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Asian Cardiovasc Thorac Ann 2003;11:92-94
© 2003 Asia Publishing EXchange Ltd

REVIEW PAPER

Enhanced External Counterpulsation

Leslie Lam, FRCP, Shahid Mahmood, FACC

Mount Elizabeth Hospital, Singapore

For reprint information contact: Leslie Lam, FRCP Tel: 65 67321881 Fax: 65 67361652 email: cardiac{at}singnet.com.sg Cardiac Centre, Mount Elizabeth Medical Centre, Singapore 228510.

Enhanced external counterpulsation is a noninvasive technique designed to increase myocardial perfusion and reduce cardiac workload in patients with coronary artery disease. Recent trials have documented beneficial hemodynamic effects. Stress testing and radionuclide imaging have demonstrated improvemements in functional capacity and myocardial perfusion. This procedure may be the therapeutic choice for patients with severe diffuse disease or in whom repeat revascularization is not possible. The relatively low cost of the technique makes it feasible for patients in developing countries.






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