counterpulsation. Counterpulsation, Diastolic. Ultrasonography, Doppler, Transcranial. Blood Flow Velocity. Neurologic ... External counterpulsation (ECP) is a procedure in which a machine uses electrical signals from the heart that are detectable on ... Safety Study of External Counterpulsation as a Treatment for Acute Ischemic Stroke (CUFFS). This study has been completed. ... The purpose of this study is to determine if external counterpulsation (ECP) is feasible to perform, tolerable, and safe as a ...
The objective of this research was to study the vascular complications in patients with IABP counterpulsation. We observed the ...
A counterpulsation device that operates without the use of compressed air or pressurized gas includes at least one inflatable ... Unitary external counterpulsation device US20060058715A1 (en) * 2004-09-14. 2006-03-16. Hui John C. External counterpulsation ... Counterpulsation device using noncompressed air US10723070 US20040106885A1 (en) 1997-08-18. 2003-11-26. Counterpulsation device ... Counterpulsation device using noncompressed air US11050121 US20050137507A1 (en) 1997-08-18. 2005-02-03. Counterpulsation device ...
Enhanced External Counterpulsation (EECP). In Surviving with Heart: Taking Charge of Your Heart Care. Golden, CO: Fulcrum ... The concept of counterpulsation is not new (it was first introduced in the late 1950s at Harvard), but the computerized ... Enhanced External Counterpulsation in the Management of Patients with Cardiovascular Disease. Clinical Cardiology 22 (1999): ... Enhanced external counterpulsation (EECP) is a noninvasive procedure in which a set of inflatable cuffs (much like blood ...
Intra-aortic balloon counterpulsation (IABCP) improves impaired left ventricular (LV) performance associated with myocardial ...
CMAJ. 170(8):1223-1224, APRIL 13TH, 2004. DOI: 10.1053/cmaj.1031171 , Issn Print: 0820-3946. Publication Date: April 13th, 2004. ...
2.4.1 External Counter Pulsation Device Market Concentration Rate. 2.4.2 External Counter Pulsation Device Market Share of Top ... 1 External Counter Pulsation Device Overview. 1.1 Product Overview and Scope of External Counter Pulsation Device. 1.2 ... 6.1.2 External Counter Pulsation Device Product Type, Application and Specification. 6.1.2.1 Adult External Counter Pulsation ... 6.2.2 External Counter Pulsation Device Product Type, Application and Specification. 6.2.2.1 Adult External Counter Pulsation ...
The device that achieves this sensation is called the External Counterpulsation (ECP) device, which works by placing cuffs on ...
... sham-controlled study of enhanced external counterpulsation (EECP) in the treatment of chronic stable angina. We previously ... The Multicenter Study of Enhanced External Counterpulsation (MUST-EECP) was the first prospective, randomized, blinded, ... Effects of enhanced external counterpulsation on health-related quality of life continue 12 months after treatment. A substudy ... The Multicenter Study of Enhanced External Counterpulsation (MUST-EECP) was the first prospective, randomized, blinded, sham- ...
Counterpulsation effectively maintained an adequate arterial pressure and dopamine therapy was discontinued. Counterpulsation, ... Simultaneous use of dobutamine hydrochloride along with counterpulsation was associated with a noticeable increase in cardiac ... is the first reported case of right ventricular infarct complicated by shock in which the simultaneous use of counterpulsation ...
This leads to a counter pulsation of the blood. *When the heart contracts, the cuffs quickly deflate and relax. The sensation ... Enhanced external counterpulsation (EECP) is a procedure for the treatment of angina, heart failure or cardiomyopathy. It ... EECP (Enhanced External Counterpulsation) Treatment in Mandaluyong. Hospitals, clinics and medical centers in Mandaluyong, ...
