Enhanced external counterpulsation for treatment of refractory angina pectoris

Journal of Cardiovascular Medicine
Giuseppina NovoPetros Nihoyannopoulos

Abstract

Enhanced external counterpulsation (EECP) is a noninvasive, well-tolerated treatment, effective for managing patients with refractory angina pectoris. The aim of this study was to evaluate the efficacy of EECP to relieve symptoms, to decrease myocardial ischaemia and to improve cardiac performance in patients with intractable angina, refractory to surgical and medical treatment. Twenty-five patients (24 men and one woman, mean age 65 years) with persistent ischaemia notwithstanding optimal medical therapy or after interventional or surgical procedure, received EECP sessions for 35 h. Each patient underwent dobutamine stress echocardiography before and after treatment. We evaluated modifications in either cardiac systolic or diastolic function, and in wall motion score index. Eighty-four percent of patients showed an increase in at least one functional angina class. We did not observe any significant changes in fractional shortening and diastolic function. Thirty-six percent of patients had a reduction in the area of inducible ischaemia at dobutamine stress echocardiography after treatment. Unfortunately, because of the small sample size, we did not find any statistically significant difference. There was a trend showing that pa...Continue Reading

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Citations

Mar 13, 2012·Exercise and Sport Sciences Reviews·Randy W BraithDarren T Beck
Oct 13, 2012·Complementary Therapies in Clinical Practice·Debra L Braverman
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Debra L Braverman
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Jan 16, 2015·American Journal of Therapeutics·Mukesh Singh, Rohit Arora
Jan 8, 2021·Journal of Clinical Pharmacy and Therapeutics·Jose CaceresDerek Yee

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