Читать книгу Practical Cardiovascular Medicine - Elias B. Hanna - Страница 212

XIII. Enhanced external counterpulsation (EECP)

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This therapy consists of inflating cuffs around the lower extremities during diastole, and deflating them in systole, creating an effect similar to IABP. The systolic cuff depression reduces LV afterload and O2 demands. It may also have a sustained effect on endothelial function, collateral function, and oxidative stress, explaining the sustained benefit. EECP consists of 35 one-hour sessions. Non-randomized and limited randomized data suggest a reduction of angina and a reduction of ECG and nuclear ischemia with this therapy (class IIb for refrac

tory angina).12

Practical Cardiovascular Medicine

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