  • Does Enhanced External Counterpulsation (EECP) Significantly Affect Myocardial Perfusion? (wikipedia.org)
  • Patients with angina (chest pain) and left ventricular dysfunction respond very well to treatment using enhanced external counterpulsation (EECP), with little or no future heart failure events, according to researchers from the Cardiovascular Institute at the University of Pittsburgh Medical Center (UPMC) . (news-medical.net)
  • Enhanced external counterpulsation (EECP) is a treatment for chronic, stable chest pain known as angina . (epnet.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)
  • In another thread here, I mentioned the use of EECP, or Enhanced External Counterpulsation . (healingwell.com)
  • 3 This procedure is called either External Counterpulsation (ECP) 4 or Enhanced External Counterpulsation (EECP) 5 and has recently received FDA approval for treatment for ischemic heart disease. (kurzweilai.net)
  • Enhanced external counterpulsation (EECP) is a noninvasive procedure in which a set of inflatable cuffs (much like blood pressure cuffs) mechanically compress the blood vessels in the patient's lower limbs to increase blood flow in the coronary arteries of the heart. (surgeryencyclopedia.com)
  • The concept of counterpulsation is not new (it was first introduced in the late 1950s at Harvard), but the computerized technology currently available with EECP makes it a relatively new procedure, introduced less than 10 years ago. (surgeryencyclopedia.com)
  • The Multicenter Study of Enhanced External Counterpulsation (MUST-EECP) was the first prospective, randomized, blinded, sham-controlled study of enhanced external counterpulsation (EECP) in the treatment of chronic stable angina. (rti.org)
  • Hospitals, clinics and medical centers in Mandaluyong, Philippines performing EECP treatment (Enhanced external counterpulsation). (health-tourism.com)
  • Enhanced external counterpulsation (EECP) is a procedure for the treatment of angina, heart failure or cardiomyopathy. (health-tourism.com)
  • 1. Whether enhanced external counterpulsation (EECP) results in improvement of heart muscle pumping function in ischaemic heart disease and heart failure patients. (isrctn.com)
  • The PEECH (Prospective Evaluation of Enhanced External Counterpulsation in Congestive Heart Failure) trial assessed the benefits of enhanced external counterpulsation (EECP) in patients with mild-to-moderate heart failure (HF) receiving protocol-defined pharmacologic therapy. (onlinejacc.org)
  • Enhanced external counterpulsation (EECP) is a noninvasive, pneumatic technique that utilizes electrocardiogram-gated diastolic inflation of a series of lower-extremity cuffs to effectively increase diastolic and mean intracoronary pressures as well as coronary flow while reducing systolic pressure in the central aorta and the coronary artery ( 1 ). (onlinejacc.org)
  • Enhanced external counterpulsation (EECP) is a therapeutic option for these patients. (diva-portal.org)
  • To determine wether the application of 35 hours of Enhanced External Counterpulsation (EECP) in patients suffering from significant coronary artery disease leads to an improvement of myocardial perfusion and whether this improvement is due to recruitment and proliferation of collateral arteries. (isrctn.com)
  • Enhanced external counterpulsation (EECP) is a non-invasive technique that has been shown to be effective in reducing both angina and myocardial ischemia in patients not responding to medical therapy and without revascularization alternatives. (biomedcentral.com)
  • EECP is a non-invasive counterpulsation technique, which uses three sets of pneumatic cuffs wrapped around the lower extremities. (biomedcentral.com)
  • 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. (dicardiology.com)
  • 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. (dicardiology.com)
  • For example, the patients treated with EECP in the Multicenter Study of Enhanced External Counterpulsation reported a reduction in angina episodes and decrease in nitrate use beyond the duration of therapy. (eecphearttherapy.com)
  • This timing mechanism distinguishes them from those who make other external counterpulsation (ECP) equipment, and makes the EECP machine by far the most clinically effective device on the market. (eecphearttherapy.com)
  • Enhanced external counterpulsation (EECP) is a mechanical form of treatment for angina. (eecphearttherapy.com)
  • Posted in EECP , EECP Heart Therapy , Enhanced External Counterpulsation Therapy and tagged eecp heart therapy , eecp side effects , eecp therapy review , external counterpulsation , extracorporeal counterpulsation therapy . (eecphearttherapy.com)
