Enhanced External Counterpulsation
Enhanced external counterpulsation (EECP) uses inflated cuffs on the legs to help push blood back to the heart.
EECP pushes blood back toward the heart to reduce the heart's workload.
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Reasons for Procedure
EECP is used to treat angina. This is chest pain caused by poor blood flow to the heart. EECP can increase the amount of blood going to the heart. This can decrease the workload of the heart and ease pain.
EECP may be done in people who are not helped by other methods.
EECP may also be used to treat people who have heart failure.
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
- Excess bleeding in people with thin blood
- Worsening of heart failure—in people who have certain heart rhythm problems
People who are pregnant or have any of these health problems should not have EECP:
What to Expect
Problems to Look Out For
Call the doctor if you are not getting better or you have:
- Nausea or vomiting
- Tingling, pain, swelling, or bruising in the legs
- Numbness or tingling in the shoulder, arm, or wrist
- Chest pain
- Problems breathing
- Symptoms that come back or worsen
If you think you have an emergency, call for medical help right away.
Prior to Procedure
The care team may meet with you to talk about:
- Any allergies you may have
- Current medicines, herbs, and supplements that you take and whether you need to stop taking them before EECP
Anesthesia is not needed. EECP is not painful.
Description of Procedure
Electrodes will be placed on the chest to watch heart rhythm. Blood pressure will also be checked.
Cuffs will be placed on the calves and thighs of the legs. The cuffs attach to air hoses. The cuffs will inflate and deflate in rhythm with the heart. There will be strong pressure from the cuffs. The cuffs will inflate 60 to 80 times each minute during the treatment.
How Long Will It Take?
Total treatment time is 35 hours. It will be spread out over 7 weeks.
Will It Hurt?
No. It is common to feel tired after EECP. It will go away over time.
At the Care Center
Right after the procedure, the staff will remove the electrodes and cuffs.
You will be able to go back to your normal activity levels. Lifestyle changes will need to be made to improve blood flow to the heart.
- Angina. National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/angina. Accessed October 20, 2020.
- Angina (chest pain). American Heart and Stroke Association website. Available at: https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain. Accessed October 20, 2020.
- Enhanced external counterpulsation (EECP). Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/disorders/cad/eecp.aspx. Accessed October 20, 2020.
- Management of stable angina. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/management-of-stable-angina.
- Daniel A. Ostrovsky, MD
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