Enhanced External Counterpulsation (EECP) -- Cardiology Patients' Forum

• EECP treatments now in Bangalore. Visit www.renewmedicalcenter.in for more details
Renew, Renew Medical, Bangalore, India, July 7, 2010

• I suggest that those with questions about EECP, please join the official EECP Forum to chat about EECP with other patients as well as therapists and doctors. There is a plethora of information there that would surely be helpful to all of you.P
PPersaud, Vasomedical Inc, Westbury, New York, USA, July 2, 2010

• There are two new ECP centres at Chennai and Ahmedabad India Please call the no 09830089776 if you need the treatment or if you have any query. The Centre's name is SAAOL HEART CENTRE. contact : mbhansaly@gmail.com as well if any query.
mayank, Saaol Heart Centre, Kolkata, India, June 18, 2010

• I am a heart patient from the State of Kerala, South India. I would like to undergo EECP therapy, as it is a non-invasive treatment. Can anybody suggest any centre in the State of Kerala which carry out this treatment & approximate treatment cost. NG Nair, Cochin, Kerala, India. e.mail ID ng.puthoor@gmail.com
NG Nair, Rtd. Employee, Cochin, Kerala State, India, May 23, 2010

• I have been a eecp technician for over 1 year, and in my experience with patients suffering from angina, i have seen a improvement in 90% of patients quality of life. Any benefit, whether it is simply an increase in exercise tolerance, or even feeling "better" is a justification for offering treatment. It is in my opinion, that eecp is underused, and can cause a range of benefits from increasing perfusion in the heart, along with increasing perfusion overall in the capillaries of the body. This non-invasive procedure offers an option to those individuals that are skeptical of interventional procedures and is entirely out-patient. What matters most is the patients commitment during the treatment regimen and even the technicians level of training matters in order to maximize the percent utilization. This treatment is helping people everyday, and the numbers don't lie.
Amandeep C., Fresno,CA, USA, March 30, 2010

• Sir, please send us the EECP machine and EECP device details :
1) Latest Models
2) Manufacturers details
3) Price in Indian Rupees
4) Catalogue and Pamphlets
5) Supplier contact address
6) Contact person
7) Mode of payments, delivery time, terms and conditions
8) Financial help or loan facility, available if any to install the machine at a Public Health Centre, an Non Governmental Organization (NGO), at Pondicherry, India.
9) Reference customers in and around Pondicherry U.T or Chennai,Tamilnadu,India.
Regards -- Kandaswamy.G+919344098009 srbabumcAThotmailDOTcom
Kandaswamy.G , personal, Plot No.86, Door No.26, 6th Cross, Sathya Nagar, Saram, 605013, Pondicherry State, Pondicherry (U.T), India, March 15, 2010

• A new EECP center with a Vasomedical TS3 has started offering treatments in Bangalore. For further details, check the website www.renewmedicalcenter.in
Kumar, Bangalore, India, February 16, 2010

• EECP - I came to knew about this via Internet. My Father had an by-pass sugery since 2002. Nowadays he has a pain in Heart. We did Angiogram and the report said there are three blocks. Doctors advised to take Angioplasty for Two blocks. 1. Give me the list of hospitals which are offering EECP facilities in Chennai and Trichy. 2. What is the difference between EECP & By Pass & AngioPlasty. Which is better. 3. Is this treatment is covered under company's group medical insurance in India. 4. What is the approximate period of treatment / rest required after the treatment before I join back duty. 5. What are the advantages of this treatment over bypass heart surgery. 6. Any after effects of this treatment. Please respond to me immediately.
Guna, Pudukkottai, TamilNadu, India, January 20, 2010

• Cardiac catheterization (stent insertion or angiograms) have some risk. My cousin died of a stroke one day after a cardiac catheterization; generally conceded to be a direct result of it. When I was diagnosed with a blockage I declined the stent and chose EECP (enhanced external counterpulsation). It's just as effective, entirely safe, Medicare approved, and relatively cheap (~$7000 in Philadelphia USA). But it does involve 35 hours of therapy. After a year I had to go back for a "tune-up" (another 15 hours). But that was 3 years ago, and I've been fine. I don't take any prescription drugs either, because I keep my lipids under control with diet and exercise. EECP is popular in China, I've heard. But not here in the US because the cardiologists' wallets, wives, business associates...etc would protest. Luckily, there aren't that many interventional cardiologists in China.
Dan, Philadelphia, Pennsylvania, USA, August 26, 2009

• Dear Mr Ram -- CE and US FDA are two different standards, CE is a manufacturing standing for any product to enter in to EU. It’s required for all the products immaterial of its nature, it may not be medical equipment it can be obtained for manufacturing type writer also. But to obtain US FDA, any medical equipment needs to prove its clinical evidences, for example Vasomedical is manufactured from China but it has USFDA but none of the other ECP equipments manufactured from China has US FDA. Apart from certification there is lot of quality and latest sophistication differences between the machines manufactured from US like ScottCare and other Chinese manufactured ECP equipments even they have US FDA and CE. write to info@cardiopulseheartcare.com or call our all India Toll Free 1800 11 33 22 to obtain more clarifications.
Kandeepan, Cardiopulse Heart Care , New Delhi, India, August 1, 2009

• I would like to know whether the ECP machines manufactured in China having the CE mark as good as the machines made by Vasomedical or Scottcare? Thanks.
Ram, Bangalore, India, July 29, 2009

• There are so many EECP centre in Nagpur & Nearby Jabalpur. Best results are found in Heart Care Jabalpur with 99.9% success. Not even a single patient went for surgery after taking non-surgical treatment there. There are 5-6 patients in my relation and known ones had treatment at heart care civic centre jabalpur, mp. For more information, my suggestion is , you please log on to www. heartcare.co.in , You can confirm the results on your own. My purpose was just to help you. Best wishes.
AD, SS Farm, Jabalpur, MP, India, July 19, 2009

• Robert -- Medicare covers ECP/EECP if certain conditions are met. Their statement reads, in part: "Coverage is provided for the use of ECP for patients who have been diagnosed with disabling angina (Class III or Class IV, Canadian Cardiovascular Society Classification or equivalent classification) who, in the opinion of a cardiologist or cardiothoracic surgeon, are not readily amenable to surgical intervention, such as PTCA or cardiac bypass, because:

• Does Medicare cover EECP?
Robert M Doerfler, Chicago, Illinois, USA, July 15, 2009

• If you live in Pakistan, or nearby country, good news, EECP is available now in few centers at different cities here like Islamabad, Karachi, Lahore and Sialkot. We are offering EECP 35 days course at EECP Clinic situated at Commissioner Road Sialkot under supervision of Dr. Armughan Riaz First EECP consultant Cardiologist in Sialkot Gujranwala Division. We have treated successfully patients of resistant angina and heart failure even DCMP and ICMP patients. For more detail and testimonials of our patients please visit website www.eecpclinic.com
Dr. Armughan Riaz, EECP CLINIC, Sialkot, Punjab, Pakistan, July 15, 2009

• interested to start chelation therapy center in Pune.
Dr. Ramesh M., Wnho, India, July 14, 2009

• What are the EECP centres in and around Nagpur, India?
DSOM, Nagpur, Maharashtra, India, July 8, 2009

• Anyone looking for treatment location in the US can log on to vasomedical.com -- you can type in a zip code and find locations near you.
Jody P., Buffalo New York, USA, June 2, 2009

• EECP therapy may be a good option in patients with compromised renal function in the rage of 2-6.5 mg/dL of serum creatinine Where the average GFR is estimated to be 50ml/min to 25ml/min. I am not sure if EECP will help patients other than to relieve symptoms below this range. Because EECP might be causing more of a fibrosis of the glomerular nephrons and might not give a sustained benefit in treating them without proper dialysis support. This is an aspect i am personally interested in and professionals, who have experienced this in their treatment please comment. There is no doubt that EECP will help even the worst heart condition, but with co existing severe renal failure - i am really interested to know your inputs. www.medlinkseecp.com, or call at 9447776000, 9447777508
Dr Ajith Joy K, Medlinks Cardiocare Pvt Ltd, Thiruvananthapuram, Kerala, India, April 21, 2009

• There is a new ECP centre opening in hyderabad, India on 14th may, 2009. Please call the no 09830089776 if you need the treatment or if you have any query. The Centre's name is SAAOL HEART CENTRE. contact : mbhansaly@gmail.com as well if any query. Thanks
MB, India, April 12, 2009

• Randy (and many others) -- we don't know of a central directory for centers that practice EECP/EPC but we would recommend consulting your cardiologist. Some hospitals also offer the service. Dr. Debra Braverman's website is at http://bravermancenters.com/
Forum Editor, Angioplasty.Org, March 18, 2009

• Please let me know where in illinois or close by that you can get this treatment-also anyone know dr. bravermans website?
Randy, Fairfield Illinois, March 8, 2009

• Re: *Enhanced External Counter Pulsation * - (E E C P) My full details/particulars are given below. I am writing to enquiry if the THERAPY (E E C P) mentioned above is available in hospitals in Banglore or any other surrounding area as an in- patient ? I would rather prefer a hospital with boarding/lodging facility or any reputable Clinic. Failing that, any other Hospitals recommended by you providing such -E E C P Therapy + FACILITIES. I shall be most grateful for your help and guidance. Thanking you in anticipation. Regards. A. Manek. *PARTICULARS:About the Patient (me): Sex : Male Age : 68, BMA: 25. *Medical Condition/-Diagnosis : Diffuse Circumflex, RCA has been stented (ONE - bare metal): March 2007, Moderate distal LAD disease (stress echo: circumflex - Ischaemia) . Hypothyroidism.*(IF YOU COULD PROVIDE FULL DETAILS & FEES, IT WOULD BE HIGHLY APPRECIATED.*)
A. Manek, London, United Kingdom, March 1, 2009

• Which are the centres in vadodara, india that offer eecp treatments?
Sudesh Murdia, Vadodara, India, December 31, 2008

• Thanks in Advance. I have query if somebody can help me with this. My dad has triple vessel disease, had undergone bypass in 1995. Now again he is having angina and breathlessness. Recent angiogram revealed 100% blockage in two of the artries and third one is potent. He has been recommended for EECP. We tried getting the EECP done at a hospital in delhi, but the problem is that treatment could not be started because of Abnormal ECG detected by machine. Techinician is saying this is because my dad has very thin skin because of which the skin is moving under the electrodes and machine detects this movement as abnormal heart rate and stops. Is there a way out of this?
Lokesh, Singapore, December 30, 2008

• Dear Doctor I would like to know whether we can offer EECP to those IHD patients who have apical thrombus/ LV clot organized or wait for lysis by warfarin or what should be ideal INR level in these patients. Regards
Dr. R., Hyderabad, Pakistan, November 25, 2008

