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From the linked page-- "Discussed during the "Cardiology Update, 1997" October 16-18, 1997 at the Carmel Valley Ranch Resort, Carmel, CA Directed by William W. Parmley, MD, FACC and Kanu Chatterjee, MBBS, FRCP, FACC" The fact that this study was in 1997 and still patients don't seem to know about it seems to prove their point. Overall, more than one hundred studies have been done. Doctors should keep up with their fields. Ignorance is not an excuse- at least not for cardiologists. This is not a cure all, but for many people it is a way better mousetrap that has been invented, and has been available for several years. Some clinics do have it. I certainly would seek those clinics to get any serious heart problems checked out. Even with those clinics, the operations are likely to be more profitable (not saying that is a consideration, but the patient needs to know that). Here are just the studies in the last two years: If my cardiologist was not aware of these, then I certainly would not trust him/her. And if the cardiologist does not have the equipment, and the patient is a good candidate for this, the patient should be apprised of the treatment, with the option of going to another group. 1: Kronhaus KD, Lawson WE. Enhanced external counterpulsation is an effective treatment for Syndrome X. Int J Cardiol. 2008 Jun 28. PMID: 18590931 2: Esmaeilzadeh M, Khaledifar A, Maleki M, Sadeghpour A, Samiei N, Moladoust H, Noohi F, Haghighi ZO, Mohebbi A. Evaluation of left ventricular systolic and diastolic regional function after enhanced external counter pulsation therapy using strain rate imaging. Eur J Echocardiogr. 2008 Jun 21. PMID: 18579500 3:
Loh PH, Cleland JG, Louis AA, Kennard ED, Cook JF, Caplin JL, Barsness GW, Lawson WE, Soran OZ, Michaels AD. Enhanced external counterpulsation in the treatment of chronic refractory angina: a long-term follow-up outcome from the International Enhanced External Counterpulsation Patient Registry. Clin Cardiol. 2008 Apr;31(4):159-64. PMID: 18404725 4:
Xie S, Yu D, Wei X, Wang K. The semantic extension and storage of EECP Hemodynamic Waveforms based on DICOM Standard. Med Biol Eng Comput. 2008 Apr;46(4):391-7. Epub 2008 Feb 12. PMID: 18266019 5: Casey DP, Conti CR, Nichols WW, Choi CY, Khuddus MA, Braith RW. Effect of enhanced external counterpulsation on inflammatory cytokines and adhesion molecules in patients with angina pectoris and angiographic coronary artery disease. Am J Cardiol. 2008 Feb 1;101(3):300-2. Epub 2007 Dec 11. PMID: 18237588 6: Kent TL, Glybina IV, Abrams GW, Iezzi R. Chronic intravitreous infusion of ciliary neurotrophic factor modulates electrical retinal stimulation thresholds in the RCS rat. Invest Ophthalmol Vis Sci. 2008 Jan;49(1):372-9. PMID: 18172115 7: Arora RR, Bergmann S. Effects of enhanced external counterpulsation (EECP) on myocardial perfusion. Am J Ther. 2007 Nov-Dec;14(6):519-23. PMID: 18090877 8: Bondke A, Buschmann IR, Bode C, Buschmann EE.
Hamostaseologie. 2007 Dec;27(5):363-72. German. PMID: 18060248 9: Estahbanaty G, Samiei N, Maleki M, Noohi F, Mohebi A, Ojaghi Z, Esmaeilzadeh M, Sadeghpour A, Soran O. Echocardiographic characteristics including tissue Doppler imaging after enhanced external counterpulsation therapy. Am Heart Hosp J. 2007 Fall;5(4):241-6. PMID: 17982308 10: 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 Oct 16;50(16):1523-31. Epub 2007 Oct 1. Review. Erratum in: J Am Coll Cardiol. 2007 Dec 18;50(25):2441. PMID: 17936150 11: Sajja V, Dod H, Beto R, Jain AC, Hobbs GR, Finkel MS. An analysis of the efficacy and safety of enhanced external counterpulsation at West Virginia University Hospitals. W V Med J. 2007 May-Jun;103(3):10-2. PMID: 17849668 12:
McCullough PA, Henry TD, Kennard ED, Kelsey SF, Michaels AD; IEPR Investigators. Residual high-grade angina after enhanced external counterpulsation therapy. Cardiovasc Revasc Med. 2007 Jul-Sep;8(3):161-5. PMID: 17765644 13:
May O.
