Enhanced External Counterpulsation
|The Cardiovascular System|
|EECP pushes blood back toward the heart to reduce the heart's workload.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Your medications are not working well enough
- You are not a good candidate for surgery
- Your doctor wants you to try a nonmedical alternative before considering surgery
- You have had surgery but are still having chest pain
- Decrease in symptoms of angina
- Decreased need for angina medications
- Ability to do activities, such as exercise, without angina
- Improved heart function if a lack of oxygenated blood flow is a problem
- Improved quality of life
- Bruising or blisters
- Bleeding if your blood is too thin
- Leg or waist pain
- Worsening of heart failure in people who have certain heart rhythm abnormalities
- Severe heart failure
- Certain heart valve problems, such as significant aortic insufficiency or regurgitation
- Problems with heart rhythm, called arrhythmias
- High blood pressure you cannot control with medications
- Blockages in the veins or arteries of your legs
- Recent heart catheterization
- Severe chronic obstructive pulmonary disease (COPD)
- Aortic aneurysm or aortic dissection
What to Expect
Prior to Procedure
- Discuss your medical history
- Discuss any medications you are taking—your doctor may not recommend EECP if you take blood thinners
- Answer any questions you have about the procedure
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
Call Your Doctor
- Severe chest pain that may feel tight or heavy
- Shortness of breath
- Numbness or tingling in shoulder, arm, or wrist
- Symptoms not relieved with medication
American Heart Association http://www.heart.org
National Heart Lung and Blood Institute http://www.nhlbi.nih.gov
Canadian Cardiovascular Society http://www.ccs.ca
Heart and Stroke Foundation of Canada http://www.heartandstroke.com
Amin F, Al Hajeri A, Civelek B, et al. Enhanced external counterpulsation for chronic angina pectoris. Cochrane Database of Systematic Reviews. 2010;2:CD007219.
Enhanced external counterpulsation. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/heart/disorders/cad/eecp.aspx. Updated May 2015. Accessed June 29, 2015.
Enhanced external counterpulsation (EECP). The Ohio State University Medical Center Heart and Vascular center website. Available at: http://medicalcenter.osu.edu/heart/conditions/pages/treatments/eecp.aspx. Accessed June 29, 2015.
What is angina? National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/angina. Updated June 1, 2011. Accessed June 29, 2015.
What is angina? American Heart and Stroke Association website. Available at: http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm%5F300287.pdf. Published 2012. Accessed June 29, 2015.
Manchanda A, Soran O. Enhanced external counterpulsation and future directions: step beyond medical management for patients with angina and heart failure. J Am Coll Cardiol. 2007;50(16):1523-1531.
- Reviewer: Michael J. Fucci, DO; Brian Randall, MD
- Review Date: 06/2015 -
- Update Date: 05/11/2013 -