• EECP will facilitate opening the collateral arteries. Will it guarantee that re-clogging of arteries will not take place? There is an ayurvedic capsule known as Wrudved which can be given as a complimentary to EECP treatment so that re-clogging is not taken place. The inventor of this formula has cured more than 8000 patients since last 10 years. For details: www.noninvasivesolution.com
A.V.S., Mumbai, India, November 23, 2008

• I am 68 years old pensioner, married with a child. Had my RCA stented last year. I am having stable Angina owing to diffused L/CX artery. I would like to know the side effects of EECP? Would it interfere with metal stent?? I am suffering from SUSPECTED Hiatal Hernia (NOT investigated)! And my doctors are not in favour of EECP therapy. EVEN 'Laser beam' therapy has been rejected by Doctors! I am confused. PLEASE Advice and HELP. THANKS.
Anwar M., Herts, United Kingdom, November 17, 2008

• Hi there I am interested in having EECP treatment. Question: Are there any EECP centres in South Africa,please advise. Thank you.
Paul, Gauteng, South Africa, November 13, 2008

• Hi, I am looking at possible EECP treatment. Does anyone know of any EECP service that is available anywhere in Australia? Many thanks.
Jaques, Australia, November 5, 2008

• Is ECP contraindicated in patients with lower extremity arterial grafts? Do you have reference material on this area?
GT, Ohio, USA, October 3, 2008

• What doctors or facilities in central Alabama (Montgomery or Birmingham) use EECP? If not in Alabama, what would be the closest facility? Thank you.
Donnie, Alabama, USA, September 7, 2008

• Does anyone have any information concerning the billing side of the Enhanced External Counter pulsation?
BLE, St Francis Hospital, Georgia, USA, September 4, 2008

• Does anyone know if EcP is available In Egypt I am an englishman living here and know people who would benefit from the treatment.There are a number of doctors and surgeons who would be interested also.
Bob Williams, Ismalia, Egypt, July 18, 2008

• I am a retired doctor, wanted to help poor third world heart patients with free EECP treatment . If any one can help me with the cost of the machine and approximately the running cost including servicing per year. Some of the clinics charges exorbitant fees which some of the poor patients cannot afford paying with their whole life time savings. I look forward for some helpful suggestions.
Dr. J., Walsall,UK, July 8, 2008

• I had a single bypass in 1981. 5 more bypasses plus a mammary vein hook up in 1994. I started experiencing Angina again in 2000. By February 2008 my drug therapy was failing and I was wearing a 0.8 mg nitro patch around the clock. After a final angiogram my cardiologist told me about E.E.C.P. I had an Aorta scan that showed I had gall stones. My Aorta was normal. I started my E.E.C.P. therapy at St. John's hospital in Longview Wa. I completed my 35 treatments on June 12th 2008. I am pleased to say that I am angina free and have not used any nitro since my 7th treatment. My life has returned to normal. I can walk a mile at 3 miles per hour. I am 76 years old. Sincerely.
Herman Kurth, Mt. Vernon, Washington U.S.A., July 8, 2008

• My father has triple vessel disease and some of his friends are suggesting him EECP, They told him about Al-shifa in Islamabad. Please let me know some other place for EECP in Pakistan and also tell me how long it may last( I mean if once he undergoes the process how long he may not need it again?). Regards.
Sarim Saeed, Telenor, Pakistan, Multan, June 27, 2008

• We would like to know if this ECP treatment is available in Tamilnadu. Please give us the address.
G., Tamil Nadu, India, June 15, 2008

• Which are the centres in Bangalore, india that offer eecp treatments?
Balakumar. V, India, June 12, 2008

• For all kinds of EECP queries call 91 9447777508 - Mr Ramesh.
Ramesh, DDNMRC, Kerala, India, June 10, 2008

• Kerala-based Med.Links Cardiocare Private Limited has introduced the Enhanced External Counter Pulsation (EECP) treatment, which helps treat cardiac patients nonsurgically without risk, for the first time in the state. WWW.MEDLINKSEECP.COM If you have heart disease, you probably know all about statins (cholesterol-lowering medications) and beta blockers (blood pressure medication), angioplasty and bypass surgery, and the benefits of regular exercise, explains Dr. Ajith Joy K., the chief executive officer. What is to be done when all these treatments fail or when someone is not fit for the above treatments? About 30 percent of all cardiac patients are in this category and they live on suffering with chest pain, mobility restriction, severe breathlessness, swelling on the feet, etc. The EECP could be an approved treatment method for them. The idea behind this wacky-sounding treatment is to decrease the demand on an ailing heart by helping it push blood through the body.

According to the team of doctors at the Med.Links, the EECP diminishes the symptoms of ischemia. In numerous studies, EECP has been shown to relieve angina, improve exercise tolerance, and decrease the degree of ischemia in a cardiac stress test. The EECP works amazingly well to relieve chest pain for most patients. Patients who have undergone surgery but still suffer from chest pain and breathlessness and those who have symptoms even after optimal medical management and post-angioplasty can be helped by this treatment, he said. First approved by the Food and Drug Administration in 1995, EECP is most often used in patients with stable angina, the kind that often lasts five minutes or less, is brought on by physical exertion and is usually relieved by drugs like nitroglycerin. Unfortunately, stable angina isn t always easily controlled with medications, and some people just aren t good candidates for angioplasty or surgery. That s where EECP comes in, said Dr. Joy. Patients lie down during the procedure, which lasts an hour, and is performed once a day, five times a week, for seven weeks. The 35 hours of nonsurgical outpatient-based treatment where pneumatic cuffs like BP cuffs are placed around the calves, thighs and buttocks, timed to inflate in progression. Starting with the section around the calves, when the heart reaches its resting phase between beats, as each cuff inflates, it squeezes blood out of the legs and back to the heart. The cuffs are timed to inflate and deflate based on the individual's electrocardiogram. It feels like a deep muscle massage, says Dr. Joy, who administers EECP to patients here.

The most common side effect is chafing of the skin, usually prevented by wearing elastic clothing . The treatment involves no surgery, no needles, no hospital admission or no pain. Atrial fibrillation is a relative contraindication, because the varying heart rate makes it impossible to time the inflation and deflation of the cuffs. In the subset of individuals with atrial fibrillation, high degree heart block, and a permanent pacemaker who are pacemaker dependent, it may still be possible to perform EECP. Intriguingly, recent studies suggest that the heart responds to this extra flow of blood by producing tiny blood vessels called collaterals naturally bypassing the blocked blood vessels to better nourish the heart. That is why the benefits of EECP often last 5-6 years in 87 percent of the treated patients, he says. The EECP may also be useful in other hard-to-treat conditions like heart failure. It s US FDA approved and is currently used in over 1500 centers in the USA and about 20 centers in India. That may change to a situation where it may be present in most households, as the benefits of squeeze therapy become better known among the medical community.
ShaJi J., Kerala, India, June 08, 2008

• Hi I am Dr Javaid Sabzwari from Lahore, Pakistan. EECP is effective for only those heart patients who have been evaluated in detail. Because we can't perform EECP in every heart patient having angina pectrois. There is a proper selection criteria for ECP, just like for PCI or CABG (angioplasty/heart bypass surgery respectively). If ECP fails it means your selection was not correct. I don't recommend Chelation Therapy, as no trial has shown its efficacy. I am not biased to any procedure, but we people of medical community should always judge a Risk/Benefit Ratio of any procedure/method/therapy,whether this is PCI,CABG, ECP, TMR or simple Pharmacotherapy. We cardiologists should discourage Chelation Therapy, as EDTA which is claimed to be beneficial may cause nephrotoxicity especially in Diabetic Patients. So i suggest,please select every patient according to the criteria and then go for. Result will be 100%. Take Care.
Dr Javaid Sabzwari, Rehana Mushtaq Heart Clinic,1-G Model Town/19 E 1 Valancia, Lahore, Pakistan, June 5, 2008

• Well i just read your note on EECP, "Unbelievably Good", well it's true. Mr Nair, is my patient, and most of my group of 28 patients has less than 30% ejection fraction. To objectively evaluate patient improvement Echocardiography was the most extensively used tool. well but i have used is a more objective tool called MUGA multi-gated analysis, here we use RBC labeling using nuclear medicine techniques and is considered to be the gold standard for LV function = Functional MRI. The important thing here is akinetic segments improve very much and they can be visualized and quantified very clearly. Perfusion scans also showed the improvements in the same cardiac segments. The last paper in ACC - showed significant endothelial stabilization by eecp, meaning the same shear stress mechanism of PTCA is also applicable in EECP partly to explain its good effects. Any one may please mail me for visually seeing the real time effect of pre and post treatment since i do it in all my patients as a rule. The results have been truly surprising to me also initially. Presently it has become a norm. joyajith@gmail.com , www.medlinkseecp.com.
Dr Ajith Joy Kizhakkebhagathu, Medlinks Cardiocare Pvt Ltd, Trivandrum, Kerala, India, May 25, 2008

• M. Nair in India -- those results are unbelievably good -- a four-fold increase in heart function is a much greater effect than anything we've read in the literature about EECP therapy.
Forum Editor, Angioplasty.Org, May 5, 2008

• I just got my life back by using EECP treatment, I am a heart patient who had 2 MI's in 1999 and 2003 by then i was breathless and by the time i opted for surgery, none of the surgeons would operate on me. I had a Heart function of 10% and the heart of a football size. I was advised nuclear viability scan to find if there is any chance for surgery, they turned me down telling me i was unfit for surgery. Then this miracle happened last year i visited medlinks cardiocare at trivandrum, kerala where they offered me EECP for 35 days and i am back to active life. I could walk again and work again - now i drive and my function has improved to 40%. I feel like i got my life back. The surgeons said if i required i could get operated but my confidence in EECP has led me to decide otherwise. For all in my shoes Medlinks cardiocare trivandrum could be life saver offering EECP. www.medlinkseecp.com
Somasekharan Nair, KSRTC - Public Transport Division, Trivandrum, Kerala, India, May 5, 2008

• Our Samarpan Heart Hospital and research center in Jamnagar, Gujarat, India has two EECP machines. In our hospital we treated more than 650 patients with heart problems. Our success rate 98% highest in the world. It is a charitable hospital Many patients are treated free. The charges in this hospital are the lowest. The hospital provide 100% organic food free of charge to all the patients. There are 250 cows in the Gawshala (cows of Gir breed ) Our hospital is operated by a Charitable trust. Shri Kabir Ashram Jamnagar, The Ashram has 200 acres farm land connected with hospital, The environment is great. everyone who visit this hospital likes it. Our trust has built 21 schools which provide free education to poor children. Dr. Himanshu Padh is cardiologist in this hospital. Mahant Jagdishdasji Maharaj is head of the trust. Our contact is 91 288 2553334, 2558049, Hospital 91 288 2712731
Mahant Jagdishdasji Maharaj, Kabir Ashram Jamnagar, Jamnagar, gujarat, India, April 21, 2008

• I am looking for a doctor who performs ECP in Ahmedabad-India do you know who performs
Rasik, London, England, April 20, 2008