  • Dr. S. Ramasamy 1 is a cardiologist and noninvasive cardiology consultant specializing in heart failure management, whose innovative work centers around the use of enhanced external counterpulsation (EECP). (printmastergroup.com)
  • But what people don't know is there's another option called EECP, enhanced external counterpulsation. (printmastergroup.com)
  • EECP is a treatment name trademarked by VasoMedical, so what we're really talking about here is the concept of external counterpulsation or ECP. (printmastergroup.com)
  • Enhanced external counterpulsation (EECP) was first developed as ECP (External Counter Pulsation) at Harvard University in the 1950s but was overshadowed by the development of coronary bypass surgery, coronary angioplasty and stenting. (eecpcn.com)
  • Enhanced external counterpulsation (EECP) has been approved by the United States Food and Drug Administration (FDA) for management of refractory angina (Class IIb). (eecpcn.com)
  • We examined the impact of second-hand smoke (SHS) exposure on symptomatic improvement in patients with chronic ischemic coronary disease undergoing enhanced external counterpulsation (EECP). (biomedcentral.com)
  • Enhanced external counterpulsation (EECP) is a non-invasive treatment for chronic, refractory angina that involves the sequential inflation of three sets of lower-extremity cuffs during diastole, leading to increased venous return and cardiac output, systolic unloading, and augmentation of the coronary artery perfusion pressure. (biomedcentral.com)
  • Enhanced external counterpulsation (EECP ® ) is a noninvasive treatment that is proven safe and effective in patients with coronary artery disease (CAD) and heart failure (HF). (trinityheartcare.com)
  • Enhanced external counterpulsation (EECP ® ) is a noninvasive technique for treatment of symptomatic coronary artery disease in patients not amenable to revascularization procedures. (trinityheartcare.com)
  • Mechanisms responsible for anti-ischemic benefits of enhanced external counterpulsation (EECP ® ) remain unknown. (trinityheartcare.com)
  • Enhanced External Counterpulsation (EECP ® ) has emerged as a promising non-invasive modality not only for patients with refractory angina pectoris (RAP) but also for patients with heart failure. (trinityheartcare.com)
  • External Counterpulsation (EECP/ECP) Therapy is included in the latest Guidelines for evaluation and management of cerebral collateral circulation in ischaemic stroke 2017. (eecpforum.com)
  • and enhanced external counterpulsation (EECP) for treatment of chest pain. (wikipedia.org)
  • Rationale, aims and objectives The aim of this study was to compare acute hospital utilization and costs for patients with refractory angina pectoris undergoing spinal cord stimulation (SCS) versus enhanced external counterpulsation (EECP). (diva-portal.org)
  • Chelation Therapy Coimbatore, EECP(Enhanced External Counterpulsation)tamilnadu, coimbatore, EECP at PGS hospital, EECP-Non Surgical Bypass Treatment. (pgshospital.com)
  • 35% despite pharmacological therapy received 35 hours of enhanced external counterpulsation (EECP) over a period of 7 weeks. (omicsdi.org)
  • The authors propose that, given the high morbidity and mortality and limited pharmacological options available for these patients, Enhanced External Counterpulsation (EECP) could be a safe and cost-effective treatment option. (ieecps.org)
  • FIG. 1 illustrates one embodiment of a system for delivering counterpulsation therapy via muscular stimulation. (justia.com)
  • FIG. 2 illustrates an embodiment of a system for delivering counterpulsation therapy via muscular stimulation that utilizes an implantable cardiac device. (justia.com)
  • Counterpulsation therapy via muscular stimulation has a number of advantages over the conventional manner of delivering counterpulsation therapy by external compression of extremities. (justia.com)
  • External counterpulsation therapy (ECP) is a procedure that may be performed on individuals with angina, heart failure, or cardiomyopathy. (wikipedia.org)
  • External counterpulsation (ECP), commonly referred to as enhanced external counterpulsation, is a noninvasive outpatient treatment for coronary artery disease refractory to medical and/or surgical therapy. (cms.gov)
  • The purpose of this session is to share an expert's experience on the use of counterpulsation therapy in the treatment of patients at high risk for cardiovascular compromise during percutaneous coronary intervention considering current evidence, risk of complication, and cost. (getinge.com)
