Why External Counterpulsation (ECP or EECP) benefits patients with Chest Pain and Coronary Calcium
In this video I discuss how Enhanced External Counterpulsation (EECP) can create collateral blood flow in the coronary arteries helping patient's angina (chest pain) symptoms.
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About Dr. Pradip Jamnadas, MD, MBBS, FACC, FSCAI, FCCP, FACP
The founder and Chief Medical Officer of Cardiovascular Interventions, P.A. in Orlando Florida where, since 1990, he has been repeatedly recognized in local publications as a Top Doctor performing thousands of interventional procedures in hospital and out patient settings. As a consultant cardiologist with a large diversified inpatient and outpatient practice he is noted for his passions for teaching and illuminating prevention for cardiovascular disease . He is also a clinical assistant professor of medicine at The Florida State University and University of Central Florida.
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Music: Inspire by Wavecont
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Collateral Bloodflow Image:
Title: The collateral circulation of the heart
Source: doi.org/10.1186/1741-7015-11-143
Copyright © 2013 Meier et al.; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (creativecommons.org/licenses/b...)
Myocardial infarction animation:
Coronary arteries Anatomy ! Blood supply of Heart ! Arterial supply of heart ! Animation -1080 X 19 by MetaLife • Video Licenced under CC Attribution 3.0 - creativecommons.org/licenses/... This work has been modified
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Disclaimer: The information provided is for general knowledge and is not a substitute for individual medical advice. All viewers should consult their physician before starting any medical program or treatment. Any action you take upon the information that you find within this content is strictly at your own risk. Neither Dr. Pradip Jamnadas nor Cardiovascular Interventions will be liable for any damages or losses in connection with the content on this KZread Channel.
Пікірлер: 190
IT WORKS. My father 76 years old has all his arteries 100% clogged except one tiny one that was artificially placed 10 years ago during open heart surgery. It is 90% clogged too. He lives off of 10% only. He was too weak to make it out of surgery so ECP is his only option. He could barely walk to the next room or talk without being out of breath. His doc did the ECP treatment that squeezes the legs and opens little paths for bloodflow. Wow. Dad felt 50% better. I think the doc said he can only have it every 3 years. Well, Dad is back to feeling bad again so he just started the treatment again. Hoping and praying for similar results. 🙏
@luxlux5909
5 ай бұрын
Hi how is your dad doing? My mum has 90% blockage and she has blockages in multiple places some of them are 30-40% blockage and she has high sugar and weak now the doctor said she has high risk if bypass is done. One doctor advised to take ECP for 2 weeks and stabilise health and do bypass. Can you please share your opinion?
Brilliant Doctor! I just left the office 2 hours ago. It was a pleasure to meet you and I know I'm in good hands. He took the time to explain all the options available to me and made a plan to treat my condition. Answered all my questions and concerns.
@pradipjamnadasmd
3 жыл бұрын
Thank you for your kinds words Jared!
@FundedFuturesTrader
2 жыл бұрын
@@pradipjamnadasmd Can you explain the benefits of K2(MK7)? Thank you… 👍🏻
@Malcolm-Achtman
2 жыл бұрын
@@FundedFuturesTrader Vitamin K2 is a fat soluble vitamin that has been described as being preventive for heart disease as it supposedly helps direct calcium away from your arteries and into your bones (which is where you want calcium to be). Some experts suggest taking it with vitamin D3. That's what I do. But cardiologist Dr. William Davis has worked with thousands of patients and has not seen convincing evidence that taking K2 does very much. Dr. Davis certainly recommends taking vitamin D3, however. You can get a blood test for "25-hydroxy vitamin D3" and Dr. Davis believes an optimal result is 60 - 70 ng/mL (or 150 - 175 nmol/L). Most people who don't take a vitamin D3 supplement will probably have a 25-hydroxy value of 20 - 30 ng/mL. If you take a supplement, get it as a gelcap, not a solid pill. The gelcap should be produced with a beneficial oil like coconut or olive oil. Some are made with industrial seed oils (e.g. safflower), which you want to avoid.
@FundedFuturesTrader
2 жыл бұрын
@@Malcolm-Achtman Thanks for the feedback. 👍🏻
@keralee
2 жыл бұрын
@@Malcolm-Achtman I achieved zero CAC score via keto diet plus K2, D3, and Mg malate, plus zero pufas. I think D3 by itself was harmful and caused me to develop plantar fasciitis. Magnesium is a must with D3 too--even if getting D from sun!
ECP saved my life, used to have irregular heart rhythms after open heart surgery, after 36 sessions, my heart beat at its regular rate!
Bless you Dr. Jamnadas, you give meaning to the word humanity.
You ROCK DOC! You give such different answers the others don’t , stuff we as laymen have no clue, THANK YOU❤
More medical videos please. Even one easy medical video daily would help us who are interested in medicine, science, and the human body. Thank you doc! Love the videos too!