• EECP Treatment is available in India , Kerala, Trivandrum - Medlinks Cardiocare Private Ltd. www.medlinkseecp.com. Any one can post cardiology and EECP related queries through the website www.medlinkseecp.com.
John, Medlinks Cardicare Private Limited, Trivandrum , Kerala , India, April 19, 2008

• Ram - I have received the 35 hour treatment of EECP 5 times in the past 6 years and it has always worked very well to improve my angina pain and shortness of breath caused by my ischemic heart disease. I receive the treatment more frequently than most because I am severely limited in my ability to exercise due to my stage 4 osteoarthritis. Most patients who are not limited by mobility problems may go 3-5 years between treatments. I have always chosen EECP because it is non-invasive, very safe, effective and, comparatively, much less expensive than the invasive procedures the doctors alway$ $eem to prefer. To my knowledge, no one has ever died or suffered life altering side effects from EECP treatment. Now is the time for you to use your common sense, do the research on this yourself. There were 5 different presentations given on EECP at this year's Scientific Session of the ACC in Chicago, all showing additional benefits from this non-invasive heart treatment. C heck them out in the link below: http://ragingbull.quote.com/mboard/boards.cgi?board=VASO&read=32839
Gerald Oros, Collinsville, Illinois, USA, April 11, 2008

• Attention Heart Patients.If you have been advised PCI (Coronary Angioplasty with stents) or By-Pass Surgery,contact with my patients who are enjoying their lives without going any procedure for the last 10 to 12 years. It doesn't mean that i do not do PCI or Recommend CABG. I do but only to a limited number of patients who really require it. I own my Heart Clinic in Model Town, Lahore, Pakistan since 1993. Another sister branch has been established in VALANCIA Lahore Pakistan.You can contact me directly at my cell 03334227772 or at REHANA MUSHTAQ HEART CLINIC,MODEL TOWN/VALANCIA
Dr Javaid Sabzwari, Lahore, Pakistan, April 10, 2008

• Anyone interested in EECP treatment MUST read Dr. Debra Braverman's book. You can google for more on Dr. Braverman. I have just bought the book. It is the best gift I have given my health. I am a female diabetic, 54 yrs. I learned about EECP just 2 weeks after I had 2 stents in Dec 2007. Before end of June 2008 I will go for EECP treatment in Singapore or China, to enjoy a superior quality of life without future non-invasive cardiac treatments which are only a quick fix to patients with cardiovascular disease. 35 hr EECP package costs USD 1,000 to 2,500 in all Asian countries. In USA it is from USD 4,500 to 7,000. EECP was developed and perfected in China from 30 yrs ago.
Aruna Th-Hollingshead, Overseas Medical Services Canada Inc., Calgary, Alberta, Canada, April 2, 2008

• Hi, I am Dr. Anupam Shrivastava, Cardiologist based at Jabalpur, MP and Nagpur. I am performing ECP and ACT(Chelation Therapy) since past 4 years with Excellent results of over 95%. I don't agree with the statement that these treatments are not substitute for Bypass or Angioplasty. Actually, surgical treatment should be advised only when ECP / ACT get failed. ECP and ACT are very effective in even Triple vessel disease and post bypass and post angioplasty cases with reblockages. I strongly recommend that non-surgical treatment should be more widely advised and used for treatment of CAD in view of patient's benefit, which is the ultimate aim of all doctors.
Dr. Anupam Shrivastava, Heart Care Center, Jabalpur, MP, India., March 31, 2008

• Ram -- most of your questions are things you should discuss with your cardiologist. Here are a couple answers. EECP is a trademark name -- basically it's the same as ECP. ECP or EECP is indicated to help relieve chest pain (angina) that cannot be relieved by other medical or revascularization methods (this means actually opening up the blocked artery, which is what angioplasty does, or bypassing the artery,as in opeh heart surgery). So ECP is not a substitute for revascularization. If you can, you might want to consult an interventional cardiologist, the type that does stenting and get a second opinion, although the multivessel disease is often a strong indicator for bypass instead. But talk to your doctors. They know your medical situation far better than anyone else. Let us know how things work out.
Forum Editor, Angioplasty.Org, March 18, 2008

• EECP (Enhanced External Counterpulsation) - I am male aged 50 working in Bangalore. Recently I have been advised by my doctors to undergo bypass heart surgery (angiogram shows 2 major blocks 90+ on left side and 1 at right side 80+). I have planned to undergo treatment in mid April 2008. In the meantime I heard about the treatment of EECP being offered in India. I would like to have my treatment in Chennai which is my hometown. I need your help for the following queries.

• Hi, I am Dr Ashok Aggarwal doing ACT and EECP on my patients since last four years.Clinical outcome is excellent but it depends upon the type of device you use and how correctly you apply treatment. i am also distributer of device and any further quarry for device or treatment you can approach me at Anand Cardiotech Pvt.Ltd. 73, Club Road, Ludhiana - 141001. Ph.:0161-2449474, 2449495 Mobile : 098154-00433 E-mail : anandcardiotech@gmail.com Website : www.ecp-india.net
Dr. Ashok Aggasrwal, Anandcardiotech pvt ltd, Ludhiana, India, March 3, 2008

• In response to Dr. Kevin below on ACT therapy -- Artery Clearance Therapy has been asked about in several forums. It's also known as chelation therapy or EDTA -- a drug/chemical treatment that supposedly dissolves plaque. As far as we know, there are no randomized clinical trials or peer-reviewed articles in major cardiology journals showing efficacy. However, an NIH-sponsored study was begun back in 2002 and is still recruiting. The Trial to Assess Chelation Therapy (TACT) won't be finished recruiting until 2009 (they have 163 centers). We look forward to the results, but as of now, there's no real data to show this therapy is valid. The danger is that patients will self-treat (and spend money on the drugs) and avoid the proven therapies.
Forum Editor, Angioplasty.Org, March 2, 2008

• V.B.. Sharan in Delhi -- the question is whether the 60% blockage is causing any problems. Do you experience angina? Has the cardiologist determined if the 60% blockage is reducing the oxygen to your heart? While 60% (estimated, of course, we assume from an angiogram) sound bad, it may not be a "culprit lesion". There is no magic "artery clearance drug" that's been found. ECP therapy is really to relieve angina. There are a few postings below of clinics in India, if you're interested (FYI: Angioplasty.Org has no connection to any ECP clinic, nor do we endorse any.)
Forum Editor, Angioplasty.Org, March 1, 2008

• I am suffering from 60% block in left main artery. Kindly someone advise me Artery Clearance Therapy, EECP, ECP therapy/ clinic/ doctor available in Delhi (preferably) or nearby?
V.B.Sharan, Commandant, CRPF (Retd.), Delhi, India, February 28, 2008

• EECP therapy is evidence based therapy. There is no data to show EECP and ACT (Don't have any scientific article on this) combination can do more benefit. Can anyone comment on what is ACT and any paper on this?
Kevin, Physician, New York, USA, February 28, 2008

• Please contact +91-9873718457 or info@chc-ecp.com for ECP centers in South India. Regards, S.S.Kandeepan
S.S.Kandeepan, M/s Cardiopulse Heart Care, Delhi, India, February 18, 2008

• I am the Clinical Manager for Alexander House in Wimbledon, London, UK. WE provide EECP in our centre. If you are looking for treatment in the south of the UK please feel free to contact me on tonyacheatham@alexander-house.co.uk.
Tonya Cheatham, London, UK, February 14, 2008

• Please let me know the best EECP/ACT practioners in Chennai, India. I have recently undergone angiography and it appears I need bypass surgery. I am interested to have EECP.
PKM, Chennai, India, December 20, 2007

• What doctors or facilities in central Alabama (Montgomery or Birmingham) use EECP? If not in Alabama, what would be the closest facility?
William McKnight, potential patient, Montgomery, Alabama, USA, December 10, 2007

• Hi, I'm a student doing EECP market research. If you took this treatment before or you're doing it right now, could you pls tell me your experience during the treatment? You can send your story to suzy.susu@gmail.com. Thanks so much for your help.
Suzy, China, December 5, 2007

• What are the centres in Bangalore providing ECP?
Baljeet, Bangalore, INDIA, November 24, 2007

• my cardiologist suggested eecp.....does any one know if this tratment is offered in the toronto, canada area? thank you.
Joseph Morra, Toronto, Ontario, Canada, November 22, 2007

• We (Dr.S.S.Sibia and Dr.Mrs.Harpreet Kaur Sibia) at Sibia medical Centre, Ludhiana are in Preventive cardiology since long and have been doing Artery Clearance Therapy (ACT) [which is our registered trademark with copyrighted literature] since 1994 and External Counter Pulsation (ECP EECP) since 2002. Being the first and the most experienced centre in India we have no doubt that ACT and ECP will play a major role in cardiology practice in future.
Dr.Sibia, Sibia Medical Centre, Ludhiana, Punjab, India, November 4, 2007

• Let me know which EECP machine works better china made over USA made? What is difference in the working in both & cost?Which one is superior ? Where to get best literature about this subject. Thanking you sir.
Dr.G.D.Agrawal, INDIA, October 21, 2007

• Subject: Audio Commentary on External Counter Pulsation Therapy Abstract. Click on link shown below. Scroll down to third author in Tour 6 segment i.e., Alon Barsheshet. "The Effect of External Counter Pulsation Therapy on Circulating Endothelial Progenitor Cells in Patients with Angina Pectoris." Short but very IMPORTANT! After clicking on the "View Poster" link and listening>to audio comments, abstract of study may be viewed on the PDF link. (http://astute.cardiosource.com/2007/vposters)
Gerald Oros, Collinsville, Illinois, USA, September 21, 2007

• I am a physician & want to establish ECP therapy at my centre. what is its actual cost. is tmt & ecocardiography is a must with this procedure. what is the success rate in comparison to angioplasty.whether USA or China machine is better. Thanks.
Dr.G., Shivpuri, m.p.,INDIA, August 24, 2007

• ECP is great, we have three machines at our centre. The results are better when combined with Artery Clearance Therapy (ACT). - Dr.Sibia
Dr. S.S.Sibia, Sibia Medical Centre, Ludhiana / Ounjab / India, July 26, 2007

• There is a non-invasive alternative to the carotid artery stenting procedure. It should be considered in those instances where the patient has also been diagnosed with Class III or IV angina associated with ischemic heart disease and therefore would be reimbursed by Medicare or CMS. It is well established as a safe and effective procedure for improviong circulation which then relieves the symptoms of angina. Now, a new study from Europe shows clear and unique patient benefits for carotid artery circulation with this procedure (Enhanced External Counterpulsation or EECP) that would not be possible with carotid artery bare metal or DES stenting
Gerald Oros, Collinsville, Ilinois, USA, May 27, 2007

