Regarding heart problem need help - #10377
My sister age 30 years got attack last year sept 2024 doctor done angioplasty with 2 stents in one arterie two r Block with 70 to 75 % now doctors r say saying go for next two blockage. My question is can we go eccp treatment for is it safe or can we go with medicine Pl help
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Doctors’ responses
EECP is a non-invasive therapy that improves collateral blood flow to the heart.
It may benefit patients:
With stable angina (chest pain)
Who are not surgical/angioplasty candidates
Who refuse further stenting
It is NOT a replacement for angioplasty in:
High-grade blockages (≥70%) with reduced blood flow
Unstable symptoms or high-risk ECG/Echo findings
Can be considered as adjunctive therapy if:
She is asymptomatic
Under tight medical supervision
Is not a surgical candidate
Recommendation: Do not delay necessary angioplasty if advised by cardiologist
EECP may be added after medical stabilization or if intervention is deferred
Investigations Advised Before Final Decision: 2D Echo – LVEF (heart pumping function)
TMT / Stress Echo – functional assessment
Coronary Angiography report review
ECG, HbA1c, Lipid Profile, Creatinine
CRP/hs-CRP – inflammation marker
Lifestyle Advice: Strict low-fat, low-sodium diet
Daily walking (30 mins minimum)
Weight control, blood pressure and sugar control
Quit smoking/alcohol if applicable
Avoid stress, practice yoga/meditation
Visit Cardiologist.
I would just as angioplasty was done within 12 month,you should go for angioplasty You can go for eccp if blockage are stable and not critical I would advise you to get second opinion from a cardiologist
Since your sister already has two stents and remaining blockages of 70-75%, further treatment depends on her current symptoms and heart function. EECP (Enhanced External Counter Pulsation) is a non-invasive option that can improve blood flow, but it may not replace the need for further stenting if blockages are critical. Please consult her cardiologist to assess the safety and suitability of EECP or medical management based on her overall heart condition.
Hello dear Please be aware See as per my clinical experience,in only advanced stage of atherosclerosis you need to undergo stent application I think medications with blood thinners can do the job Kindly share latest angiogram with cardiologist and then go for need ful Usually these two medicines should help Clopidogril Atorvostatin Take only on confirmation Regards
In cases of coronary artery disease, especially when blocks are significant or causing symptoms, the treatment plan often varies based on the specific circumstances and patient health status. With two blockages, even after a successful angioplasty and stents, it’s crucial to assess the overall heart function and any symptoms she might be experiencing. EECP (Enhanced External Counterpulsation) is a non-invasive treatment that might support some patients with angina or heart failures by improving blood flow to the heart muscle. However, it’s not typically a substitute for invasive procedures that may be necessary to prevent a myocardial infarction, particularly if the blockages are as high as 70-75%.
The decision to opt for further invasive treatment such as angioplasty compared to trying medication first is best made by a cardiologist who knows the full picture of your sister’s health, symptoms, and risks. Medications that can help manage heart disease include antiplatelet drugs, statins, beta-blockers, ACE inhibitors, and lifestyle modifications such as diet, exercise, and smoking cessation. These can be part of the management strategy whether or not further invasive procedures are performed.
Remember that timing can be of the essence, especially with blockages that are significant, as they can put her at higher risk of further cardiac events. It’s also valuable to consider any symptoms she’s experiencing now or in the past that might indicate a worsening of her condition. In certain cases, blockages are stable, and medications can effectively manage them, but this must be closely monitored. Always ensure to discuss the potential benefits and risks of each treatment option with her cardiologist, considering her specific health profile, comorbidities, and the fact that she is already living with stents. The goal is always to provide the most comprehensive care to stabilize the condition and prevent further cardiac events.
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