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EXTERNAL COUNTER PULSATION

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ECP increases blood flow by creating collaterals without surgery from outside the body by creating special pressures.

ECP increases blood flow:
- To heart by 20-42%
- To brain by 22-26%
- To kidneys by 19%
ECP also increases heart's output (stroke volume)
by 12% by reducing after load. This improves LVEF.

This is done by:
• Dilating blood vessels - Small blood vessels enlarge.
• Opening dormant blood vessels lying closed since birth.
• Angiogenesis – Forming new blood vessels.

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ECP is a comfortable procedure.

Patient lies on the ECP bed wearing eight pressure cuffs - around calves, thighs, hips and arms (older ECPs had six cuffs). These increase blood flow by heart beat synchronized inflate and deflate synchronized with the heartbeat to.

ECP is done one or two hour a day for 35 hour.

ECP means successfully fighting Heart Disease

Upto 90% patients improve. Most feel better in 15 to 20 hours treatment. ECP benefits last 3 to 7 years or more. ECP is so successful that in USA insurance reimbursement for ECP has gone up by 6 % whereas that for other procedures like angioplasty, bypass surgery etc. has decreased by 7%.

ECP a recognized treatment worldwide
ECP is internationally recognized by FDA (USA), CE Mark (Europe) etc. ECP is mentioned in medical textbooks. Many articles have been published in the Journal of the American College of Cardiology, Cardiovascular Reviews Reports, Cardiology, Mayo Clinical Proc., Clinical Cardiology, Journal of External Counter Pulsation, etc.

ECP is available.
ECP is available world-wide in most leading hospitals such as Cleveland Clinic, Johns Hopkins, JFK Medical Centre, Mayo Clinic, Miami Heart Institute, Texas Heart Institute, Hammersmith Hospital, London, etc

Current status and the expected future of ECP
Leading technology for treating cardiovascular disease is slowly moving from very invasive methods to less invasive. Medical history is witnesses that in the seventies bypass surgery was the big news in the treatment of coronary artery disease. In the eighties it was balloon angioplasty and in the nineties it was the stent now we can move still a step further to a totally noninvasive treatment with ECP. The Future belongs to those who succeed and ECP in now provided world-wide by leading hospitals. The success of ECP can be judged by the fact that in the US Medicare reimbursement rate for ECP has increased by 7% whereas that for other procedures like angioplasty and bypass surgery decreased by 6%.

Trained doctors at Sibia Medical Centre are well trained in ECP
Dr.Sibia has been trained at Red Cross Hospital, Canton and at Guangzhou Medical Apparatus & Instrument Factory (China) where ECP originated. Sibia Medical Centre introduced ECP in North India in 2002 and is authorized by the Chinese to train doctors in ECP.

All EC P machines are not the same - compare the machines and the doctor's experience before deciding the treatment.

For best results - Have treated by the best ECP machines at the most experienced medical centre.

Don’t let the names confuse you –

ECP (External Counter Pulsation) is the generic term for the treatment.

There are brands by different manufacturers which may be misleading: like ASECP, EECP, Lifepulse, Cardiacassist, etc

FDA(USA) clarified that they are all ECPs for same purpose but may vary in design and output.

(and hence effectiveness).

ECP machines can be classifies as follows:

 1st generation ECPs - Hydraulic, positive pressure

 2nd generation ECPs - Pneumatic, positive pressure

 3rd generation ECPs - Pneumatic, positive pressure, sequential

 4th generation ECPs - Pneumatic, positive / negative pressure, sequential

 5th generation ECPs - Pneumatic, positive / negative pressure (augmented), sequential with arm cuffs for more efficacy and possibility of treating cerebral circulatory disorders also

Our ECP has all the above feature - many do not have active negative pressure  deflation and arm cuffs thus decreasing their efficacy.

To provide you the best we have the best – we keep up with the time

Hence before you decide where to have the treatment - check:

 •Are you being misguided by the name?

 •Have you compared the features of the different ECPs available – are you being treated with the latest generation ECP or the ones obsolete abroad.

Because we understand you.