• Melissa, Freeburg, IL: Melissa, I receive my EECP treatments at Cardiology Consultants in Belleville, IL. Freeburg is not very far Belleville so you might want to call them. If you want someone further South in Illinois you might want to email your question to www.vasomedical.com. They will be happy to inform you of any additional EECP provider sites in Southern Illinois if they have any. Good luck!
Gerald Oros, Collinsville, Illinois, USA, May 23, 2007

• what doctors in southern illinois use eecp?
Melissa, Freeburg, Illinois, USA, May 15, 2007

• EECP/Erectile Dysfunction Article Selected as Editor's Choice in International Journal of Clinical Practice. To access this entire article go to www.ijcp.org where it may be read FREE!
Gerald Oros, Collinsville, Illinois, USA, May 8, 2007

• Is there a treatment facility for EECP in Singapore or Malaysia that provides treatment at a reasonable cost. I am an Australian seeking EECP treatment. Singapore is the nearest place that provides treatment. My enquiries so far suggest the cost could be about $130USD (or RM450.00) per session. I am looking for something cheaper than that. Also somewhere that will provide treatment on a "per session" basis, rather than 1000's of $$ up front. Or, am I asking too much? Thanks, John S. email:ngcs@iinet.com.au
John S., Australia, May 5, 2007

• An interesting ECP Study in Israel While this study has been completed, I have had no success in finding out what conclusions were reached. If the results are eventually published and shown to be positive, then the cardiology community should be compelled to reassess the true potential of this technology. While Vasomedical (EECP) was not previously aware of this particular study, their chief technology officer was already engaged in the same kind of study in the United States. Here is the link: http://clinicaltrials.gov/show/NCT00272571
Gerald Oros, Collinsville, Illinois, USA, May 4, 2007

• Dear Mr. John S, We have our machine installed in leading hospital of India/Delhi and till now we have treated more than 500 patients in our centres. You can top up your treatment visit with some wonderful tourism sights in India. For more information about us visit our website www.yatimediquip.com
Manoj, yati mediquip, Delhi/India, April 21, 2007

• Could anyone recommend a good EECP clinic in India or China? Which country offers the best treatment? Someone with first hand experience of treatment at a particular facility would be a great help on this. I am thinking about treatment for my stable angina (on exertion)- general exercise doesn't seem to help much. Or, if anyone has heard of EECP being available in Ausralia I would like to know about it - I can't find any here. My Dr. here in fact asked me what EECP was - he had never heard about it. Also, some of the EECP machines have 4 sets of cuffs - an extra pair for the arms. Are these machines more effective than the older 3-set type? I just wonder what technology improvements have been made with EECP machines in recent years. China first developed the machines - I wonder if better, more up-to-date, treatment is available there? Thanks guys.
John S., patient, Brisbane, Australia, April 13, 2007

• Sir, If EECP machine can exchange the advantage of angioplasty than It is worth to see & avail. I am a Physician.Whether I can start EECP at my place with out any training or certificate. Kindly let me know in details. .What is its cost? Thanks.
Dr.G.D.A., SHIVPURI,M.P., INDIA, April 6, 2007

• Dear Dr. A Shivpuri, you have not mention your contact details in your message. It is not right to give you price related info on the bulletien board itself.
Cardiocareindia, INDIA, April 2, 2007

• please visit:www.healthgiving.cn or www.eecp-china.com to learn more informations about new EECP & ECP machine shaochunzhou@hotmail.com dachunzhou@hotmail.com
Dr Zhou, Healthgiving.cn, guangzhou, China, March 29, 2007

• Dear Doctor from Turkey, There is absolutely no difference between a machine from Chine,USA or India. Every manufacturer will try to convince you that his product is better than others in some way or other. But what you can look for before purchasing the machine is the main features of machine and its safety features especially. And assess yourself what kind of after sale service you will be getting.
Manoj Sharma, Yati Mediquip, Delhi, India, March 29, 2007

• Any thoughts of whether having a hiatal hernia may make for a problem having EECP. Having had 35 treatments, I remember vividly the amount of pressure pushed upward every few seconds, day after day, especially by the top half of the large leg suit you wear, which goes almost to your diaphragm. Really causes your organs, stomach, etc., to push up toward your diaphragm with great pressure. As such, a hiatal hernia defined, is, in effect the stomach or other upper GI organs pushing through or even against your diaphragm, then pushing the diaphragm further towards even the lower part of the heart. One must keep in mind the general non-cardiac pain in the chest this could cause over weeks, if you have a bad hiatal hernia and EECP. And also, the diastolic function of the heart requires its space to inflate to take in blood. I would suggest folks see if they have a hiatal hernia, if after some 14 treatments you still have chest pain, or it is getting worse. Hiatal hernia itself very often feels like angina, even if unrelated to the heart. Also, in studies, hiatal hernia and severe GERD have actually been shown to separately affect heart function and ekg readings. And hiatal hernia affects most middle age men, about 75%, though usually not symptomatic, can be made symptomatic with blows to the diaphragm; which it seems EECP does cause. Hiatal hernia studies are often totally noninvasive, easy, cheap, and always paid by insurance. There about 3 types of Hiatal hernia studies. And there are well proven surgery techniques, with proven cures for hiatal hernia, but make sure you have a good and experienced surgeon. If you are OK in the studies, then everyone should try EECP, and perhaps do one round each year. But EECP is a very good therapy to try if one has no problematic Hiatal Hernia. Interesting, there is nothing in the EECP literature about this relationship. There should be. Gastro doctors would be very interested in what their patients are up to in the EECP rooms. Any thoughts or info from anyone?
Steve, Florida, March 28, 2007

• I like the EECP machine.If it is really have the advantages you narrated than I would like to purchase. Kindly tell me its actual price & you have to demonstrate its working at my place. Thanking you sir.
Dr. A., SHIVPURI, M.P., India, March 28, 2007

• Hi All! I have two EECP systems that we want to sell. Located in the US
Courtney, North Carolina, USA, March 27, 2007

• As a further follow up to the results of my 35 sessions of EECP, I am pleased to note that my blood pressure has gone down from an average of 135/85 to 125/65. And most surprising of all, at 62 years of age, I now have some difficulty sleeping at night because of constant erections that remind me of when I was in my teens and twenties. I guess the blood is flowing quite well.
Mark McManus, Bonita Springs, Florida, USA, March 27, 2007

• Rehana Mushtaq Heart Clinic is dealing with complicated cases of cardiomyopathy and all other diseases of the heart, since 1993, in Lahore, Pakistan.You can contact Dr javaid sabzwari on 03334227772 or syedjavaidmushtaq@hotmail.com or Rehana Mushtaq Heart Clinic, 1-G, Model Town, Lahore, Pakistan.
Dr syed javaid mushtaq, Rehana Mushtaq Heart Clinic, Lahore, punjab, pakistan., March 23, 2007

• As a follow-up to my previous post stating that I was in the middle of my 35 sessions of EECP therapy, I am pleased to announce that I have completed the therapy and I am very pleased. My energy level and sense of well being are fantastic. I play tennis every day for two to three hours and do not get the least bit winded. Prior to this therapy, I had three DES inserted in my LAD and after reading the potential damage that seems to be occurring from the medication on the stent to surrounding small capillaries that are the building block of all new collaterals, I felt this therapy could potentially help mitigate that damage and help build new collaterals before the medication killed all of the surrounding capillaries. I also wanted to attempt to grow new collaterals around a 60% blockage in my RCA. Only time will tell, but I know that I will continue to take this therapy once a year (less sessions-about 15). It certainly cannot hurt..it is non-invasive and has offered nothing but positive side effects in my case.
Mark McManus, Bonita Springs, Florida, USA, March 22, 2007

• G.K., Istanbul, Turkey, I am not an EECP technician but I know they will do most of the research on the technology and if you have a problem, they offer great customer support. I also know that they have sold about 70% or more of the machines that are in use in the United States. I have received the 35 hour course for 4 years in a row and and will undergo a 5th course of treatment later this Spring or early Summer. You can get a good idea about the quality of their product by evaluating the quality of their website. Go to www.vasomedical.com and click on their educational video on EECP, "Straight From the Heart" which you can watch right from your computer which is very well done and very helpful to anyone who wants to know more about EECP. Their website will direct their attention to the needs of physicians, investors and patients. They have a large and impressive bibliography of EECP studies done by cardiologists. Please check it out and see for yourself.
Gerald Oros, Collinsville, Illinois, USA, March 22, 2007

• I AM A MEDICAL DOCTOR IN TURKEY I WANT TO IMPORT EECP PRODUCT TO MY COUNTRY. I WOULD LIKE TO KNOW IS THERE ANY DIFFRENCE IN EECP MACHINES MADE IN USA, CHINA AND INDIA. IS THERE ANY METHOD TO ASSESS THE QUALITY OF THE ECP MACHINE.
G.K., Istanbul, Turkey, March 20, 2007

• Hi all. We seem to be getting many postings from people selling or looking to buy ECP machines. We may just have to start charging for these "classified" -- but what we're really interested in is patients who have had ECP or EECP therapy and what their results were? We're getting quite a few business postings from India -- certainly there must be some patients in India with some stories. Please post your experiences with ECO/EECP.
Forum Editor, Angioplasty.Org, March 16, 2007

• visit my website cardiopulseindia.com for good quality ecp machine
anjali, cardiopulse, india, March 12, 2007

• I work at the largest EECP center in the USA and i can tell you first hand, EECP does cure heart disease, You'll never get a stroke, and you might not have diabetes, you might start standing and walking again, you'll start exercising, you'll throw your medications away, you'll cure your erectile dysfunction, you'll exercise longer, most importantly you'll live a healthy long life manufacturers please email me products and prices of EECP beds and parts thank you mark@globalcardiocareinc.com
Mark, Global Cardio Care, Los Angeles, California, USA, March 7, 2007

• Hi ! for high quality ECP machines in Delhi/India visit our website www.yatimediquip.com
Manoj Sharma, Yati Mediquip, India, February 8, 2007

• Terrel Brown: If you don't mind relating this, what were your symptoms prior to EECP - did you have a history of heart disease, diabetes, hypertension? When did you begin to feel the EECP treatments were beneficial and you started feeling better? I've started my 2nd EECP set - first set was 15 months ago. I hope this time there's an improvement where I can say "I fell better!", but I sometimes feel it's all a crapshoot - some you win, some you don't.
Robert Kowalski, Las Vegas, Nevada, USA, February 6, 2007

• hello, i am interested in buying one ecp machine made in india. is there a possibility to manufacture ecp machine in india. can any one provide the necessary technology. please mail me the details. dr ashok my email id is jak123_dr@yahoo.co.in
dr.ashok kumar, private practice, chennai india, February 5, 2007

• dr. solly, kindly send us your contact details at rrsrmd@sify.com (RMD Mediaids Pvt. Ltd., Delhi), so that we can send you the necessary details. mamta
mamta sharma, RMD Mediaids Pvt. Ltd., Delhi, India, January 31, 2007

• i want to know the cost of eecp machine
dr.solly.k vijaya hospital, kottarakkara kerala, INDIA, January 30, 2007

