The result of this impact is to reduce the mechanical work of the heart. In fact, the compression effects on hemodynamics is in antiphase with the work of the heart, making the method got its name - external counterpulsation. Treatment regimen Patients receive EECP treatment one or two hours a day. Full course is 35 procedures. Prior to the start of therapy conducted a survey that includes echocardiography, an ultrasound Doppler study of lower extremities, the study of blood clotting.
Before and after EECP ergospirometriya held to determine the level of tolerance to physical activity and monitoring the effectiveness of the therapy. Proven. Currently, according to international studies proved that the procedure external counterpulsation has a positive effect in cardiovascular diseases: 80% of patients with heart failure, which was a course of enhanced external counterpulsation there was steady decline in heart failure class for 1-2 units. It is proved that external counterpulsation leads to a marked improvement of "quality of life" of patients, increases exercise tolerance. Effect external counterpulsation rate persists for a long time. The number of medical institutions worldwide, using the method of external counterpulsation is constantly expanding. Indications.
Recommended indications for EECP are: 1) angina I - IV FC, including resistant to conservative therapy. 2) Recurrence of angina after suffering a coronary artery bypass grafting, stenting. 3) Obliterating atherosclerosis of peripheral arteries. 4) Arterial hypertension. 5) Cerebral ischemic disease (ischemic stroke, transient ischemic attacks, vertebrobasilar ischemia). 6) Ischemic diseases of the eye (thrombosis of the central artery of the retina, ischemic damage to the optic nerve, horioretinopatii, retinitis). 7) Erectile dysfunction of vascular origin. 8) Increased tolerance to physical exercise in athletes. We can confidently say that the list will soon be revised in the direction of expansion of indications. Contraindications. Heart failure is higher in NYHA FC II or IIA degree higher than NC (During the procedure NPC increases venous return, which may lead to pulmonary edema). Aortic valve above the I level, because the increase in diastolic blood pressure increases Practice in September 2011 opened a branch on a "Enhanced external counterpulsation"