Which patients can benefit by ECP and ACT?
Patients with decreased circulation anywhere can be treated such as:
Patients not fit for angioplasty and bypass surgery or do not want them
Before angioplasty or bypass to improve the cardiac status before surgery.
Patients with failed bypass or recurrence after bypass
Cerebral ischaemia, atherosclerosis, embolism, TIA, Vertebro-basilar insufficiency, Senile Dementia, Alzheimer disease, Cerebellar ataxia,
Hearing deficiency, Memory Disorders, etc
Vascular headache and migraine
Parkinsonism
Renal hypertension
Chronic fatigue syndrome
Decreased sexual functioning due to erectile dysfunction
To increase sports performance

How are ACT and ECP beneficial in so many conditions?
ACT and ECP are beneficial in all these conditions because all of them are due to decreased blood flow to the affected organ. As ACT and ECP increase circulation they benefit disease in any part of the body due to decreased blood flow.

What are the advantages of ECP and ACT?
They are effective, economical, Non-surgical, and non-invasive without hospital stay.

Are the treatments safe and comfortable?
Yes, They are safe and comfortable. patients can listen to music or see television during the treatment. Some patients even sleep during the treatment.

Are ECP and ACT possible before angioplasty and bypass or if they fail?
Yes, thousands of patients have been saved from angioplasty and bypass with ECP and ACT. ACT and ECP also improve heart function so patients can stand the surgery better. ECP and ACT after failed angiography and bypass and in those not fit for them can be life saving treatments.

How does the patient know he has improved?
The patients feel better and they test better.
Patient can walk more.
Patient can walk faster
Patient has less Chest pain
Patient can better Breathing
Sorbitrate need decreases
General look and skin colour improve
Feel increased energy & work capacity.
Less fatigue
Decreased pain in the legs
Improved sexual performance
Improved mental ability and memory

Which tests can show improvement with ECP and ACT?
Tests that document blood flow show the improvement with ECP and ACT. Improvement can be assessed by following pre and post treatment tests:
Tress Thallium
Cardiovascular Cartography
TMT.

Cost of ACT

International treatment at Indian rates.

International patients can save thousands of Dollars

 – See or Pilgrimage India + Get yourself treated + save money

The treatment cost is as follows valid up to 31.12.2007:

Indian patient   : Rs.1,750/- per ECP session of one hour- 35 treatment sessions are needed.

International patient : USD 50/- per ECP session of one hour- 35 treatment sessions are needed

The doctor’s consultation charge is Rs.200/-.

All consultations during the ECP treatment are complementary.

Stay Arrangement

Stay can be arranged if needed. The following options are available:

·                     Ward in Sibia Medical Centre @ Rs.300/- per day.

·                     Super deluxe rooms in Sibia Medical Centre @ Rs.2000/- per day.

·                     Deluxe rooms in Sibia Medical Centre @ Rs.1500/- per day.

·                     Semi deluxe rooms in Sibia Medical Centre @ Rs.1000/- per day.

·                     Hotels of all grades are available in Ludhiana.

·                     Guest houses are also available in Ludhiana.

We can arrange your stay and transfer from resident / hotel to the clinic and back.

Or if you want, you can do this arrangements by yourself.

Mode of Payment

Payment can be done in Indian Rupee, US Dollars, Pound Sterling or Euros by cash. Bank transfer or locally payable payable bank cherub or drafts are also accepted. Payment can be done by most credit card - if any expenses are chargeable to us they will be added to your account.

Address by Dr.APJ Abdul Kalam, The President of India on ECP

ADDRESS AT THE 2ND WORLD CONGRESS ON INTERVENTIONAL CARDIOLOGY AT MUMBAI

25-02-2005 : Through Video Conference From New Delhi
Cardiac Care with Heart

(Extracts)

The poorest of the poor have as much right as anyone to less pain after surgery, reduced medication, less morbidity, shorter hospitalization, and early return to home, family, and work.  

 ……………………… Indian population is highly susceptible for coronary heart diseases that too at a relatively young age irrespective of where they live.

 Progress in Treatment of Coronary Artery Disease

We have all witnessed the treatment of cardiovascular disease moving from very invasive to less invasive methods. In the seventies bypass surgery was the big news, in the eighties it was balloon angioplasty and in the nineties it was the stent.

Now, moving a step further is a totally non-invasive treatment - EXTERNAL COUNTER PULSATION (ECP), a truly non-operative, non-pharmaceutical, safe and effective treatment which has made big news in the west. ECP is FDA (USA) approved and finds reference in medical and cardiology textbooks. Many favorable articles have been published in the Journal of the American College of Cardiology, Cardiovascular Reviews Reports, Cardiology, Mayo Clinical Proc., Clinical Cardiology, Journal of Critical Illness, Journal of External Counter Pulsation, etc. The success of ECP can be judged from the fact that in USA the insurance sector reported that the

reimbursement for ECP has gone up by 6 % whereas that of other procedure like angioplasty, bypass surgery, etc. has come down by 7%.