• I am currently taking the 35 EECP treatments. Isn't it too bad that cardiologists seems to be more interested in surgery than a non-invasive alternative. This FDA approved procedure is non-invasive and has over 80% success rate in relieving angina and corresponding chest pains.
Mark McManus, Bonita Springs, Florida, January 30, 2007

• I completed my 35 sessions today, and I feel great. I lost 22 pounds along the way, and the angina is simply gone. I walked/jogged 2 miles on my treadmill today, and this past Thanksgiving I couldn't even tie my shoes without chest pain. For me, EECP is a Godsend. It works.
Terrell Brown, Modesto California, USA, January 26, 2007

• I have a end of lease eecp system available - Is anyone interested? Manufacturer EECP
Jason Eischens, ST. Cloud, Minnesota, USA, January 23, 2007

• Hi ! for high quality ECP machines in Delhi/India visit our website www.yatimediquip.com
Cardiocare, India, January 19, 2007

• "What tests are needed to determine eligibility for EECP treatment?" In my case, I first consulted an internist friend and asked him which non-invasive tests, if any, I could seek to confirm my eligibility. He suggested a treadmill and a thallium scan. When I showed up at the hospital with script in hand, the cardiologist, with no knowledge whatsoever of EECP, was livid. He told me: "You don't tell us what tests you want, we tell you!". This cardiologist wanted to do a $7,000.00 angiogram on me instead. I was already aware of the fact that 1 in 1,000 angiograms can cause death, right on the spot -- so I just dug in my heels and refused. Finally, he called my doctor who told him to give me what I wanted -- and so he did. That's how I was able to bypass their "game" and get the safe, effective, non-invasive EECP treatment that I wanted. It's just my opinion, but I don't believe anyone can can ever get an angiogram and then be referred for EECP treatment. In fact, you have to sign a release before you receive an angiogram giving them permission to do whatever they feel is necessary to save your life in the event that you have an "event" during the angiogram. That "event" generally occurs when a vascular lesion's clot or scab is dislodged and so, in the process of hunting for blockages, they can actually CAUSE a blockage that is so serious that it an disrupt or stop your heartbeat and then, of course, it is mandatory that you be operated on immediately. When this happens, 1 to 3 patients out of every hundred will die during or shortly after surgery!!! To make this more understandable, remember that the cost for an EECP treatment is generally less that the sales tax for a bypass surgery. Reimbursements for EECP treatment are, IMO, shamefully inadequate considering what the physicians have to provide for the benefits the patients actually receive. If I were a cardiologist, I would probably feel the same as they do. But, I am a patient and a patient has to do what a patient has to do --- if he wants to live. email: postman23_2000@yahoo.com
Gerald Oros, Collinsville, Illinois, USA, January 11, 2007

• My wife, Penny has unstable angina and has been diagnosed with Coronary Artery Spasms, after, of course, she had 4 stents put in 11-7-05. She has had 4 more stents due to restenosis on 8-4-06. One of her stents is considered fractured following another heart cath done on 10-13 06. She is currently on a Calcium Channel blocker along with a nitro patch and daily nitro pill. Her doctor recently tried to take her off the CCB but her angina was unbearable without it. We are wondering if EECP would help her condition and if she would be considered "eligible" because of her unstable angina?
Paul Sugas, Plainwell, Michigan, USA, January 7, 2007

• Mr Suresh, ECP is essentially a technique developed by Chinese. The machines that you may get from US may be manufactured in China or there may be some manufacturer in US. The technology in both the cases remains the same.
Mamta, RMD Mediaids Pvt. Ltd., India, January 7, 2007

• What tests are needed before you are considered acceptable for EECP?
A., New York, USA, January 3, 2007

• I AM INTERESTED IN BUYING A ECP MACHINE. I WOULD LIKE TO KNOW IS THERE ANY DIFFRENCE IN ECP MACHINES MADE IN USA, CHINA AND INDIA. IS THERE ANY METHOD TO ASSESS THE QUALITY OF THE ECP MACHINE?
SRESH, R R CLINIC, CHENNAI, December 20, 2006

• Dr.Ghadiyali, we at RMDMediaids, Delhi are the reputed suppliers of SECP machine in India. We have supplied 14 machines in SAARC region in a short span of 3 years. The machine is sourced from the manufacturers in China and is available at competitive rates. If interested feel free to contact at our email add:rrsrmd@sify.com, info@rmdmediaids.com
Mamta Sharma, RMDMediaids Pvt. Ltd., New Delhi, India, December 6, 2006

• I am interested in buying a ECP machine.any sales centre in delhi or banglore. my email is rrsuresh_cardiab@yahoo.co.in
SURESH, India, December 3, 2006

• Hi, I am an EECP therapist and I have to say that over the past 2 years here I have had over 30 patients go through the program here(That I have helped) and I can say that the outcome in many of the cases were a success. I have had patients tell me it has changed there life., Whether it be an improvement in chest pain, shortness of breath etc. these patients are thrilled that there is an non-invasive way to try and help them. Yes,a smaller percentage of patients here have not gotten the full benefit of the treatments, meaning they have seen little change from start to finish. Several of my patients have returned because they would like to do the treatment again, they say it helps them so much. Currently one of our patients could not walk up her driveway because she was getting so short of breath and having CP. 3 weeks into the treatments she is walking up her driveway with no problems. I currently have six patients on the machine during the day. They are all at least in there 3rd week. Only one patient has not seen a significant change. The rest have more energy and are feeling less symptomatic. Hope this helps to anyone started EECP or anyone who is thinking about it.
ECHOTECH, New Jersey, USA, November 22, 2006

• For that 20-25% of patients who fail to achieve any improvement in their angina after EECP and are still willing to take a second course, they might want to discuss this study with their doctor before they do so:

• A Ray of hope for Heart patients -- Macter International (Pvt) Limited. First time introduces the breakthrough non-surgical treatment Enhanced External Counter Pulsation (EECP) in Pakistan with collaboration with Vasomedical, Inc, USA, which is currently available at the Cardiology unit of The Kidney Center Karachi and officially inaugurated by honorable secretary Health Sindh Prof. Dr. Noshad Ahmed Shaikh on 07th August 2006. -- EECP is an US-FDA approved non-surgical treatment and highly affordable out-patient therapy for the treatment of diseases of the cardiovascular system. -- EECP will prove to be a blessing for all those patients who, even after going through painful procedures of angioplasty and bypass, were not able to find a lasting cure to their illness. -- EECP is administered in out-patient basis for one hour per day for 35 hours .During this treatment patient has to lie comfortably on a special therapy bed and a series of pneumatic cuffs are wrapped around the patient s leg, thigh including buttocks. The Patient is hooked to an ECG machine so the cuffs inflate and deflate in synchronization with heartbeat .During the heart resting phase, when it receives its blood supply, the cuffs rapidly inflate, pushing oxygen rich blood towards heart. Just before the heart begins to pump again, the cuffs rapidly deflate and blood leaves the heart without the muscle having to work as hard. -- EECP therapy gives benefits to heart patients by increasing new vessel growth in the heart muscle through the stimulation of specialized cells in the lining of the vessel wall, causing release of Growth factors. Data from the large international EECP patient registry (IEPR) USA indicates EECP provides both short-term and long term relief of angina and heart failure symptoms and increases the exercise tolerance and improves quality of life. -- For more information please visit our EECP center at The Cardiology Unit of The Kidney center Karachi or log on our website www.eecp.com.pk or mailto eecp@macter.com or call Dr. B. M. Rathore 92-21-8250386, 0334-3657884
Dr. B. M. Rathore, Macter International (Pvt) Limited., Karachi Sindh, Pakistan, October 14, 2006

• To: Barbara S., California,. I am a 56 year old female - 6x bypass in October 2003 - 5 stents since that time because of re-closure. I could not exercise because of the angina was taking approx 3 nitros a day plus wearing a nitro patch. I underwent the EECP treatments last year this time. WOW-what a difference! I still wear the patch, but I go weeks to months without the extra nitros. Having the EECP treatments was the best move that I have made.
Kathleen L., North Carolina, USA, October 12, 2006

• During some routine research, I discovered this site and wanted to clarify some misinformation. The original FDA clearance of ECP for Cardiomedics was obtained on September 18, 1987 via premarket notification K872034. Clinical study results were required to obtain FDA's market release of the indications for use. Please visit this URL for more information: http://www.schwoebel.biz/site/K872034_Cardiomedics_Counterpulsation.jpg
Joe Schwoebel, Columbia Compass Associates, Pittsburgh, Pennsylvania, October 11, 2006

• I want to purchase an EECP machine. So please give me complete view and price about this. plz call are invite from only india . name vikas sethia (rajasthan ) india ph.919829045630
vikas, swift, rajasthan india, October 9, 2006

• HP -- links have been corrected as you requested. Thank for providing all the information!
Forum Editor, Angioplasty.Org, October 9, 2006

• Please could you note that the correct address for the EECP blog is http://eecpeurope.blogspot.com. I must have been asleep when posting last time! Apologies.
HP Masher, Rye Harbour, UK, October 9, 2006

• I have completed a 35 hour course of EECP treatment in the UK in the last 3 months with very good results. I am convinced that EECP is very good value for money for public health services in Europe because of the improvement in quality of life it brings at comparatively low cost. I found a lot of the medical description of EECP difficult to follow, partly because the processes affected by it are themselves quite complex. I have thus attempted to describe EECP and my (very positive) experience in a blog (see http://eecpeurope.blogspot.com). I hope this is of some help to others contemplating its use.
HP Masher, Rye Harbour, UK, October 5, 2006

• I am practicing as Non-invasive Cardiologist and doing Chelation Therapy also. I am finding excellent results in more than 90% Cardiac patients. Now I am interested in EECP for giving Non-surgical revascularization therapy. I am inviting all EECP manu./marketing companies to contact us on hccjbp@yahoo.co.in
Dr.Anupam Shrivastava, Heart Care Center, Jabalpur, MP, India., September 24, 2006

• Robert -- ECP is the generic term, EECP® is a registered trademark of Vasomedical Inc. who makes the equipment.
Forum Editor, Angioplasty.Org, September 21, 2006

• Is there a significant difference between ECP and EECP? At first glance they appear to be computer-controlled pulses regulated by heartbeat. My first experience with it resulted in less than my expectations, but it may have also been technique. I may investigate this again with an EECH provider. My stem cell trial results may be nil; after three months my treadmill tolerance is pretty much the same. I miss those 3 mile walks in the fall...
Robert Kowalski, Las Vegas, Nevada, USA, September 18, 2006

• My husband had a triple bypass this past January. Several months later, he was back in the hospital and we discovered one of the bypassed arteries was blocked up again by 90%. His cardiologist tried to do angioplasty but was unsuccessful due to the artery being kinked and curved, so he suggested EECP. My husband did the 35 treatments and has shown NO improvement whatsoever. He is still short of breath and has chest pain. I don't know what is next but when he goes to see his cardiologist in a few weeks I will ask what we can do so he can once again have some quality of life. He is just 52 years old and I am very very worried.
Josie, Deltona, Florida, USA, September 10, 2006

• I am a FIRM believer in the EECP process. I'm starting my third (3rd) set of 35 treatments on Monday 28 AUG. It has helped me each year I have had it. I had a quad bypass, which 2 of the 4 have since blocked. I get the same "burning" feeling each time. This alerts me for my need of treatments. They have gone away each time so far. I PRAY that they go away this time too. It does cost me some....Insurance pays most. I suggest that anyone who thinks that it may help.....DO IT and see. Best of luck. I wanna live long past my present age of 50. Please and Thanx, Bogie
Bogie, Michigan, August 25, 2006

• To: Steven G, Palm Beach, FL. Your post of August 5, 2006 describes how your angina has not improved at all after a 35 hour course of EECP treatment. CMS and most insurance companies will pay for this condition if you have Class III or IV stable angina and in many states they will pay for an additional 10 hours or a total of 45 hours of treatment if you fail to show any improvement. This may be what you need the next time you take the treatment. I think it would help you enormously if if pick up a copy of "Heal Your Heart with EECP" by Dr. Debra Braverman, M.D. It would also help if you take the time to carefully read the highlighted link in the post directly below your own. Emerging evidence suggests that endothelial dysfunction sets the stage for ischemic heart disease with the shortness of breath and heart pain that are seen in angina. It has been repeatedly shown that EECP can significantly improve endothelial function and many now believe this is one of the ways EECP works to help to reduce angina symptoms by 1-2 classes with 35 hours of treatment.

