Heart Disease & EECP in Europe
Thursday, August 26, 2010
  Additional Complications due to Aging!
I was 70 a couple of months ago - a wry milestone. Glad you've got there and a notice that you're getting older and that things are gradually not working as well as they did. About 4 weeks ago I had a 'big' operation to correct a slipped disc in the lumbar (Lower) section of my back.

I had seriously damaged the Achilles tendon in my left leg about a year ago - running for a bus! This took 6 months to repair and wasn't helped by my active part in building our new house - fortunately now finished - mostly. About the turn of the year I started to notice shooting pains in both legs when I walked and naturally put this down to side effects from the Achilles tendon repair - until the physiotherapist treating me said no - something else is happening - spinal stenosis. This is progressive compression of the spinal cord due to pressure from a slipped disc. He passed me on to a back specialist surgeon who confirmed the diagnosis and gave me the usual options - live with it and use painkillers, local injections or surgery, the last of which I chose. My judgment was that I was probably fit enough to withstand the operation with a reasonable chance of success - the surgeon gave me the odds as 85:15 on a successful outcome based on experience with what is now a 150 year old procedure.

This duly took place towards the end of July and I knew within 24 hours that it had been well done - the pains had gone and everything still appeared to work. The surgeon also told me the damage had nothing to do with the Achilles tendon problem - I was the unwitting victim of 20-30 years of self-inflicted damage of which I knew nothing. If you have no symptoms you just assume you can go on doing these things.

4 weeks later I hardly know that anything has even happened - except for the rather vigorous regime of daily exercises prescribed by the physio whom I see every couple of weeks (I should be doing them now). I no longer stumble and my daily walking is up to over 9000 paces again.

And what of the heart and blood pressure during all this? Not a tremor or whisper of a problem. My BP was 110/68 at the pre-assessment and got up as far as 137/80 immediately after the operation. The anaesthetist said he noticed nothing.

Indeed, over the last 6 months my BP has steadily declined, the average resting BP taken last thing in the evening (so, very benign but consistent conditions) has been 116/70 over the last 3 months. Indeed I wonder if my drug regime - still a full spectrum hypertension package - needs revision. A discussion with the GP next month.

In summary, hooray for EECP and the long-lasting effects of such a good treatment. I am a very lucky man, both with EECP and a well executed back surgery. Let's hope the luck persists
 
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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