 Now the treatment is available in most of the leading hospitals of the world. In India, ECP is available at Sibia Medical Centre, Ludhiana besides Escort Heart Institute and Research Centre, New Delhi, Peoples General Hospital, Bhopal, Jamnagar etc. It is well known that following bypass surgery - only 75% patients are symptom free for 5 years or more and only 50% after 10 years or more. The number of patients having recurrence after bypass, ballooning and stenting is increasing and for them ECP is the only FDA approved treatment available which is documented to increases blood supply to the heart by 20-42%, to the brain by 22-26% and to the kidneys by 19%. ECP also increases heart's output. More patients now prefer non-invasive treatments. With improved cerebral circulation patients may notice improved memory, etc. This 2nd World Congress may like to study this technique of ECP EXTERNAL COUNTER PULSATION for providing non-invasive cardiac care.

……………….. Another feature which has been noticed is that there is a competition, between cardiologists and surgeons in treating heart cases. The ideal practice should be to provide only the minimum essential treatment instead of going in for surgical intervention as a routine management of the disease.

Conclusion

As we have discussed, Gene Chip, Stem Cell research and EXTERNAL COUNTER PULSATION have applications for many diseases relevant to India particularly cardiac diseases..

 - It is essential to carry out research which will enable interventional cardiologists to provide totally non-invasive treatment to cardiac patients.

- …………….. there are some hospitals who provide free cardiac-care to certain percentage of patients ………… . I suggest this model could be emulated by all the cardiologists …………..

Complete address available on the website of the President of India: http://presidentofindia.nic.in/scripts/sllatest1.jsp?id=489)

Press Report

ECONOMIC TIMES 20TH APRIL 2003

“ Even surgeons now acknowledge the benefits” says Dr. Ashok Seth,Head of the Department,Invasive and Inter-Ventional Cardiology,Escorts Heart Institute and Research Centre, “ The Surgeons were not sure of the benefits of ECP earlier,but now it has been proved to be a very useful alternative therapy.”

PUNJAB KESARI 15TH APRIL,2002

As per Dr. M.Khalilullah, Ex-Director of G.B.Pant Hospital & a well known cardiologist, “ People in America prefer to be treated by ECP as this is a very safe and assured therapy to get rid of heart diseases. The best thing is that ECP is a very easy procedure where as in By-pass, Ballooning and other techniques, the patient has to undergo painful process.”

PUNJAB KESARI Jallandhar 26th MARCH , 2002

As per Dr. S.S.Sibia and Dr. Harpreet Kaur Sibia “Those patients who do not wish to get the angioplasty or bypass surgery or who do not get relief in angina pain with medicines or are suffering with Cardiogenic Shock or Chronic Fatigue Syndrome,cantake the treatment with ECP technique. This technique has neither any side effects nor the patients have to undergo surgery. They are not even required to be hospitalized”

TRIBUNE NEWS SERVICE, NEW DELHI 4TH Nov. 2001

Speaking at an impressive gathering of leading national and international cardiologists and cardiac surgeons at the first All-India ECP Conference 2001 today, eminent cardiologist Dr Naresh Trehan, Director , Escorts Heart Institute and Research Centre, said the ECP treatment was very popular in the USA and China and already more than 150 centres had been established within a short period of time. “It is a safe and efficacious procedure. It is a proven non-invasive outpatient procedure to relieve the angina by increasing the oxygen delivery to the heart muscles”, he added.

Dr Harbans ,S.Wasir ,former Professor and Head, Department of Cardiology,AIIMS , and presently Director ,Department of Cardiology ,Batra Hospital, said using the ECP technique without surgery and angioplasty could decrease the severity and frequency of the angina. This treatment could decrease the need for medication and improve the ability to participate in normal day-to-day activities.

Everything about ECP - if you have the time:
 

Introduction to ECP

Development and progress of ECP

The better ECP device

Haemodynamic effects of ECP

Chemical changes that occur in the body

Mechanism of ECP

Conditions that can ECP treat

Patients that ECP can not treat

Tests required before ECP

Preparation for ECP

Procedure of ECP

Duration of  treatment

Effectiveness of ECP

How to know if ECP has helped

How soon improvement start

Duration of benefits of ECP

Adverse effects of ECP

ECP and insurance

ECP - now world wide

ECP – current and future

Support for cardiologists / doctors

ECP and related studies