  • Counterpulsation effectively maintained an adequate arterial pressure and dopamine therapy was discontinued. (biomedsearch.com)
  • To our knowledge, this is the first reported case of right ventricular infarct complicated by shock in which the simultaneous use of counterpulsation and dobutamine therapy resulted in a substantial increase in cardiac output. (biomedsearch.com)
  • Because these new trial results validate the safety and clinical benefits of IAB therapy, physicians should continue to turn to IAB counterpulsation as first-line hemodynamic support. (maquet.com)
  • KZN Counterpulsation Therapy is one of the most advanced external counterpulsation ECP clinics in the South Africa. (drugster.info)
  • Although many studies have confirmed the efficacy of thrombolytic therapy in acute myocardial infarction, few pressure on coronary thrombolysis, and none have previously investigated the effects of intraaortic balloon counterpulsation on thrombolysis. (onlinejacc.org)
  • An improved system for delivering external counterpulsation therapy is described. (justia.com)
  • External counterpulsation (ECP) therapy is a non-invasive, outpatient therapy used in the treatment of cardiac disease. (justia.com)
  • Described herein is an improved system and method for delivering external counterpulsation therapy that involves direct stimulation of skeletal muscle and/or vascular smooth muscle in synchronization with the cardiac cycle in a manner that increases the fluid pressure within veins and/or arteries during cardiac diastole. (justia.com)
  • As described above, the basic idea of counterpulsation therapy is to increase fluid pressure within blood vessels during cardiac diastole. (justia.com)
  • Periodic application of counterpulsation therapy is useful in the treatment of patients having a number of cardiac conditions. (justia.com)
  • It has also been found that increased aortic pressure brought about by counterpulsation therapy induces the formation of coronary collateral vessels. (justia.com)
  • Another advantage is that, unlike conventional external counterpulsation therapy, pressure can be increased in blood vessels located in body regions other than extremities. (justia.com)
  • Enhanced External counterpulsation therapy is a procedure performed on individuals with angina or heart failure or cardiomyopathy in order to diminish their symptoms ischemia, improve functional capacity and quality of life. (wordpress.com)
  • Although several studies have demonstrated the importance of establishing and maintaining a patent infarct-related artery, it remains unclear as to whether intra-aortic balloon counterpulsation (IABP) provides incremental benefit to reperfusion therapy. (umassmed.edu)
  • Enhanced external counterpulsation: A novel therapy for angina. (trinityheartcare.com)
  • Treatment options for refractory angina pectoris: enhanced external counterpulsation therapy. (trinityheartcare.com)
  • IMSEAR at SEARO: Sequential external counterpulsation: an adjunctive therapy for patients with chronic coronary artery disease and left ventricular dysfunction. (who.int)
  • Kasliwal RR, Mittal S, Kanojia A, Bhatia ML, Kronzon I, Trehan N. Sequential external counterpulsation: an adjunctive therapy for patients with chronic coronary artery disease and left ventricular dysfunction. (who.int)
  • We assessed the clinical and haemodynamic improvement with 3 weeks of sequential external counterpulsation (SECP) therapy in 23 patients with chronic coronary artery disease (CAD) and left ventricular (LV) dysfunction who were refractory to maximal tolerated doses of medical therapy and in whom intervention or surgery was not contemplated. (who.int)
  • Effects of enhanced external counterpulsation on arterial stiffness and myocardial oxygen demand in patients with chronic angina pectoris. (trinityheartcare.com)
  • Effect of enhanced external counterpulsation on clinical symptoms, quality of life, 6-minute walking distance, and echocardiographic measurements of left ventricular systolic and diastolic function after 35 days of treatment and at 1-year follow up in 47 patients with chronic refractory angina pectoris. (trinityheartcare.com)
  • Intra-aortic balloon pump counterpulsation (IABP) has been shown to prolong life in critically ill cardiac patients. (hindawi.com)
  • An intra-aortic balloon counterpulsation pump (IABP) is a device that is used for a short time to help your heart work normally. (drugs.com)