If you fail to respond to EECP it is probably because you require more hours of treatment and/or you and your physician have not addressed your other cardiac risk factors sufficiently to get them under control. Coffee drinking before treatment is now said to interfere with treatment results and is now prohibited at my clinic. If you're drinking, smoking, failing to exercise and not following a heart healthy diet. your results will almost certainly be less than if you were following a healthy lifestyle. If you have any other questions I will be happy to try and answer them.
Gerald Oros, Collinsvillie, Illinois, USA, August 24, 2006

• To: Barbara S California "I am looking at the EECP treatment and would like to hear from anyone who has had this 35 treatment course. It's very expensive and I will probably have to battle my insurance company for approval. "

Well, perhaps I can help.. I have had the 35 hour treatment annually for the past 4 years and it always helps me. My own case is complicated by severe osteoarthritis of the knees and peripheral artery disease which prevents me from exercising as much as I would like. Initially, I had heart pain daily but my primary complaint was shortness of breath. Today, the heart pain has almost disappeared even with exertion and while shortness of breath is my primary side effect, that too, has greatly improved. I require no nitroglycerine pills but many successful EECP patients may still have to take 1 or 2 on a bad day. I attribute my good results to the annual treatments which I will continue as long as possible. Some states such as California will pay for as many bypass surgeries and/or angioplasties as you can tolerate but the last time I checked they will pay for only 1 x 35 hour course of EECP in a patient's lifetime....Hopefully, this will change in the near future as EECP IS NOT VERY EXPENSIVE AS YOU MISTAKENLY ASSERT. IN FACT, NON-INVASIVE EECP IS FAR LESS EXPENSIVE (1/10TH) THAN INVASIVE BYPASS SURGERY AND ABOUT 1/5th AS EXPENSIVE AS AN INVASIVE SINGLE STENT PROCEDURE. Whoever told you otherwise was gravely misinformed.

I urge you to purchase and/or read the only book on EECP written for the general public. "Heal Your Heart with EECP" by Debra Braverman, MD. It is excellent and easy to understand. It is vital that you know what you're talking about when you request this treatment from your doctor. Your chances of getting his immediate approval are greatly increased if he realizes that you are thoroughly informed about this new technology. Most doctors, at this time, are not highly enthusiastic about this treatment option because even though it is FDA approved and reimbursed by Medicare and most insurance companies, it is not regarded as nearly as profitable as the invasive procedures. So, it's quite natural that they will often try to guide you away from EECP to an invasive procedure and this is especially true if they do not even have an EECP machine installed at their clinic. You need to be aware that studies have shown that the number of hospitalizations and emergency room visits are significantly decreased in a 12 month period after EECP treatment compared to that number 12 months prior to the EECP treatment.

Study these links! www.eecp.com

EECP has another advantage which very few patients(even some cardiologists) fail to know about or appreciate.... EECP has been shown repeatedly to be able to improve ENDOTHELIAL FUNCTION. IT HAS ALSO BEEN SHOWN THAT ENDOTHELIAL DYSFUNCTION WILL OFTEN PRECEDE THE DEVELOPMENT OF HEART DISEASE AND MAY CONTINUE TO AGGRAVATE IT AS LONG AS THIS UNDERLYING CONDITION REMAINS UNTREATED. NO INVASIVE PROCEDURE PERFORMED ON HEART PATIENTS TODAY IS CAPABLE OF REVERSING ENDOTHELIAL DYSFUNCTION. THIS MEANS THAT EECP HAS AN EXCLUSIVE PATIENT ADVANTAGE OVER THE INVASIVE PROCEDURES. And sadly, far too many cardiologists have failed to utilize this feature for their patient's welfare. To really grasp how crucially important this may be to your own health, please read the following article: http://circ.ahajournals.org/cgi/content/full/111/3/363
Gerald Oros, Collinsville, Illinois, USA, August 24, 2006

• 62 yr old female: I had a triple bypass on Mar 24,'06 with at-rest chest pains two months later. Triple stent to the bypassed LAD, which had restenosed; unable to even visualize the diagonal or its bypass! The diagonal is too small to stent and am now off beta blockers, as it started to cause bloating. Now I'm experiencing chest pains again and came to realize that a couple of weeks of chest discomfort were really angina symptoms. (Taking a nitro sublingual yesterday helped during one such episode!) I am looking at the EECP treatment and would like to hear from anyone who has had this 35 treatment course. It's very expensive and I will probably have to battle my insurance company for approval. Certainly, slowing down is a must but I am confronted with a new scenario bi-monthly, it seems. Cardiac rehab has become a slow bike ride to stay within the "anginal threshold"! Keeping an upbeat mental attitude is a challenge but so far so good. Any input about the EECP would be appreciated!
Barbara S., California, USA, August 11, 2006

• There was someone who posted that he had a good experience with EECP. I wonder if you could please respond to the following. I did EECP once last year, all 35 treatments. It took two months, but with no real success at all in removing my angina that I have had continuously now for 18 months post stenting. But I have heard that the second attempt at EECP sometimes works like a charm, and does help. What is your experience. Did your first session help you at all, or did the second. You indicated that you have done a session each year for 4 years. Just post or e-mail me at j@jgreenwald.com Thanx.
Steven G, Palm Beach, Florida, August 5, 2006

• I'm going to have my third (3rd) year of EECP next month. I have had 2 of my 4 (2003) grafts block up. I find that an early warning sign for me is a slight burning sensation in my chest. Each of the last 2 times it has gone away after my 35 treatments. I have been back 8 times to correct blockages with little help. This way seems to be the best for me. It has kept me OUT of the hospital for over 2 yrs now. I believe. I have changed my diet, become more active and PRAY. I'm 49 yrs young. I give it 2 thumbs up. Please and Thanx, Bogie
Bogie, Michigan, August 4, 2006

• For the physician, the main disadvantage of EECP is that the reimbursement is far too little for the time and expense required for a cardiology clinic to extend this service. Hopefully, this will change in the very near future. For the patient the main disadvantage is that the treatment is 1 hour a day, 5 days a week for 7 weeks. Because this may be temporarily inconvenient, some patients may opt for 2 hours treatment a day for 3 1/2 weeks. Non-invasive EECP treatment is effective, very safe and inexpensive relative to invasive procedures. This should be enough to make it a viable option for angina and/or heart failure patients but it has another advantage which very few patients(even some cardiologists) fail to know about or appreciate.... EECP has been shown repeatedly to be able to improve ENDOTHELIAL FUNCTION. IT HAS ALSO BEEN SHOWN THAT ENDOTHELIAL DYSFUNCTION WILL OFTEN PRECEDE THE DEVELOPMENT OF HEART DISEASE AND MAY CONTINUE TO AGGRAVATE IT AS LONG AS THIS UNDERLYING CONDITION REMAINS UNTREATED. To really grasp how crucially important this may be to your own health, please read the following article: http://circ.ahajournals.org/cgi/content/full/111/3/363
Gerald Oros, Collinsville, Illinois, USA, July 11, 2006

• Rehana Mushtaq Heart clinic was established in 1993 in Lahore, Pakistan. We specialize in dealing with complicated & rejected heart patients. Our clinic is a ray of hope for hopeless heart patients.Dr javaid sabzwari.contact syedjavaidmushtaq@hotmail.com
Dr syed javaid mushtaq, rehana mushtaq heart clinic, lahore, punjab, pakistan, July 2, 2006

• guys I am hearing that it is being used extensively in china for Stroke.....Does anybody has a personal experience!! Is it good for overall mortality/morbidity or does it have any acute effects ???
aarush manchanda, GW, Washington DC, June 20, 2006

• good morning everybody if any one is interested in purchase of ecp machine or providing services we can help ypu and we have ultimate heart scanner which can give you olt of patients mail at jkdistributors@vsnl.com or www.myheart.in
Ashok Arora, J.K.Distributors, delhi/India, June 17, 2006

• You should look into EECP or Enhanced External Counterpulsation. It's a procedure that is approved by the FDA. Whether you've done the angioplasty or not you should look into it. Just type EECP in your Google search. You can actually grow collateral arteries. Also, check out Dr. Julian Whitaker's Wellness Institute.
Harve, California, USA,, June 1, 2006

• hi , i would like to buy one ecp machine in india. can manufacturers send me the details? Dr.ahmed. my email id is ahad23mpl@indiatimes.com
dr.ahmed, clinic, hyderabad a.p. india, May 20, 2006

• As the physicians slowly recognizing ecp treatment the need for ecp equipment is increasing we with three years experience in giving ecp treatment at premiere institutes in cardiology in india have developed a indian brand with quality as good as that of western products and technology know how from china , we are giving onsite warranty with parts replacement and amc in subsequent years. the product is indian manufacturing with all the latest features ,please feel free to enquire for details contact cardiopulse_ecp1@yahoo.com
anjali thakur, cardiopulse, new delhi, May 17, 2006

• For patients who are trying to get a better understanding of why their doctors fail to mention to them the FDA approved , CMS reimbursed, non-invasive treatment option for Class III and IV angina i.e., Enhanced External Counterpulsation: Read the following article and you will understand. It is informative, easy to understand, humerous and above all --- FAIR AND BALANCED. Enjoy! http://heartdisease.about.com/cs/ coronarydisease/a/EECP.htm
Gerald Oros, , Collinsville, IL, May 15, 2006

• Hi Mr.Manoj...What king of scanner is it...what is the mechanism behing it.....what are you testing post-EECP......send me an E-brochure if you have....my email-aarushmanchanda@yahoo.co.in Thanks
Aarush Manchanda, GWUH, Washington DC, May 12, 2006

• we are marketing heart scanner which can show you the differance between pre and post ecp theraphies done by your machine contact for detail www.myheart.in jkdistmanoj@ricmail.com
manoj adwani, advaned medical diagnostic and laser centre, delhi, May 7, 2006

• Response to Arush Manchanda April 25th Post: "I read somewhere that there is some benefit in memory and renal function......Are there any studies to suggest that.... " Yes! Google it up! And, I can tell you this: Apparently, the treatment restores diuretic responsiveness. On my last EECP treatment, I had stopped taking furosemide months earlier simply because it was not working and I was afraid of further degrading my glomerular filtration rate (GFR). But it seems the EECP treatment may tone up the kidneys and may help them respond to the diuretic left over in the body on a cellular level. I dropped 13 lbs in my first week!!! Regarding the PEECH Trial, there is an additional article soon (1-6 months) to be published on that trial. You should try to read it when it comes out. A very informativce book came out last year called "Heal Your Heart with EECP" by Dr. Debra Braverman, M.D. You can find it at Amazon or any of the finer book stores. You can sample read many of the pages at the Amazon website-- so you might want to start there.
Gerald Oros, , Collinsville, Illinois, USA, May 1, 2006

• Responce to John Fetter's comment on March 1st, 2006
"Well, that's all well and good but the FDA actually gave their approval for the EECP/ ECP treatment in 1995!!!!! " -This quote is entirely incorrect.

