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Writer's pictureEECP Heart Therapy

EECP as a Therapeutic Option for Chronic Angina




Chronic angina, a persistent chest pain caused by coronary artery disease, can significantly impact a person's quality of life. While conventional treatments such as medications and surgical interventions are often effective, some patients may not achieve adequate relief or may be unable to undergo invasive procedures. At PULSE EECP Therapy, we offer Enhanced External Counterpulsation (EECP) as a non-invasive, evidence-based therapeutic option for managing chronic angina.


Understanding Chronic Angina


Chronic angina occurs when the heart muscle does not receive sufficient blood flow due to narrowed or blocked coronary arteries. This lack of oxygen-rich blood can cause chest pain, discomfort, or pressure, which may worsen during physical activity or emotional stress [1].


Patients with chronic angina often experience limitations in their daily activities and a reduced quality of life. Managing chronic angina typically involves a combination of lifestyle modifications, medications, and, in some cases, surgical interventions such as coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) [2].


The Role of EECP in Treating Chronic Angina


EECP is a non-invasive therapy that has shown remarkable success in alleviating symptoms of chronic angina. The treatment involves the use of inflatable cuffs wrapped around the patient's legs, which are synchronized with the heartbeat to enhance blood flow throughout the body, particularly to the heart muscle [3].


Several studies have demonstrated the efficacy of EECP in managing chronic angina:


  • The MUST-EECP trial, a multicenter study, found that EECP significantly reduced angina episodes and improved exercise tolerance in patients with chronic stable angina [4].

  • A meta-analysis by Qin et al. (2016) concluded that EECP was an effective and safe treatment for patients with angina, improving symptoms, quality of life, and exercise capacity [5].

  • The PEECH trial showed that EECP improved exercise duration and quality of life in older patients with heart failure and angina [6].


Benefits of EECP for Chronic Angina Patients


EECP offers several advantages for patients with chronic angina:


  • Non-invasive: EECP is a non-invasive therapy that does not require medication or surgical intervention, making it an attractive option for patients who may not be suitable candidates for invasive procedures [3].

  • Long-lasting relief: The benefits of EECP can persist for months or even years after the completion of treatment, providing long-term relief from angina symptoms [7].

  • Improved quality of life: By reducing angina episodes and increasing exercise tolerance, EECP can help patients engage in daily activities with fewer limitations and improve their overall quality of life [4, 5].

  • Complementary to other treatments: EECP can be used in conjunction with conventional medical therapies and lifestyle modifications to optimize angina management [8].


Personalized Care at PULSE EECP Therapy


At PULSE EECP Therapy, we are dedicated to providing comprehensive, individualized care for patients with chronic angina. Our team of experienced medical professionals works closely with each patient to develop a tailored treatment plan that incorporates EECP therapy, lifestyle modifications, and ongoing support.


We offer state-of-the-art facilities and a patient-centric approach to ensure that each individual receives the highest quality care in a comfortable and supportive environment. If you are living with chronic angina and seeking an effective, non-invasive treatment option, we encourage you to reach out to our team at PULSE EECP Therapy to learn more about how EECP can help you manage your symptoms and improve your quality of life.


References:


[1] Ohman, E. M. (2016). Chronic stable angina. New England Journal of Medicine, 374(12), 1167-1176.


[2] Kalra, A., Bhatt, D. L., & Stone, G. W. (2018). Stable ischemic heart disease: focus on revascularization strategies. Circulation Research, 123(12), 1408-1422.


[3] Manchanda, A., & Soran, O. (2007). Enhanced external counterpulsation and future directions: step beyond medical management for patients with angina and heart failure. Journal of the American College of Cardiology, 50(16), 1523-1531.


[4] Arora, R. R., Chou, T. M., Jain, D., Fleishman, B., Crawford, L., McKiernan, T., & Nesto, R. W. (1999). The multicenter study of enhanced external counterpulsation (MUST-EECP): effect of EECP on exercise-induced myocardial ischemia and anginal episodes. Journal of the American College of Cardiology, 33(7), 1833-1840.


[5] Qin, X., Deng, Y., Wu, D., Yu, L., & Huang, R. (2016). Does enhanced external counterpulsation (EECP) significantly affect myocardial perfusion?: A systematic review & meta-analysis. PloS one, 11(4), e0151822.


[6] Feldman, A. M., Silver, M. A., Francis, G. S., De Lame, P. A., Parmley, W. W., Knudtson, M., ... & PEECH Investigators. (2002). Enhanced external counterpulsation improves exercise tolerance in patients with chronic heart failure. Journal of the American College of Cardiology, 48(6), 1198-1205.


[7] Lawson, W. E., Hui, J. C., Lang, G. (2000). Treatment benefit in the enhanced external counterpulsation consortium. Cardiology, 94(1), 31-35.


[8] Fihn, S. D., Blankenship, J. C., Alexander, K. P., Bittl, J. A., Byrne, J. G., Fletcher, B. J., ... & Smith, P. K. (2014). 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Journal of the American College of Cardiology, 64(18), 1929-1949.


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