  • The objective of this research was to study the vascular complications in patients with IABP counterpulsation. (biomedsearch.com)
  • Intraaortic balloon pump counterpulsation (IABP) is one type of mechanical hemodynamic support, and it has emerged as the single most widely used circulatory assist device. (drugster.info)
  • Herein, we provide visual evidence of the effects of intra-aortic balloon pump (IABP) counterpulsation for a patient with peripheral VA-ECMO cannulation. (biomedcentral.com)
  • This case visually demonstrates effective LV decompression by IABP counterpulsation in VA-ECMO support. (biomedcentral.com)
  • Early vascular complications of intraaortic balloon counterpulsation in patients undergoing open heart surgery. (biomedsearch.com)
  • The study was designed to test the hypothesis that in the presence of moderate hypotension, intraaortic balloon counterpulsation would enhance coronary thrombolysis induced by intravenous administration of recombinant tissue-type plasminogen activator (rt-PA). (onlinejacc.org)
  • The effects of intraaortic balloon counterpulsation on aortic pressure, coronary blood flow and coronary thrombolysis were studied in a canine model. (onlinejacc.org)
  • Intraaortic balloon counterpulsation significantly increased aortic diastolic pressure. (onlinejacc.org)
  • Corresponding to the increase in pressure, intraaortic balloon counterpulsation significantly increased the rate of rt-PA-induced coronary thrombolysis. (onlinejacc.org)
  • These results indicate that in the presence of moderate systemic hypotension, intraaortic balloon counterpulsation enhances the rate of rt-PA-induced coronary thrombolysis. (onlinejacc.org)
  • The effect of intraaortic balloon counterpulsation on regional myocardial blood flow and oxygen consumption in the presence of coronary artery stenosis in patients with unstable angina. (jamanetwork.com)
  • Our results show that intra-aortic balloon counterpulsation applied in addition to extracorporeal membrane oxygenation further improves the microflow. (qxmd.com)
  • Enhancing cerebral perfusion with external counterpulsation after ischaemic stroke: how long does it last? (bmj.com)
  • Intra-aortic balloon counterpulsation: a treatment for ischaemic stroke? (elsevier.com)
  • Fingerprint Dive into the research topics of 'Intra-aortic balloon counterpulsation: a treatment for ischaemic stroke? (elsevier.com)
  • External counterpulsation is a safe, well-tolerated procedure for treating angina with no significant side effect. (mayoclinichealthsystem.org)
  • Intra-aortic balloon counterpulsation (IABC) has long been the preferred method for mechanically supporting blood circulation. (respiratoryupdate.com)
  • Intra-aortic balloon counterpulsation (IABC) augments cardiac output (CO) and pulse pressure (PP) allowing patients with low output heart failure to be supported for a period of time. (elsevier.com)
  • We previously established the ability of intra-aortic balloon counterpulsation (IABC) to improve cerebral blood flow (CBF) significantly in a canine model of cerebral vasospasm. (nih.gov)
  • Intra-aortic balloon counterpulsation (IABCP) improves impaired left ventricular (LV) performance associated with myocardial ischemia. (ovid.com)
  • Brodie BR, Stuckey TD, Hansen C, Muncy D. Intra-aortic balloon counterpulsation before primary percutaneous transluminal coronary angioplasty reduces catheterization laboratory events in high-risk patients with acute myocardial infarction. (jamanetwork.com)
  • Enhanced external counterpulsation improves peripheral artery flow-mediated dilation in patients with chronic angina: a randomized sham-controlled study. (trinityheartcare.com)
  • It therefore makes sense that External counterpulsation (ECP), which improves collateral circulation throughput the cardiovascular system would be an effective method for improving blood flow to the brain post stroke. (eecpforum.com)
  • External counterpulsation (ECP) has previously been used to treat cardiac patients via compression of the lower extremities during diastole to increase venous return and coronary perfusion. (humankinetics.com)
  • Though a non-invasive device itself, we see that external counterpulsation had its origins in a very invasive device, the intra-aortic balloon pump. (kurzweilai.net)
  • New results from a prospective, randomized, multi-center trial of the Impella CP heart pump (Abiomed) versus intra-aortic balloon (IAB) counterpulsation in patients with cardiogenic shock demonstrated no improvement in mortality with the Impella CP device and significantly more bleeding and hemolysis complications. (maquet.com)
