Enhanced External Counterpulsation
|The Cardiovascular System|
|EECP pushes blood back toward the heart to reduce the heart's workload.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Your medicines are not working well enough
- You are not a good candidate for surgery
- Your doctor wants you to try nonmedical alternative before considering surgery
- You have had surgery but are still having chest pain
- Your heart function, known as ejection fraction (EF), is less than 35% and you are not having active symptoms of shortness of breath—Talk to your doctor about your EF.
- You are still having symptoms after being given all appropriate medicines for your heart
- Decreased need for angina medicines
- Decrease in symptoms of angina
- Ability to do activities (eg, exercise) without angina
- Improved heart function if a lack of oxygenated blood flow is a problem
- Bruising or blisters
- Bleeding if your blood is too thin
- Leg or waist pain
- Worsening of heart failure in people who have certain heart rhythm abnormalities
- Severe heart failure
- Certain heart valve problems (e.g. significant aortic insufficiency or regurgitation )
- Problems with heart rhythm ( arrhythmias )
- High blood pressure you cannot control with medicines
- Blockages in the veins or arteries of your legs ( peripheral arterial disease )
- Recent heart catheterization
- Severe chronic obstructive pulmonary disease (COPD)
- Aneurysm (bulging) of the aorta or dissection (tear)
What to Expect
Prior to Procedure
- Discuss your medical history
- Discuss any medicines you are taking—Your doctor may not recommend EECP if you take blood thinners, like heparin or warfarin .
- Answer any questions you have about the procedure
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
Call Your Doctor
- Severe chest pain (feels tight or heavy)
- Shortness of breath
- Numbness or tingling in shoulder, arm, or wrist
- Symptoms not relieved with medicine
American Heart Association http://www.heart.org/
National Heart Lung and Blood Institute http://www.nhlbi.nih.gov/
Canadian Cardiovascular Society http://www.ccs.ca/
Heart and Stroke Foundation of Canada http://www.heartandstroke.com/
Amin F, Al Hajeri A, Civelek B, et al. Enhanced external counterpulsation for chronic angina pectoris. Cochrane Database of Systematic Reviews . 2010;2:CD007219.
EECP: what is enhanced external counterpulsation (EECP)? HeartHealthyWomen.org website. Available at: http://www.hearthealthywomen.org/treatment-and-recovery/enchanced-external-counterpulsation-eecp/eecp.html . Accessed July 13, 2011.
Enhanced external counterpulsation. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/disorders/cad/eecp.aspx . Accessed July 13, 2011.
Enhanced external counterpulsation (EECP). The Ohio State University Medical Center Heart and Vascular center website. Available at: http://medicalcenter.osu.edu/heart/conditions/pages/treatments/eecp.aspx . Accessed July 13, 2011.
How is angina treated? National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/dci/Diseases/Angina/Angina%5FTreatments.html . Accessed July 13, 2011.
What is angina? American Heart and Stroke Association website. Available at: http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm%5F300287.pdf . Accessed July 13, 2011.
Manchanda A, Soran O. Enhanced external counterpulsation and future directions: step beyond medical management for patients with angina and heart failure. J Am Coll Cardiol . 2007;50(16):1523-1531.
- Reviewer: Michael J. Fucci, DO
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -