Original research

Efficacy of enhanced external counterpulsation: our experience

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Aims

Enhanced external counterpulsation therapy is a non-invasive, non-pharmacological outpatient treatment option for refractory angina pectoris. Our aim is to evaluate its efficacy in Nepalese refractory angina pectoris patients.

Materials and methods

It was single centre prospective study conducted from 2010 August to 2013 December. All thirty one (n=31) consecutive patients, referred for and received 35 hours of treatment were included in this study. The distance covered in six minute walk test before and after the treatment was recorded and compared. Patients were followed each with the questionnaires about their anginal symptoms before and after the treatment.

Results

In our study 19(61.3%) were male and 12(38.7%) female. The mean age was 65.7±9.3 years. Most patients had multi vessel disease. Twelve patients had previous history of revascularization. In 6 minute walk test there was significant difference in mean distance covered before and after the treatment. Most patients experienced decrease in the angina symptom. They had decreased in severity and frequency of angina, resulting in decreased use of sublingual nitrates.

Conclusion

EECP can be safe and effective treatment option for patients with RAP.

Imprint

Chandra Mani Adhikari, Dipanker Prajapati, Suman Thapaliya, Man Bahadur KC. Efficacy of enhanced external counterpulsation: our experience; Cardiometry; No.5; November 2014; p.71-77; DOI:10.12710/cardiometry.2014.5.7177 Available from: http://www.cardiometry.net/no5-november-2014/external-counterpulsation

Keywords

Enhanced external counterpulsation,  Refractory angina pectoris
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