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Writer's pictureJoe Caceres

Introduction to Enhanced External Counterpulsation (EECP): What Every Patient Should Know


EECP Treatment Beds at Buena Park Heart Center
EECP Treatment Beds at Buena Park Heart Center

Heart health is a top concern for millions around the world. While many treatments and interventions exist for cardiac conditions, not all of them involve invasive procedures or surgeries. One such non-invasive treatment gaining attention in recent years is Enhanced External Counterpulsation, popularly known as EECP. If you or someone you know is considering EECP or just curious about it, this guide will provide an overview of what it is, how it works, and its potential benefits.


1. What is EECP?


EECP is a non-invasive outpatient treatment for patients suffering from chronic angina (chest pain due to reduced blood flow to the heart) and some forms of heart failure. It's a procedure that enhances blood flow to the heart and throughout the body, aiming to improve oxygen delivery to the heart muscle and reduce symptoms of angina.


2. How Does EECP Work?


At its core, EECP uses a series of inflatable cuffs (similar to blood pressure cuffs) which are wrapped around the patient's legs. These cuffs inflate and deflate in sync with the patient's heartbeat.


When the heart is at rest (between beats), the cuffs inflate, which pushes blood upwards and enhances blood flow to the coronary arteries. This counterpulsation action increases oxygen supply to the heart. When the heart beats, the cuffs deflate, reducing the heart's workload.



3. What Does an EECP Session Look Like?


During an EECP session, the patient lies on a treatment table, and ECG (electrocardiogram) electrodes are placed on their chest to monitor the heart's rhythm. The cuffs are then wrapped around the calves, lower thighs, and upper thighs. A typical session lasts about an hour, with the treatment course often consisting of 35 sessions spread over 7 weeks.



4. Who Can Benefit from EECP?


While EECP is not a one-size-fits-all solution, it's particularly beneficial for:

  • Patients with chronic stable angina who haven't found relief with medications.

  • Those who are not suitable candidates for surgical interventions like angioplasty or bypass surgery.

  • Patients with certain forms of heart failure, where improved circulation can enhance quality of life.


5. Benefits of EECP


  • Non-invasive: Unlike surgeries, EECP doesn’t involve incisions, general anesthesia, or long hospital stays.

  • Reduced Symptoms: Many patients report a significant reduction in angina, increased energy, and improved quality of life after undergoing the treatment.

  • Improved Blood Flow: Beyond just the heart, EECP can improve blood flow in other parts of the body, potentially benefiting conditions like peripheral artery disease.


6. Potential Side Effects


As with any treatment, there are potential side effects. However, EECP side effects are generally mild and can include leg pain or numbness, fatigue, and skin irritation from the cuffs.


In Conclusion


Enhanced External Counterpulsation (EECP) offers a promising alternative to invasive cardiac procedures. By improving blood flow and oxygenation to the heart, it has the potential to offer relief to those suffering from chronic heart conditions. If you believe you might benefit from EECP, consult with your cardiologist to discuss the treatment's potential risks and benefits in detail.

Stay tuned to our blog for more insights on innovative treatments in cardiology and how they can shape a heart-healthy future!





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