Ugeskr Laeger. 2007 Jun 25;169(26):2507-12. Review. Danish. PMID: 17725894 14: Arora RR, Shah AG. The role of enhanced external counterpulsation in the treatment of angina and heart failure. Can J Cardiol. 2007 Aug;23(10):779-81. Review. PMID: 17703254 15: El-Sakka AI, Morsy AM, Fagih BI. Enhanced external counterpulsation in patients with coronary artery disease-associated erectile dysfunction. Part II: impact of disease duration and treatment courses. J Sex Med. 2007 Sep;4(5):1448-53. Epub 2007 Jul 18. PMID: 17634052 16: Zhang Y, He X, Chen X, Ma H, Liu D, Luo J, Du Z, Jin Y, Xiong Y, He J, Fang D, Wang K, Lawson WE, Hui JC, Zheng Z, Wu G. Enhanced external counterpulsation inhibits intimal hyperplasia by modifying shear stress responsive gene expression in hypercholesterolemic pigs. Circulation. 2007 Jul 31;116(5):526-34. Epub 2007 Jul 9. PMID: 17620513 17:
Yavari M, Montazeri HR. Effects of enhanced external counterpulsation on anginal symptoms and improvements in objective measures of myocardial ischaemia. Cardiovasc J Afr. 2007 May-Jun;18(3):154-6. PMID: 17612746 18: Michaels AD, Bart BA, Pinto T, Lafferty J, Fung G, Kennard ED. The effects of enhanced external counterpulsation on time- and frequency-domain measures of heart rate variability. J Electrocardiol. 2007 Nov-Dec;40(6):515-21. Epub 2007 May 29. PMID: 17532337 19: Werner D, Michalk F, Hinz B, Werner U, Voigt JU, Daniel WG. Impact of enhanced external counterpulsation on peripheral circulation. Angiology. 2007 Apr-May;58(2):185-90. PMID: 17495267 20:
Lawson WE, Hui JC, Kennard ED, Soran O, McCullough PA, Kelsey SF; for the IEPR Investigators. Effect of enhanced external counterpulsation on medically refractory angina patients with erectile dysfunction. Int J Clin Pract. 2007 May;61(5):757-62. PMID: 17493089 21: Cohen J, Grossman W, Michaels AD. Portable enhanced external counterpulsation for acute coronary syndrome and cardiogenic shock: a pilot study. Clin Cardiol. 2007 May;30(5):223-8. PMID: 17492675 22: El-Sakka A, Morsy A, Fagih B. Enhanced external counterpulsation in patients with coronary artery disease-associated erectile dysfunction. Part I: effects of risk factors. J Sex Med. 2007 May;4(3):771-9. Epub 2007 Apr 13. PMID: 17433083 23:
Ask the doctor. Enhanced external counter pulsation (EECP) is getting wider recognition, and some clinics provide this service. Is it a safe medical substitute for stent implantation or heart bypass? Any side effects? Heart Advis. 2006 Nov;9(11):8. No abstract available. PMID: 17297738 24: Soran O, Kennard ED, Bart BA, Kelsey SF; IEPR Investigators. Impact of external counterpulsation treatment on emergency department visits and hospitalizations in refractory angina patients with left ventricular dysfunction. Congest Heart Fail. 2007 Jan-Feb;13(1):36-40. Erratum in: Congest Heart Fail. 2007 Mar-Apr;13(2):124. PMID: 17268208 25: Abbottsmith CW, Chung ES, Varricchione T, de Lame PA, Silver MA, Francis GS, Feldman AM; Prospective Evaluation of EECP in Congestive Heart Failure Investigators. Enhanced external counterpulsation improves exercise duration and peak oxygen consumption in older patients with heart failure: a subgroup analysis of the PEECH trial. Congest Heart Fail. 2006 Nov-Dec;12(6):307-11. PMID: 17170583 26: Lawson WE, Barsness G, Michaels AD, Soran O, Kennard ED, Kelsey SF, Hui JC; IEPR Investigators. Effectiveness of repeat enhanced external counterpulsation for refractory angina in patients failing to complete an initial course of therapy. Cardiology. 2007;108(3):170-5. Epub 2006 Nov 1. PMID: 17085938 27: Michaels AD, McCullough PA, Soran OZ, Lawson WE, Barsness GW, Henry TD, Linnemeier G, Ochoa A, Kelsey SF, Kennard ED. Primer: practical approach to the selection of patients for and application of EECP. Nat Clin Pract Cardiovasc Med. 2006 Nov;3(11):623-32. Review. PMID: 17063167 28: Levenson J, Simon A, Megnien JL, Chironi G, Gariepy J, Pernollet MG, Craiem D, Iliou MC. Effects of enhanced external counterpulsation on carotid circulation in patients with coronary artery disease. Cardiology. 2007;108(2):104-10. Epub 2006 Sep 29. PMID: 17008798 29: Nichols WW, Estrada JC, Braith RW, Owens K, Conti CR. Enhanced external counterpulsation treatment improves arterial wall properties and wave reflection characteristics in patients with refractory angina. J Am Coll Cardiol. 2006 Sep 19;48(6):1208-14. Epub 2006 Aug 28. PMID: 16979007 30: Feldman AM, Silver MA, Francis GS, Abbottsmith CW, Fleishman BL, Soran O, de Lame PA, Varricchione T; PEECH Investigators. Enhanced external counterpulsation improves exercise tolerance in patients with chronic heart failure. J Am Coll Cardiol. 2006 Sep 19;48(6):1198-205. Epub 2006 Aug 28. PMID: 16979005 31: Ochoa AB, deJong A, Grayson D, Franklin B, McCullough P. Effect of enhanced external counterpulsation on resting oxygen uptake in patients having previous coronary revascularization and in healthy volunteers. Am J Cardiol. 2006 Sep 1;98(5):613-5. Epub 2006 Jun 30. PMID: 16923446 32: Levenson J, Pernollet MG, Iliou MC, Devynck MA, Simon A. Cyclic GMP release by acute enhanced external counterpulsation. Am J Hypertens. 2006 Aug;19(8):867-72. PMID: 16876689 33: Yu W, Pettersson T, Ohlsson O, Bondesson S, Edvinsson L, Johnsson P.
Lakartidningen. 2006 Jun 14-27;103(24-25):1930, 1933-4. Review. Swedish. No abstract available. PMID: 16838577 34: Akhtar M, Wu GF, Du ZM, Zheng ZS, Michaels AD. Effect of external counterpulsation on plasma nitric oxide and endothelin-1 levels. Am J Cardiol. 2006 Jul 1;98(1):28-30. Epub 2006 May 3. PMID: 16784915 35: Pettersson T, Bondesson S, Cojocaru D, Ohlsson O, Wackenfors A, Edvinsson L. One year follow-up of patients with refractory angina pectoris treated with enhanced external counterpulsation. BMC Cardiovasc Disord. 2006 Jun 15;6:28. PMID: 16776842
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