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Enhanced External Counter Pulsation (EECP) is a non-invasive therapy for angina used to reduce the frequency and severity of angina episodes in patients. The treatment is given via three sets of external inflatable cuffs wrapped around the lower legs, upper legs, and buttocks, respectively. During the resting phase of the heartbeat, these cuffs continually inflate and deflate, increasing the amount of blood returned to the heart. According to its fundamental concept, EECP therapy boosts the quantity of blood returning to the heart, which helps the heart pump more oxygen to the body’s oxygen-starved regions. As a result, the heart can work considerably more effectively when more oxygen is available, reducing chest discomfort.
Angiogenesis occurs during the embolization of the endometrium. Obstruction of blood flow causes chest pain and perhaps a heart attack or stroke when arteries are clogged by plaque. Angiogenesis is the body’s natural defensive mechanism that causes new blood vessels to be created in the process. Collateral growth happens when the arteries of the whole circulatory system are opened; circulation spontaneously bypasses blockages. VEGF, a hormone, is produced during EECP and encourages the new collateral formation and arterial function. Vascular endothelial growth factor (VEGF) helps in angiogenesis, the process of new vessels growing to replace damaged ones like a bypass. EECP helps patients with heart disease or stroke build new arteries spontaneously.
Angina may be eliminated or alleviated with the use of enhanced external counter pulsation (EECP).The non-invasive outpatient therapy of EECP can alleviate or eliminates angina. This therapy does not require surgery or invasive treatments. Until more information is made available, EECP should be explored in anybody who still has angina. The alternative of having a stent or bypass surgery is regarded as an improvement. As a last resort, Medicare has agreed to pay for EECP treatment for patients with angina who have run out of other options.The Association of Cardiovascular Patient Representatives, the Society of Thoracic Surgeons, and the American College of Cardiology decided to add EECP to the therapy options for patients with angina that is not improved by previous therapies.
Using EECP, we’re helping the body generate new collateral arteries, much like a bypass around clogged arteries. In particular, increases blood flow. In the absence of movement, it is similar to having a second heart since it increases the circulation of oxygenated blood through the arterial system and organs. Due to blood flowing in the opposite direction (from the heart to the legs), the arterial system secretes significant hormones, gases, and cells. Hypertension the artery walls are constricted and rigid owing to poor endothelial function in individuals with high blood pressure. EECP (endovascular EC combo device) decreases arterial stiffness and helps restore normal blood pressure via the release of nitric oxide, which causes the arterial walls to dilate. It helps to expand the diameter of the arterial wall, thereby improving blood flow to all the body’s organs. The method used in this model helps create elastic, soft arteries, which improves circulation, helps prevent high blood pressure, and benefits from coronary artery disease. In addition, by supplying oxygen-rich blood, the heart and all other organs perform better.


Cardiac rehabilitation will not alter your history, but it will assist you in improving the health of your heart in the future.Coaching and training in physical activity, Physical activity helps keep the heart beating and the whole cardiovascular system in motion. One of the most important aspects of cardiac rehab is self-education: What strategies can you use to manage your risk factors? Do you want to quit smoking? How do you make heart-healthy food choices? Counselling can help you cope with stress: Stress is terrible for your heart. This component of cardiac rehab assists you in identifying and dealing with the causes of stress that you encounter daily.
Now it is possible to keep your future heart health in good condition. Cardiac rehabilitation programs are essential after a heart attack or heart surgery, especially if you want to completely recover. In most cardiac rehab programs, patients participate in a holistic approach that focuses on physical and mental well-being and lifestyle habits. The aim is to help you feel better, recover strength, and go back to being physically active. It is also to help prevent or control future heart issues and help you avoid or treat future cardiovascular diseases. Rehab gives you the knowledge and the resources you need to alter your lifestyle for the rest of your life. People who benefit from cardiac rehab include people who have had a heart attack, those who have coronary artery disease, heart failure, those who have had heart surgery, or those who have undergone coronary angioplasty.  
A cardiac rehabilitation program may be beneficial for people of all ages who have heart problems.All examples of heart procedures or surgeries that may be performed (ICD). Cardiac rehabilitation is covered by Medicare and most other insurance companies, following most of the conditions listed above. In some instances, such as cardiac rehab after operations to install a pacemaker or an implanted cardioverter defibrillator, an exception may be made (ICD). Patients who have heart failure and a heart with a minimal capacity to pump blood are not eligible for coverage after the fact. (This is referred to as a “compromised ejection fraction” in medical terminology, affecting about half of the population suffering from heart failure.)
Cardiac rehabilitation may help anybody who has suffered from a heart condition, such as a heart attack, heart failure, or heart surgery. Cardiac rehabilitation is effective for everyone, at any age, and regardless of the severity of their heart issue. Or, specific individuals may have more incredible difficulty in getting started or completing a cardiac rehabilitation program, for example: According to recent studies, many women, particularly minority women, are less likely to begin or finish cardiac rehabilitation.  If women are less likely to be offered cardiac rehabilitation, this may be because they are seldom recommended by physicians. Senior citizens as the prevalence of heart disease increases with age, fewer older people enter cardiac rehabilitation programs after a heart issue. Either way, it may be because of their age or other health issues that make physical exercise difficult. Since cardiac rehabilitation may benefit people of all ages by improving strength and mobility, it is beneficial for elderly individuals, who can benefit greatly by reducing the difficulty of day-to-day activities.


