It stands for Enhanced External Counter Pulsation.
What is the difference between EECP®️ and ECP?
The technology of reversing heart ischemia without surgery by enhancing coronary collateral flow using external pneumatic lower limbs cuffs synchronized to the diastolic phase of cardiac cycle is generally known as ECP (External Cardiac Pulsation). EECP®️ is a registered trademark of a certain ECP machine marketed by the Vasomedical, Inc. In terms of form and functions, both are basically the same and the term EECP®️ and ECP are often used interchangeably.
How does ECP reverse heart ischemia?
This technology of pumping blood into the coronary arteries when the heart is in the relaxed phase has been developed since 1953 by the Kantrowitz brothers from Harvard University. They invented the IABP (Intra Aortic Balloon Pump) which has been refined over the years and still being used today to treat cardiogenic shock. This procedure is highly invasive and only highly skilled Interventional Cardiologists are qualified to perform this procedure.
However, due to IABP's effectiveness in improving the heart coronary blood flow, this concept of 'diastolic augmentation' has been modified from 'internal-IABP' to 'external-ECP' by Dr.Sarnoff and Dr. Birtwell to enable more people both healthy and sick, to have access to this technology to improve blood circulations to the heart, brain, kidneys and liver effectively.
The milking of of blood from the lower-limbs in a sequential manner from calf to thigh to buttocks are able to increase blood flow to the heart as much as 20-40%. EECP®️/ECP is able to increase blood flow to the heart and vital organs without any surgery, painlessly and without needles. ECP does so by compressing the lower limbs and buttocks using pneumatic cuffs effectively.
Does it mean any massage machine that compresses the legs is able to achieve the same effectiveness as EECP?
No. Diastolic augmentation is only effective when the counter pulsation machine is able to generate a peak diastolic arterial waveform that is 1.5 to 2 times higher than the peak systolic arterial waveform. Thus the timing accuracy and the effective pressure transmission of the ECP machine are two vital features that make ECP therapeutic compared to an ordinary calf massage machine.
Why is it that I have never heard of ECP treatment before?
ECP is a disruptive innovation that could change the course of heart disease progression if the intervention is timely. The more ECP is proven to be effective in reducing the number of heart attacks, the less cases of heart bypass and angioplasty may be possible in the near future. If the medical facility you visit considers this scenario as a conflict of interest, you will most probably not hear of ECP being promoted. However, heart centers offering holistic heart treatment would have the ECP incorporated in their heart rehabilitation module.
To date ECP is available in more than 40 countries in the world. Now ECP is also available in Kota Kinabalu @ DamaiMedic Oasis Medi-Hub. You can call +6016-4117100 for more info about EECP/ECP therapy.
Who will benefit from ECP therapy? Those who have:
- Chest pain (stable angina)
- Known heart blockages
- Stenting and bypass surgery done previously
- Poor energy and easy fatigability
- High risk factor for diabetes, hypertension, hypercholesterolemia.
- Sedentary lifestyle (no exercise)
- Need for general well-being
If you have any of these conditions below, ECP is not advisable:
- Pregnant
- Arrhythmias
- Aortic Aneurysm
- Blood Pressure more than 180/110mmHg
- Pacemaker/ Defibrillator
- Pulmonary Hypertension
- Acute Decompensated Heart Failure
- Haemorrhagic Stroke
- Venous Thrombosis in Lower Limbs
- On Warfarin with INR >3.0
- Bleeding Disorders
What is the mechanism of ECP?
Well, let the Dr Wong Teck Wee, the Interventional Cardiologist explain:
Well, let the Dr Wong Teck Wee, the Interventional Cardiologist explain:
What are the evidences to prove ECP therapy really works?
The European Society of Cardiology (ESC) has given the recommendation of Class IIa with Level of Evidence B in their clinical guideline for patients with Refractory Angina Pectoris.
Major EECP studies like IEPR2, MUST-EECP and PEECH Trial provide convincing evidences on the role of EECP in cardiovascular care.
To view more research papers on the effectiveness of EECP Click Here
Very useful info ! Thanks
ReplyDeleteUseful & informative 👍
ReplyDeleteThis comment has been removed by the author.
ReplyDeleteGood info Thanks !
ReplyDeleteqInformasi yang sangat membantu bagi mereka yang tertanya-tanya apakah itu EECP..
ReplyDeleteWah.. Good Information DamaiMedic.. (y)
ReplyDeleteGood info!
ReplyDeleteGood Eecp info.
ReplyDeletei already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have go to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr ohunyom, in the net from a lady called Angela i contacted him and he reassured me with him herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally fee from #Herpes. i want to say a very big thank you to DR ohunyom for what he has done in my life. feel free to leave him a message on email drohunyom@gmail.com and also WhatsApp him +2349060579973..
ReplyDeleteHe can still be able to help you with this herbs medicine:
1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT
The greatest Joy in my life today is that i have been cured of Herpes by a Doctor called Dr Ogudugu, I was infected with HERPES Disease in 2019, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution,so that my body can be okay. Until one faithful day as i was browsing on the internet I saw a testimony on how Dr Ogudugu has helped people in curing Herpes and other diseases, quickly copied his WhatsApp number so i contacted him for solution for my Herpes disease, So Dr Ogudugu told me that his going to prepare his herbal medicine for my health which he sent to me, luckily after 2week my Herpes was cured. Dr Ogudugu is well recognize as one of the best herbalist doctor in Africa, you don't have to be sad anymore or cry anymore on this disease when the cure is available. The medicine has NO SIDE EFFECT,there's no special diet when taking the medicine. He also cure ALS, HIV AIDS, CANCER, HPV, DIABETES and lots more.
ReplyDeleteFor enquiries:
E-mail: greatogudugu@gmail.com
WhatsApp: +2348063739701