Not entirely John. I should have stated that the FDA gave their approval to Vasomedical's EECP System, with a new and different bell and whistle, for the indication of angina on a 510K which proved equivalency to the Cardiomedics product that had been approved years earlier. I should also explain that EECP is a registered trademark for Vasomedical's ECP system and that while all EECP products are regarded as ECP, no other ECP product may be regarded as EECP. In 2003 the FDA approved EECP for congestive heart failure based on all of the EECP studies and data that showed its safety and efficacy. This time, it was Cardiomedics and Nicore that quickly followed and gained approval for CHF for their systems as well, but with a 510K which proved equivalency. I think it would be best if everyone in the future refrains from this sort of posting. It's not, IMO, really helpful and it's not what these patients are interested in or need. Okay? Gerald Oros Collinsville, IL
Gerald Oros, Collinsville, IL, April 26, 2006

• Is anyone aware of non-cardiac beneficial effects of EECP....I read somewhere that there is some benefit in memory and renal function......Are there any studies to suggest that.... I am not very impressed by the cardiac effects.....as EECP failed to show increase in the Peak Oxygen Consumption in the only randomised control trial on EECP -the PEECH trial and it did not increase myocardial perfusion according to another latest trial. I guess it may be an important palliative measure for chest pain relief for those who are not candidates for PCI/Bypass .Does anyone have any comments.......
Aarush Manchanda, GW, Washington DC,USA, April 25, 2006

• Super External Counterpulsation Therapy Systems (SECP), made in china. http://www.gzgz.net/eecp
JIANGMING CHEN, Ecp center of China, Guangzhou, April 15, 2006

• i want to know more about arterial clearance therapy & external counterpulsation
sanjay, mahavir hospital, gondia/m.s./india, April 14, 2006

• "Well, that's all well and good but the FDA actually gave their approval for the EECP/ECP treatment in 1995!!!!! " -This quote is entirely incorrect. FDA approved Cardiomedics, Inc. ECP in 1986, they are the first ECP company, dating back to Harvard and MIT in the 60's. Vasomedical came into existence because Cardiomedics made it possible, Vasomedical bought a piece of Cardiomedic's equipment, shipped it to China and had it mass produced. Mr. Bhavesh Ghadiyali, please contact me about your desire for an effective ECP system for your practice in India. Here is a link to our website for more information: http://www.cardiomedics.com Thanks. John Fetter 949-606-5712
John Fetter, Cardiomedics, Inc, California, USA, March 1, 2006

• I have started eecp in fresno,ca for patients who has documented bypass graft closures on maximal medical therapy with continued angina or angina equivalent.The response is very good and patients thank you for offering this therapy.
Harcharn S Chann MD, Fresno, California, USA, February 21, 2006

• Cardiopulse is the company manuf ecp in india at new delhi, we are giving excellent after sale service with very competent price
anju, cardiopulse, india, February 15, 2006

• Mr Ghadiyali: You may contact their Chief Tehnical Officer, John Hui, MD at Jhui@vasomedical.com. He will be glad to help you.
Gerald Oros, OrosCo Product Specialties, Collinsville, IL, February 12, 2006

• R. P. Kowolski: EECP creates an improvement in angina symptoms of 1 class or better in about 80% of the patients. 20% may not improve that much or may not respond at all. Generally, patients with severe pre-existing endothelial dysfunction will find that the efficacy of their treatments may be blunted. My clinic does not allow the use of coffee or any caffeine containing products prior to treatment. If you were having morning coffee it might explain why your results weren't better. Doctors I have talked to, believe that some patients simply require more hours of treatment. Next time, insist on 45 hours. If your doctor is not amenable to your need, seek another provider site that will be more willing to help you. Good luck with the gene therapy trial. Let us know how that worked out.
Gerald Oros, OrosCo Product Specialties, Collinsville, IL, February 12, 2006

• We need EECP machine for heart hospital in india. I have not any contact for that. Please give me some address for that.
Mr. Bhavesh Ghadiyali, swami, ahmedabad/gujarat/india, January 28, 2006

• FORUM USER ALERT: The Center of Medicare & Medicaid Services (U.S. goverment) is currently re-evaluating ECP therapy for expanded indications and reimbursement. If you are a patient or healthcare professional and wish to share your ECP experience (positive or negative) where it was used for treatment of severe angina where other medical or surgical treatments did not or could not help, then you may send a public comment to CMS. This is a chance to directly influence a medical issue that you may have a strong feeling about. The closing date for these comments is coming up next week, on January 20. More information about the decision to expand coverage can be found on the CMS website.
Forum Editor, Angioplasty.Org, January 13, 2006

• I must share my latest experience in treating Refractory/Terminal cardiac with EECP.Mr YPK a 78yr old frail man was referred to me by a reputed hospital in North India.He was bedridden since 6months- and not without reason. He was an old case of CAD/CABG done in 1991 and in cardiac failure since last 4years.He also had bilateral pleural effusion, ascites,Septic arthritis,Diabetes,Benign Hypertrophy Prostate,Parkinsonism, Hypoprotenemia and went into repeated episodes of LVF daily.He was on maximum antifailure therapy including 300mg Spironolactone,100mg Frusemide(Lasix).His ejection Fraction was a feeble 17%. No Surgeon or for that matter Physician would touch him. We took him up as a challange case on 02 Sept 2005 and gave him two, one hour sittings of EECP daily.On 16 Sept his Ejection Fraction had improved to 28% and by the time he finished 35 hrs of EECP he had an EF of 32%. His breathing improved and miraculously the dose of Spironolactone reduced to 25mg and Laxis to 20mg per day. So EECP CERTAINLY improves failure in end stage cases,improves quality of life and reduces doses of Diuretics.
Dr SJS Randhawa MD;DNB, Randhawa Hospital, Amritsar/Punjab/India, January 02, 2006

• I recently underwent 35 ECP sessions, and while I can say I 'feel better', my nitro usage hasn't gone down, and I still have early morning/late night angina episodes. My teadmill tolereance went from 10 minutes to less than 4 minutes. At $40 a co-pay, I would've like a more optimistic outcome. I suppose now I'll have to get into a gene therapy clinical trial. ECP may be a bit over-sold IMO.
RP Kowalski, CCSD, Nevada, December 28, 2005

• we are the manufacturer of ecp world class equipment in india with hassel free maintenance services, for competent price contact us
anjali thakur, cardiopulse, new delhi, December 27, 2005

• Why treatment with EECP may benefit patients with angina pectoris. Your heart pumps blood through your entire body to supply tissues with the oxygen and other nutrients they need. In order to do this, the heart itself needs oxygen-enriched blood to generate the energy it requires. Because the heart muscle is unable to obtain this energy directly form the blood it pumps, it relies upon its own set of blood vessels-the coronary arteries-for oxygen-enriched blood. The coronary arteries are distinct from other arteries in the body in that maximal blood flow occurs during diastole (when the heart is relaxing) while other arteries receive most of their blood supply during systole (when the heart is contracting). This is because when the heart contracts, the coronary vessels are squeezed and cannot carry enough blood at that time. In some people, the coronary arteries can become narrowed or obstructed so that during exercise or stressful situations, an insufficient amount of oxygen-enriched blood is able to reach some parts of the heart muscle. Often, the results is a painful experience called angina pectoris. for further detail contact Dr.Farhat Haseeb. EECP consultant Karachi .0333-2288225 Dr.Rathore 0333-2327969 Dr.Faisal zia 0300-8221767 EECP Consultant
Dr.Rathore, Macter International (pvt) Limited, Karachi.sindh, Pakistan, December 13, 2005

• A ray of hope for cadiac patients, a non-invasive ,US-FDA approved EECP treatment currently available @ Kamal hospital Karachi, pakistan, contact9221-8250386,0333-2288225, 0333-2327969 Indication of EECP : 1.angina refractory to medical treatment. 2.Post-CABG angina. 3.Post-PCI (angioplasty) angina. 4.patient not willing for bypass surgery. 5.Heart failure.
Dr.B.M.Rathore, Macter International (pvt) Limited, Karachi, indh, pakistan, December 09, 2005

• The following is an amazing story of an 80 year old physician who, after failing to relieve his angina with repeated invasive procedures settled on something which has worked very well for him. This news story originally ran on 11-29-05 but is now being picked up by other newspapers across the country along with many internet news websites. I have chosen to submit this to the forum because I know for a fact that there are so very few angina patients that know anything about this safe and effective, non- invasive treatment option for angina that is FDA approved and CMS re-imbursed... Doctors can't say why it works, but some patients swear by the results. http://www.orlandosentinel.com/entertainment/orl-heart2905nov29,0,2107615.story
Gerald Oros, OrosCo Product Specialties, Collinsville, IL, December 04, 2005

• Matt Wiseman: Just contact www.vasomedical.com They should have a list of provider sites.
Gerald Oros, OrosCo Product Specialties, Collinsville, IL, November 30, 2005

• Earl -- both ECP and EECP are similar. ECP is the generic term for "External Counterpulsation". EECP adds an "enhanced". It is a registered trademark of Vasomedical and is explained on their website, as follows:

The term Enhanced External Counterpulsation (EECP®) describes what happens during treatment. "Enhanced" refers to the state-of-the-art technology that has developed during decades of research and is used for EECP® treatment today. EECP® treatment is "external" because it happens outside the body and does not require surgery or other invasive procedures. Counterpulsation occurs between heart beats.