Following ESMR therapy, the following should be expected:

The patient can walk for more extended periods without experiencing chest discomfort. It is possible to have fewer or no angina attacks. Angina is less painful. There will be less demand for anti-angina medicines. Can resume an active lifestyle and feel more energized as a result.

ESMR Treatment has several Advantages:

The procedure is both safe and non-invasive. It aids in the regeneration of damaged tissues. It aids in the development of new blood vessels in the body. Restores the flow of adequate oxygenated blood to the body.

Who is eligible to get ESMR treatment?

Angina patients who continue to have problems even after surgery, angina patients who have refractory angina or ischemic heart failure, and angina patients do not wish to have surgery. Individuals who are unable to have surgery owing to a medical ailment of some kind.
ESMR, in contrast to bypass surgery, angioplasty, and stenting treatments, is non-invasive, has no risk, is painless, requires no aesthetic or sedation, has no re-treatment restrictions, and may be performed as an outpatient operation. ESMR treatment has the potential to treat ischemic myocardial regions that are no longer accessible by traditional revascularization therapies such as bypass surgery or balloon angioplasty and stent placement. This therapy has the potential to alleviate symptoms associated with myocardial ischemia. An extended treatment area results in shorter treatment duration, complete Tran’s mural coverage, and an optimum therapeutic impact. Unique system setup, including real-time treatment view, unlimited treatment angles, and excellent accessibility to distant regions. High success rates and safety of treatment due to the precision of the localization system.  Ultrasound settings created just for you.
In contrast to prescription medicines, EMDR treatment is believed to be safe with fewer adverse effects. This is to be taken with a grain of salt; however, there are specific adverse effects that you may encounter. Because of EMDR treatment, individuals may expect to have increased attention to their thoughts, which does not come to a stop instantly after the therapy session is over. Because of this, you may experience light-headedness. This may also lead to the occurrence of vivid, realistic dreams. Many counselling sessions are often required to cure PTSD with EMDR treatment. This implies that it takes time for it to have an effect.During the early stages of treatment, new clients who have just dealt with catastrophic experiences, such as losing a loved one, may find themselves in very high-arousal situations. In the long term, therapy will probably be beneficial, although it may be challenging to get through the course of treatment. In addition to being a successful treatment for trauma and PTSD, EMDR therapy has been shown as an effective treatment. While the current preliminary results point in that direction, it is too early to conclude that it may also assist in treating other mental illnesses, such as anxiety, depression, and panic disorders. Some individuals may choose this option instead of prescribed medicines, leading to several unforeseen adverse effects. Other people may find that EMDR treatment helps medicines to be more effective.
A novel non-invasive treatment for Myocardial Revascularisation that utilizes Extracorporeal Shockwave technology is ESMR therapy (i.e., to improve the blood supply to heart muscles). Conventional revascularization treatments like bypass surgery or balloon angioplasty and stent are no longer helpful in treating symptoms produced by ischemic myocardium regions since such locations are now inaccessible by the ESMR therapy.   Natural blood vessels develop due to the ESMR treatment, resulting in a more oxygenated blood flow to the part of the heart being treated. Bypass therapy or Non-Invasive Cardiac Angiogenesis Therapy is termed non-invasive or non-surgical since it doesn’t involve incisions or the use of a knife.

Masina Hospital, Byculla, Mumbai 400027

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