scholarly journals 51. ENHANCED EXTERNAL COUNTERPULSATION REDUCES BLOOD PRESSURE IN REFRACTORY ANGINA PECTORIS PATIENTS; A SYSTEMATIC REVIEW AND META-ANALYSIS

2021 ◽  
Vol 39 (Supplement 2) ◽  
pp. e13
Author(s):  
Najmi Fauzan Tarsidin ◽  
Badai Bhatara Tiksnadi
2010 ◽  
Vol 19 (5) ◽  
pp. 287-294 ◽  
Author(s):  
Susanne Bondesson ◽  
Thomas Pettersson ◽  
Ola Ohlsson ◽  
Ingalill R. Hallberg ◽  
Angelica Wackenfors ◽  
...  

2006 ◽  
Vol 6 (1) ◽  
Author(s):  
Thomas Pettersson ◽  
Susanne Bondesson ◽  
Diodor Cojocaru ◽  
Ola Ohlsson ◽  
Angelica Wackenfors ◽  
...  

Author(s):  
Seyed Mansoor Rayegani ◽  
Saeed Heidari ◽  
Majid Maleki ◽  
Maryam Seyed-Nezhad ◽  
Maryam Heidari ◽  
...  

Enhanced external counterpulsation (EECP) is believed to be a non-invasive treatment for coronary artery disease and angina. The aim of this study was to determine the safety and effectiveness of EECP in refractory angina patients through a systematic reviews and meta-analysis. We conducted a comprehensive search of the literature published on PubMed, Cochrane library, Scopus, ScienceDirect, Trip Database and Google Scholar databases using appropriate keywords and specific strategy with no time limit. Having selected and screened the studies based on the defined inclusion and exclusion criteria and evaluating their quality based on the Cochrane checklist. For the meta-analysis,the Mantel-Haenszel method or the generic Inverse Variance was used. Analyses were done with Review Manager 5.2 software. A number of 299 studies were initially reviewed and finally, seventeen studies were included in the meta-analysis based on the inclusion and exclusion criteria. Also, thirteen outcomes were analyzed and the results of meta-analysis in twelve outcomes including (Systolic Blood Pressure (7 studies), Diastolic Blood Pressure (7 studies), Pulse Pressure (4 studies), Mean Arterial Pressures (4 studies), Heart Rate (6 studies), Angina episodes (7 studies), Walking distance (2 studies),Canadian Cardiovascular Society classification (6 studies), Flow-Mediated Dilation (3 studies), Daily Nitrate Usage (4 studies), Exercise Treadmill Test-Time (2 studies), ST-segment depression (2 studies)demonstrated a significant clinical advantage in the EECP treatment effectiveness in patients with angina. No significant difference was observed regarding EECP usefulness (P = 0.18) in the outcome of brachial artery diameter (2 studies). Based on the meta-analysis, the results indicate the safety and effectiveness of EECP in patients with angina pectoris and indicate the usefulness of this treatment in these patients. In general, the authors believe that the general conclusion in this regard requires some studies with a large sample size and a control group assignment.


2013 ◽  
Vol 9 (1) ◽  
pp. 20-24
Author(s):  
CM Adhikari ◽  
D Prajapati ◽  
S Thapa ◽  
MB KC

Background Enhanced External Counterpulsation (EECP) is a novel; FDA approved; non-invasive; outpatient treatment offered to patients with refractory angina pectoris. It uses sequentially inflated pneumatic cuffs on the lower extremities to enhance coronary diastolic flow. We studied its effect in twenty one patients with refractory angina pectoris. Methods All patients (n=21) who were referred for Enhanced External Counterpulsation to Shahid Gangalal National Heart Center Enhanced External Counterpulsation Llb who completed a treatment course (one hour per day for 35 days) of EECP and underwent 6-minute walk test before and after treatment were included. Demographic data, coronary artery disease risk factors and baseline angiographic data were collected. Distance covered in six minute walk test before and after the treatment was compared. Results All the patients who had undergone Enhanced External Counterpulsation had a positive clinical response. Distance covered in six minute walk test improved in all patients after the treatment. Decrease in anginal severity, frequency and the use of sublingual nitrates, with improvement in quality of life was observed after the treatment. During the treatment some patients complained of leg pain, one patient developed blister and one ecchymosis but the treatment was not discontinued. Conclusion The results from this study suggest that Enhanced External Counterpulsation is an effective, safe and well tolerated treatment option for the patients with refractory angina pectoris. DOI: http://dx.doi.org/10.3126/njh.v9i1.8343 Nepalese Heart Journal Vol.9(1) 2012 pp.20-24


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