Enhanced external counter pulsation

Acting in the same way as aortic counter pulsation, this technique augments blood flow during diastole. The technique involves cuffs compressed in early diastole for up to 35 x 1-hour sessions. There have been several studies of enhanced external counter pulsation (EECP). A multicenter study (MUST-EECP) of 139 patients decreased anginal episodes by 25 percent (p <0.035) when compared to sham EECP.62 The technique has a number of contraindications and is limited by availability, but has been licensed by the Food and Drug Administration (FDA) for RAP.

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