  • Counterpulsation provided greater coronary flow (CoF) augmentation, but had a lower reduction in LVEW compared to partial percutaneous LVAD support. (deepdyve.com)
  • After phlebotomy, during a 15-min interval of intravenous administration of rt-PA, coronary thrombolysis and coronary flow were determined during and in the absence of counterpulsation. (onlinejacc.org)
  • Although not statistically significant, peak diastollic coronary flow tended to increase with counterpulsation. (onlinejacc.org)
  • 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. (google.com)
  • Counterpulsation pumps when the heart is resting to increase blood flow and oxygen to the heart. (drugster.info)
  • Counterpulsation stops pumping when the heart is working to decrease the heart's workload and lessen oxygen demand. (drugster.info)
  • Clinical effects of enhanced external counterpulsation treatment in patients with ischemic heart failure. (trinityheartcare.com)
  • Continuous flow (CF) left ventricular (LV) assist devices (LVAD) with LV or left atrial (LA) inlet, counterpulsation devices, percutaneous CF LVAD, and intra-aortic rotary blood pumps (IARBP) were quantified using established computer simulation and mock flow loop models. (deepdyve.com)
  • Effects of enhanced external counterpulsation on skeletal muscle gene ex. (datamed.org)
  • Intra-aortic balloon counterpulsation (IAoBC) is a mechanical circulatory support device that has been used for more than 50 years, mainly for cardiogenic shock. (winfocus.org)
  • The device that achieves this sensation is called the External Counterpulsation (ECP) device, which works by placing cuffs on the lower and upper legs that apply compression as patients relax. (diabetes.co.uk)
  • The cuffs of counterpulsation bed adopt the Siamese-style design based on the curve of human body. (eecpmachine.com)
  • The purpose of this study is to determine if external counterpulsation (ECP) is feasible to perform, tolerable, and safe as a treatment for patients with acute ischemic stroke (i.e., a blockage of one of the arteries supplying a part of the brain), and to assess what type of effect it might have on 1) the velocity of blood flow in the arteries supplying the brain and 2) stroke symptoms. (clinicaltrials.gov)
  • Background Enhanced external counterpulsation reduced angina symptoms and extended time to exercise-induced ischemia in patients with coronary artery disease, angina, and normal left ventricular function. (onlinejacc.org)
  • provided the first evidence that counterpulsation could enhance the development of coronary collateral circulation. (kurzweilai.net)
  • Impact of enhanced external counterpulsation on Canadian Cardiovascular Society angina class in patients with chronic stable angina: a meta-analysis. (trinityheartcare.com)
  • According to these models for a stroke volume of 70 ml, between 0.4 and 1.0 W is required for counterpulsation at a frequency of 1.33 Hz against a restorative spring, depending on the spring constant chosen. (asme.org)
  • Is there a way in which Interventional Cardiologists utilize IECP ‘Increase External Counterpulsation ’ along with their catheterization procedures? (drugster.info)
  • Is there a place for intra-aortic balloon counterpulsation support in acute right ventricular failure by pressure-overload? (ugent.be)
  • Vanden Eynden F, Mets G, De Somer F, BOUCHEZ S, BOVE T. Is there a place for intra-aortic balloon counterpulsation support in acute right ventricular failure by pressure-overload? (ugent.be)
  • 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? (ugent.be)
  • In 1983, Zheng and associates at Sun Yat Sen University in China designed a sequenced pneumatic external counterpulsation system, which produced excellent results in cases of coronary insufficiency. (kurzweilai.net)
  • It can automatically measure and calculate the ratio of diastole wave and the ratio of area in the counterpulsation, and can display simultaneously to help evaluate, analyze and summary the effect of counterpulsation. (eecpmachine.com)
  • Performance of a cardiac assist device pumping chamber in counterpulsation was evaluated using numerical simulations of the unsteady, three-dimensional flow inside the chamber and an analytical model of the force required to eject and fill the chamber. (asme.org)
  • These favorable results led a number of scientists in the U.S. to begin research into external counterpulsation. (kurzweilai.net)
  • Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry. (jamanetwork.com)

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