EECP/ESMR Treatment

More than 1500 bypass surgeries were performed.

EECP/ESMR Treatment


What Is EECP?

Enhanced External Counter Pulsation (EECP) is performed as a non-invasive treatment to lower the number and intensity of angina episodes. Treatment is administered through three pairs of external inflatable cuffs that are applied around the lower legs, upper legs and buttocks. These cuffs continuously inflate and deflate between the resting period of the heartbeat and increase blood returned to the heart. The basic principle of EECP treatment involves increasing the amount of blood returning to the heart, which helps supply more oxygen to its starved areas. With more oxygen available, the heart can function much more efficiently and therefore reduce chest pain.
The treatment schedule includes 7 weeks of continuous treatments, which require daily visits for one hour, Monday through Friday.

    Who Is Eligible for EECP Treatment?

    • Individuals are eligible for treatment if they have:
    • Had coronary artery bypass (CABG) or stents placed in the coronary arteries with ongoing angina.
    • Had no prior bypass or stenting but continue to suffer from angina.

    Who Should Not Seek EECP Treatment?

    • Patients who should not undergo EECP include those with:
    • Hypertrophic cardiomyopathy
    • Congenital heart disease
    • Valvular disease

    • Enlarged heart
    • Pacemaker
    • Hemorrhage
    • Atrial fibrillation (Afib)
    • Pulmonary hypertension

    • Clot in their body
    • Peripheral artery disease (PAD), also called peripheral vascular disease (PVD)
    • Severe elevated blood pressure
    • Heart rate greater than 120 beats per minute


    ESMR or Extracorporeal Shockwave Myocardial Revascularization is also known as Non invasive Cardiac Angiogenesis therapy (Ni-CATh). ESMR therapy is a new non invasive therapy approach which uses Extracorporeal Shockwave technology to improve the blood supply to heart muscles. This shockwave therapy causes new blood vessel formation in the heart improving myocardial vascularization. ESMR is latest in the treatment of coronary artery blockages. The conventional treatment of blocked coronary arteries is angioplasty and bypass surgery.
    ESMR was developed by Essen Institute of Cardiology, Essen University, Germany.
    The treatment is performed using a shock wave generator that is designed to address the unique Clinical-anatomical requirements of the chest cavity. A cardiac ultrasound imaging system is used to locate the treatment area and to map the exact position and extent of the ischemic zone. Shock waves are then delivered via the anatomical acoustic window to the treatment area under E.C.G. R-wave gating. Several treatment sessions are required to obtain optimal results.
    The therapeutic effect of shock waves is attributed to the mechanical pressure and tension that the acoustic wave exerts on the cardiac tissue. Delivery of low intensity Shock waves causes sheer stress on the vessel wall. This stimulates angiogenesis related growth factors-( eNOS,VEGF and PCNA) initiating the angiogenesis process.
    Angioplasty involves inserting and inflating a tiny balloon where your artery is clogged to help widen the artery temporarily. Angioplasty is often combined with the permanent placement of a stent (small wire mesh tube) to help keep the artery open and decrease the chance of the artery narrowing again. Some are drug-eluting stents which are coated with medication to help keep your artery open.
    Bypass surgery or CABG is surgical treatment for Coronary Heart Disease. During CABG, a healthy artery or vein from the body is connected, or grafted, to the blocked coronary artery. The graft artery or vein bypasses the blocked portion of the coronary artery. This creates a new path for blood to flow to the heart muscle. Surgeons will bypass multiple heart arteries during one surgery depending on the number of blocks.
    Some patients who are not fit for bypass surgery or angioplasty or choose not to do it are on medical management for the relief of symptoms related to their heart disease.


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    Location – Ghatkopar

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    +91 8767571403
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    Location – Kokilaben

    Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute


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