ESMR stands for Extracorporeal Shockwave Myocardial Revascularization. ESMR can also be termed Non-invasive Cardiac Angiogenesis therapy

ESMR stands for Extracorporeal Shockwave Myocardial Revascularization. In simple terms, it is a shockwave therapy used to treat angina symptoms. Angina pain occurs due to a shortage of blood supply to the heart. The common reasons are blocked or narrowed coronary arteries (blood vessels). Symptoms of angina are a pain in the chest, arms, neck, jaw, back, or shortness of breath, at times fatigue or nausea.

ESMR treatment is advised to patients who cannot undergo surgical procedures anymore. The treatment does not require any surgery or medication. It complements the existing therapies a patient would be undergoing. The complete treatment is administered in outpatient sessions; it means the patient is not required to stay in the hospital. The ESMR procedure requires total 9 sessions 3 continue sessions in one month for a total of three months 30 Minutes Each.

ESMR Treatment Process

The patient is asked to lie down on a bed. The doctor first identifies the treatment area in the heart, using ultrasound imaging. Now the shockwave applicator is accurately positioned based on the ultrasound waves which examine the heart’s actions. Low-intensity shockwaves are given on the affected area. It stimulates the ischemic (dead) area and forms new blood vessels. It leads to an improved blood supply, resulting in local profusion and promote overall healing.

To know the treatment better let us understand how shockwave works. Shockwaves are like sound waves. These are delivered through a reflector from the skin and do not require any incision (cut). The reflector is attached to the patient’s skin near the affected area with a water cushion. The doctor starts the monitor, and the shock waves are passed through the patient’s body. The system is fully computerized providing accuracy and control in the procedure.


ESMR treatment is a patient-friendly treatment. It is a painless procedure with zero risks. It does not require any medication, or Anesthesia during the procedure.

The shockwaves are given to the blocked area of the heart enable the formation of new blood vessels. The newly formed vessels supply oxygen-filled blood in a faster and better way to the heart, thus improving the condition of the ischemic area (area with poor blood supply). The patients can experience a better life with less or no angina pain.


ESMR is a non-surgical non-medicine treatment. It is an ideal option for the following conditions:

  • The patient’s ischemic areas (affected areas with poor blood supply) in the heart are not approachable by conventional methods like angioplasty.
  • Multiple surgical interventions have taken place, and these are not an option anymore.
  • Patients who experience angina pain and would not like to explore medication or surgery. Patients with more than 80 years of age.

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