Following is the procedure of EECP:
- You will be lying comfortably on special therapy bed.
- Your pulse, blood pressure and oxygen saturation is monitored prior to initiating treatment.
- Pair of three adjustable cuffs are wrapped around your calves, lower thigh and upper thigh including buttocks.
- You are hooked up to an ECG interpreted micro-processor to activate the cuff.
- Cuffs inflate sequentially starting with the calf cuff then lower thigh and lastly the upper thigh including the buttocks at the onset of diastole and cuffs deflate abruptly just prior to systole ,allowing a rapid drop in vascular impedance and consequently, cardiac afterload. After completion of one hour treatment again your vitals (pulse. BP and oxygen saturation) will be checked.
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Course of EECP
The initial course of EECP therapy involves 35 consecutive one hour sessions. During an EECP clinic visit, a patient lies on a comfortable bed and has blood pressure-type cuffs wrapped around his or her calves and thighs. Cardiac monitoring wires are attached to the patient’s chest to record the heart beat, and then the EECP pumping console rapidly inflates and deflates the leg cuffs in time with the heart beat. The immediate result of this pumping is to dramatically improve blood flow back into the heart while simultaneously reducing the heart’s workload.
The EECP treatment gently but firmly compresses the blood vessels in the lower limbs to increase blood flow to your heart. Each wave of pressure is electronically timed to the heartbeat, so that the increased blood flow is delivered to your heart at the precise moment it is relaxing. When the heart pumps again, pressure is released instantaneously. This lowers resistance in the blood vessels in the legs so that blood may be pumped more easily from your heart.
EECP may encourage blood vessels to open small channels that become extra branches. These channels or collaterals may eventually become “natural bypass” vessels to provide blood flow to heart muscle. This contributes to the relief of angina symptoms.
A course of 35 hours is the usual treatment regimen.
One hour per day, six days per week for almost six weeks.