Effects of Enhanced External Counterpulsation on Hemodynamics and Its Mechanism: Relation to Neurohumoral Factors

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Acute hemodynamic effects of enhanced external counterpulsation

In the United States, there are about 17.6 million patients suffer from symptomatic coronary artery disease (CAD), affecting 7.9% of adults ≥ 20 years of age.1 An estimated 10.2 million patients have angina, and 500,000 patients will develop new angina pectoris each year.1 A subset of angina patients are categorized as refractory when symptoms continue despite optimal medical therapy and revasc...

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Effects of enhanced external counterpulsation (EECP) on myocardial perfusion.

PURPOSE To evaluate whether enhanced external counterpulsation (EECP) exerts an effect on myocardial perfusion. METHODS Eleven patients with angina were studied before and after 35 sessions of EECP treatment. Myocardial perfusion was quantified with positron emission tomography and intravenous 13N-ammonia at rest and after dipyridamole, by means of a two-compartment mathematical model. CONC...

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An update on enhanced external counterpulsation.

The development of advanced revascularization techniques has resulted in the growth of a subset of patients with coronary artery disease who are nonrevascularizable and are considered to have refractory angina. Enhanced external counterpulsation (EECP) has been developed for the management of these patients with chronic, refractory disease. Evidence has shown that through improvement of vascula...

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Enhanced External Counterpulsation and Future Directions

Between 25,000 and 75,000 new cases of angina refractory to maximal medical therapy and standard coronary revascularization procedures are diagnosed each year. In addition, heart failure also places an enormous burden on the U.S. health care system, with an estimated economic impact ranging from $20 billion to more than $50 billion per year. The technique of counterpulsation, studied for almost...

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ژورنال

عنوان ژورنال: Circulation Journal

سال: 2005

ISSN: 1346-9843,1347-4820

DOI: 10.1253/circj.69.257