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Why Cardiologists Ignore EECP

2017/03/07

What is EECP?
EECP is a mechanical procedure in which long inflatable cuffs (like blood pressure cuffs) are wrapped around both of the patient’s legs.
While the patient lies on a bed, the leg cuffs are inflated and deflated synchronously with each heartbeat. The inflation and deflation are controlled by a computer, which uses the patient’s ECG to trigger inflation early in diastole (when the heart relaxes and is filled with blood), and deflation just as systole (heart contraction) begins. The inflation of the cuffs occurs sequentially, from the lower part of the legs to the upper, so that the blood in the legs is “milked” upwards, toward the heart.
There is some evidence suggesting that physical therapy EECP machine can help induce the formation of collateral vessels in the coronary artery tree, by stimulating the release of nitric oxide and other growth factors in within the coronary arteries. There is also evidence that EECP may act as a form of “passive” exercise, leading to the same sorts of persistent beneficial changes in the autonomic nervous system that are seen with real exercise.

EECP Contraindications

EECP is not recommended for patients who have certain types of valve disease; uncontrolled arrhythmias (irregular heart rhythms); severe hypertension; uncontrolled congestive heart failure; significant blockages or blood clots in the leg arteries; or those who have had a recent cardiac catheterization , angioplasty, or bypass surgery.

EECP Risks

EECP is a relatively safe and effective treatment, and few adverse side effects have been reported.ECP device the main adverse side effect is chafing (skin irritation from the compression of the cuffs). To reduce or prevent this side effect, patients are instructed to wear tight-fitting cycling pants or athletic tights. Leg pain is another adverse side effect.

EECP Normal results

The benefits of EECP are comparable to the results of angioplasty and coronary artery bypass graft surgery: 80% of patients experience significant improvement after EECP treatment. The largest research study on EECP indicates that after receiving treatment, patients used less medication, had fewer angina attacks with less severe symptoms, and increased their capacity to exercise without experiencing symptoms. EECP improves the patient's sense of well-being and overall quality of life; and in some cases, prolongs the patient's life. Benefits five years after EECP treatment are comparable to surgical outcomes.
The effects of EECP treatment last from three to five years and sometimes longer.

Why Cardiologists Ignore EECP:

Large majority of cardiologists are congenitally incapable of embracing an outlandish EECP therapy. It is not within their natures to do so. Since at least 1980, cardiology has been a highly invasive specialty - attracting people who, like surgeons, desire to identify cardiac problems by the most expedient means available - and then get in there and fix it. They want to catheterize, cauterize, angioplasty, valvuloplasty, ablate and stent,ECP machine for heart care. It’s what they spend years of training learning to do; it’s why cardiologists chose that kind of training in the first place.
Besides,EECP has absolutely nothing in common with cardiologists do. Cardiologists take years of specialized training and expertise to be a qualified doctor to do the invasive treatment for patients,which also brings them tremendous prestige.Don’t supposed them drop all that. In order to attach fancy balloons to peoples’ legs, throw a switch, watch them bounce around for an hour, then say, “See you tomorrow?” That’s not cardiology. That’s glorified physical therapy.

Conclusion:

EECP is, in fact, a legitimate form of therapy for stable angina. However, if you have angina that has proved difficult to treat with medication and would like to consider EECP, then you are probably going to have to bring it up yourself. Don’t expect your cardiologist to suggest it. And if you do manage to get referred for EECP therapy, don’t be too surprised if a non-cardiologist ends up providing it.

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Why Cardiologists Ignore EECP

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