Hope this clears it up.
Forum Editor, Angioplasty.Org, November 26, 2005

• Does anyone know of a EECP site in the Phoenix Metro Area of Arizona, USA?
Matt Wiseman, , Mesa, AZ, USA, November 18, 2005

• What is the difference between ECP and EECP? I am now taking ECP therapy, I think.
Earl McGuire, Salem, Virginia, USA, November 17, 2005

• Gerald -- Thanks for the accurate info below about the EECP/Quackwatch discussion. I guess the reason we couldn't find anything on Quackwatch about EECP was precisely because QW had removed the incorrect article several years ago in response to posters contacting them -- and it's a great example of the power of the internet. Sure, companies have always had "complaint departments" but the complaints were entered into a closed hidden system. On message boards, everything's out there and things sometimes gain a momentum for change. You're absolutely correct that Vasomedical's first EECP device was approved for use by the FDA in 1995. In fact, as a result of the PEECH trial, presented at this year's ACC, and other studies Vasomedical has requested that Medicare expand the range of conditions for which EECP can be reimbursed. We think Quackwatch can provide useful information, but they clearly erred in this case. We would hope that if our readers find errors on Angioplasty.Org, that they would let us know as well -- including new therapies. After all, it was less than 30 years ago that the idea of expanding a balloon inside of someone's coronary artery was considered complete quackery -- an extremely dangerous idea! Turned out that it WAS dangerous -- to the hegemony of open heart bypass surgery for the treatment of coronary artery disease.
Forum Editor, Angioplasty.Org, November 11, 2005

• Dear Forum Editor: About 2-3 years ago, a poster on one of the EECP message boards reported that he had noticed EECP was one of the treatments listed on the Quackwatch List at Quackbusters. Several other posters contacted Quackbusters and pointed out that EECP was FDA approved as an effective treatment for angina. Their forum mgr said he would check to confirm that this was true and EECP was removed from their list the next day. Well, that's all well and good but the FDA actually gave their approval for the EECP/ECP treatment in 1995!!!!! Apparently it was on their watch list improperly for for some 7 years or longer and no one ever called the error to their attention. I think folks may have some justification for being skeptical of the Quackbusters themselves...
Gerald Oros, OrosCo Product Specialties, Collinsville, IL, November 10, 2005

• Dear Clyde -- I'm not sure where you saw that Quackwatch said negative things about EECP. They don't have anything on their site about EECP. A comment we made in the past was referring to "chelation therapy" or the various artery clearing treatments being hawked, not EECP. We're sorry if we were not clearer about this. In fact there have been a number of studies showing that EECP is a valid therapy -- quite respectable (as your insurance carrier also believes). One of the pioneering companies Vasomedical exhibits at the major cardiology meetings (TCT, ACC, etc.) and these meetings are not interested in "quackery".
Forum Editor, Angioplasty.Org, November 7, 2005

• Qwackwatch is a little off his kilter when it comes to EECP and ECP, although it hasn't been a complete remedy for me, I don't think I would be alive today without it. If my stingy insurance company pays for it, there must be good medical evidence that it works. In fact, they made me dig up the evidence and appeal a denial before they would approve it. I think Quacker should do a little more study on how it works and why it works, before he makes a quacking fool of himself.
Clyde Hyde, ECP-EECP@yahoogroups.com, Gomel, Gomel, Belarus, November 7, 2005

• You might want to read the informative article about some re-clotting problems with drug eluting stents that appeared in the October 21st issue of this year's Wall Street Journal. Some patients are having their stents get clogged when their doctors take them off of the Plavix or when the patient just forgets to keep taking it. At $150.00 a month at the local Walgreen Pharmacy, some patients just can't afford to take it for the rest of their lives and some may have problems when they try to stop the medication because of the prohibitive cost. According to the article these complications are seen in no more than 1% of the patients -- but of that 1%, there is a stunning 45% mortality rate associated with this small group. When you consider that 3,000,000 patients have already received drug eluting stents worldwide and that some doctors fear the patients' experiencing these problems may actually exceed 1%, you are looking at a minimum of some 15,000 unexpected deaths and perhaps a great deal more. I think it might be prudent for the cardiology community to to consider screening patients for sensitivity to the drug Plavix before rushing in to place the stent/stents. Once they're in there and problems arise in those unfortunate few, there doesn't seem to be much they can do about it. One doctor, who is associated with Vasomedical, the company that makes the EECP machines approved for treating angina, told me once that EECP helps improve the outcome of angioplasties. While he did not explain how or why that would be so, I do know that EECP treatments can help improve endothelial function in some patients. Mayo Clinic studies showed that to be the case. Improved endothelial function. by improving vascular system tone, might contribute to reducing vascular stiffness. It can also increase the body's producton of the enzyme, endothelial nitric oxide synthase (eNOS), which enables the body to convert arginine into nitric oxide (NO) which enables the vascular system to dilate, which increases blood flow and oxygen delivery to oxygen deprived areas of the body, which would include the heart and the walls of the vascular system. I guess help from EECP treatments would all depend on whether your endothelial system was dysfunctional or not to begin with -- but I guess patients need to ask their doctor about such things. And, I think doctors who need to tell them about such thing, in general, may not yet fully appreciate how a dysfunctional endothelium can upset vascular homeostasis and directly contribute to the development of atherosclerosis and cardiovascular disease.
Gerald Oros, OrosCo Product Specialties, Collinsville, IL, October 30, 2005

• I have been running an EECP center at Amritsar India since the last two years. I have achieved a success rate of 95% in relieving angina and dyspnoea/failure in my patients.Not a single one of my patients have needed bypass surgery so far.I feel that most EECP centers in the world do only EECP and nothing else. We at Randhawa Hospital,Amritsar have a comprihensive programme which includes Aggressive lipid lowering, weight reduction, exercise programme, diet therapy, yoga sessions in addition to EECP. CAD is a relentless, progressive, multifactorial disease. No single mode of treatment is likely to achieve more than 70% success rate. A multidimentional, comprehensive and committed approach has achieved a 95%success rate at our hospital.
Dr SJS Randhawa MD;DNB, Randhawa Hospital, Amritsar/Punjab/India, September 19, 2005

• ecp device at the most competent rate in india we are the manufacturers of ecp device in india and looking for distributors or buyers , please mention your complete details if interested.
anju sharma, cardiopulse, india, August 17, 2005

• You can undergo some safe, non-invasive treatments like External Counter Pulsation (ECP) or Artery Clearance Therapy (ACT) / Chelation Therapy. You can see details on www.sssibia.com
Dr.Sibia, Sibia Medical Centre, Ludhiana, Punjab, India, August 08, 2005

• There is an ECP-EECP forum in yahoo. My latest round of ECP was in India. ECP-EECP-subscribe@yahoogroups.com
Clyde Hyde, Gomel, Belarus, July 14, 2005

• dear sir/ madam, my name is sukhooram, my cabg was done in 1997 and at 8th post cabg day i had another mi and in march 2005 i had another non st elevated mi and then angio was done that showed 100% blockade and i was advised to have eecp treatment.i was quite well during procedure and one month after that, but now since 20 days i had two severe episodes of short of breath and signs of heart failur .so now i want to know that why im having these types of attacks and is this treatment failure? actually i need answer!
sukhooram, pakistan, July 06, 2005

• Please let me know which institutions are providing the service of EECP in india. Early response will be highly appreciated
Vijay Ramesh, Individual, Bangalore(Karnatak) India, February 22, 2005

• Was diagnosed with 100% occluded LAD in April 2004. I have had a series of EECP in addition with chelation therapy and plaquex and I am at the moment completely pain free and I am no longer on any medication.
Johnny, Abu Dhabi, U.A.E., February 13, 2005

• Dear Sir/Madam. My name is Keith, I found your contact information from a website. My family have a factory in China is producing the ECP unit, if you have interest of it, please feel free to contact me, I will more than happy to answer you question. E-mail: keithjie2001@yahoo.com Tel: 001-416-278-9979 Warm regards. Keith
Keith, Toronto, Ontario, Canada, July 07, 2004

• I work for a company that specializes in EECP treatment and we have the ability to install our centers anywhere in the country to fit patient needs. EECP is a non invasive way to relieve your body from angina or angina equivalents. Log onto our website www.fwheatcare.com or email dan@fwheartcare.com. Take control of your life again, talk to your local doctor or cardiologist to see if this is right for you.
Dan Anderson, Fort Worth Heart Care, Ft. Worth, Texas, USA, 10 May 2004

• I would just like to chime in that while studies are ongoing in terms of EECP, and there are data that show efficacy of this treatment, chelation therapy has pretty much been debunked and is, in fact, discussed in more detail on Quackwatch.
Forum Editor, PTCA.Org, 14 Dec 2003

• You can undergo some safe, non-invasive treatments like External Counter Pulsation ECP) or Artery Clearance Therapy (ACT) / Chelation Therapy. You can see details on www.sssibia.com
Dr.S.S.Sibia, Sibia Medical Centre, Ludhiana, Punjab, India, 10 Dec 2003

• I got a stent and EECP, then two months later the LAD totally occluded but my saving factor was strong collaterals. I went for another round of EECP which didn't seem to help a lot so went to Moscow for GM-CSF shots. My nitro usage has dropped from 30-40 to 4-5 per day and I have reduced medications by a third. I don't believe this therapy is available in the dumb USA, but it worked for me. I am still not out of the woods, but am far better.
Clyde Hyde, Gomel, Belarus, 18 Oct 2003

• John Baldock You ask a great question John! Why indeed? Could it be that the EECP procedure is so much less expensive than the invasive procedures and is therefore much less profitable to the physician and hospital? Sadly, your situation is not uncommon. Something must be done. Lets all just wake up and "smell the coffers" in this situation. Suggest that you log onto www.vasomedical.com and request the free Larry King Video on EECP to learn about why EECP works so well, then pass it on to a neighbor.
Gerald Oros, Collinsville Illinois, USA, 21 Feb 2002

• I had quintuple (5) coronary by-pass surgery. Because of failed grafts shortly after surgery had 3 additional angioplasties. Placed on beta-blockers, nitro and other drugs to no avail. Thought my life was over until I found out and went through 35 EECP treatments. Life has returned to a semi normal existence. EECP gave me great results from a non-invasive procedure. Why didn't medical science offer EECP to me first, and save my native arteries and all the scars and pain associated with surgery?
John Baldock, N/A, Reno, Nevada, USA, 13 Feb 2002

• I also had problems after a stent placement The doctor said that I didn't have pain because of good test results. I went and saw another doctor and started EECP Enhanced External Counter pulsation and solved all problems
David Zemaitis, Indianapolis, Indiana, USA, 26 Dec 2000

Enhanced External Counterpulsation (EECP)

What have been your experiences with and comments about Enhanced External Counterpulsation (EECP)? If you are looking for EECP equipment, visit our EECP Marketplace.