Heart Disease & EECP in Europe
Sunday, September 24, 2006
  Effects of EECP, Systolic Blood Pressure and Physical Effort - Sept 06





The chart shows graphically the effects of my course of EECP treatment between May and July 2006. It shows the relationship between changes in systolic blood pressure and the amount of physical effort I was capable of before, during and after the course. The red line shows the trend in systolic pressure between July 2005 and September 2006. Rather than show the absolute values I have plotted the average change over any 20 day period compared to the annual average. The reason for this rather convoluted presentation is paradoxically to remove short term day to changes and show the longer term trends. If the slope of the red line is positive (going upward) then the situation is deteriorating; if it is dipping then it is improving. If the line is roughly horizontal then the blood pressure is stable.


The blue line starting in Nov 2005 shows the daily pedometer readings - I started to wear one to check how much exercise I was having. My coronary health deteriorated rapidly between December 2005 and March 2006 - there was a sustained upward trend in blood pressure and a catastrophic loss in physical capacity - 3000 steps a day was a lot. I had an angiogram and IVUS (intra vascular ultrasound) inspection in March where it was determined that the plaques were both bulky and diffuse, one of the right coronary artery branches being at least 80% blocked. A second stent was fitted (the first, also in the right coronary artery, being fitted 24 months before). The improvement after a month was very little - in other words the problem had not been resolved.

My cardiologist then recommended I should undergo an EECP course; I was clearly one of those patients who fell into the refractory category mentioned in an earlier post. The treatment started on 22nd May and continued for 7 weeks. The remarkable effect was that after about 5 treatments I was able to go from 3000 to 8000 steps a day. I had to cope with a lot of side effects of the increased exercise; my body was generally out of condition so I was very tired and joints and muscles were very stiff. As the treatment progressed so the exercise level was sustained, still with a lot of fatigue effects.

The $64,000 question is then - what happened afterward? It is now over 2 months since the treatment was completed and the general level of activity has been sustained, less walking but a lot of other activities (we are planning to move house soon so there is an awful lot to do). I have now started an exercise bike regime - about 25 min/day at a light setting, equivalent to 200kcal and 9km distance. Fatigue effects have gradually lessened as the fitness has increased and - dare I say it - the tone and condition of the heart has improved since July. In particular, if I do too much on any one day I can recover quite quickly whereas 6 months ago I would have been out of action for days, confined to the sofa and forced to watch the world go by. I am once more part of the world!

I hope to post more reports periodically with updates - good, bad or neutral. My experience thus far is - if you have coronary vascular disease and your cardiologist agrees that EECP is a valid treatment - go for it! It will not harm you and you have a 75-80% probability of it doing a lot of good.

HP Masher - 24th September 2006

 
For patients and professionals with an interest in coronary artery disease (CAD)and heart failure (CHF). External counterpulsation (EECP) has been a great help to many patients by reducing angina and other debilitating symptoms. Being comparatively inexpensive its use in Europe should be expanded to improve quality of life and reduce healthcare bills. Start from the bottom (oldest post) and work towards the top. Comments are welcome - Click on the 'Comments' tab at the end of each post

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