Thank you, Dr. Jamnadas. Excellent video!
I have found this topics very helpful in my life , many thanks for all this materials
I am starting my second round of EECP. My last session was in 2017. It works for me. Great video.
@sorabhl
Жыл бұрын
Did your Ejection fraction improve?
Dr. Jamnadas., you are doing angel's job for new age Mankind.
Awesome educational video. Bring more, and thank you!
hmmm... this explains what I had in 2004 going thru peri/menopause. The calcium suppliments most likely had a plaque buildup. Thank You again for your selective specific education.
Superb presentation doctor Thank you so much.....
Absolutely brilliant. I have a high calcium score so I’m going get into an EECP program. Thank you doctor! 🙏
@Jacobs_Travail
9 ай бұрын
What's your score?
Dr. You have needed best knowledge in Cardiac Sector . As per your video the cost of EEC is 4500usd for near about 35 sessions. It is very economical than OHS. Thanks
I love all of your videos. I've learned so much
I love you & your teaching ♥, totally awesome
Superbly explained Thanks
Thank you for Serving with Love
This reminds me of the antipneumatic trousers we used in EMS for years to increase blood flow into the upper body to counteract blood loss to the heart. I was sad when they discontinued them. Now I see you are doing this in your office! Smart man😉
@indiraramnarain1742
2 жыл бұрын
Please let me now you to have a consultation am in Mauritius
Dr. Pradip I can not express gratitude enough for your videos. Your passion teachings have been reaching my brain. I so wish you were my heart Doctor. I have a fellow that does not understand insulin resistance. I do not know if I should go on the statins he is recommending being LDLs and HDLs sre not that high. CAC is 187
Very well explained Dr Jamnadas. We introduced ECP/EECP in India and are seeing very good results since 2002. I am sorry in my previous comment I wrote week instead of well - hence I deleted it.
@imteazahmad7124
Жыл бұрын
Sir in which city in India? I am want to go for same but I want to get this done under Doctor's supervision. Please advise. I live in Delhi.
Fantastic explanation
Thanks for this content!!!!
I find all of your videos very informative! On a side note… I found the background music quite distracting. Thank you.
More altruistic Doctors like him great respect and appreciateion
than you so much for your help !!!
You are amazing ... Thank you
Thank you Doctor. I have chronic total occlusion of my RCA. I was told that collaterals helped save my life and heart. I’ve never had a heart attack. This treatment I’ve never heard of but will talk with my cardiologist here in Dallas about it. Thank you again for your very clear and easy to understand presentation.
@angiemitchell139
2 жыл бұрын
Please explain collaterals
@itisubb
2 жыл бұрын
@@icycaribe I moved back home to Alabama and have a fantastic cardiologist from UAB Medical in Birmingham. His name is Dr. Mark Sasse.
I want to schedule an appointment. Best cardiologist in US.
You are a Brilliant Doctor Dr.Janmandas. Thanks for all you do. Alot of Doctors today seem like there getting there Degrees out of a Cereal Box with no care then to write a Prescription for a magic pill.
I wish this could be done in Sonoma County, California…👏🏼👏🏼👏🏼💙💜❤️🔥
So external counterpulsation induced neovascularisation is key. This doctor is not just excellent but such a great teacher.
This sounds very similar to a lymphapress. Unfortunately, I gave my lymphapress away when my edema resolved, but still rarely have angina. My EF is only 35% after a CABG around 15 years ago and a stent a bit over a year ago, and am now regretting that I don't have alymphapress.
Wonderful!
Your e great explained
Dr can you please do a video on use of EDTA for heart blockage
Thank you so moch sir
I had a bypass in Jan 2019 with all 4 grafts showing trouble again in Dec. 2020. Thereafter, underwent EECP process (60 sessions) with Dr. Chhajer in Delhi which did wonders for me.
@shameerg786
6 ай бұрын
By doing EECP body pain will occur??
Mere husband ne bhi krwai h bhut fayda hota h is masin se
@sach54321
2 жыл бұрын
kahan pe
Makes perfect sense. 👍
Dr, no backround music ,please. I love to listen to you.
Do the collaterals tend to slowly regress once the therapy ends? Is EECP repeated prophylactically at intervals in pts with elevated coronary Ca++?
Wish good heart drs were in tx
Brilliant
Wont this pulsatile blood flow cause shear stress in the vessel walls which can cause further damage. What if there are multiple blocks????
Can you recommend a facility in New Jersey that provides EECP treatment? I would highly appreciate it.
A great presentation by a Physician with excellent communication skills. So much has advanced in cardiac care in the 20 years since I retired. I've learned a lot from your video presentations. The EECP looks similar to the MAST suits we used in the early to mid-1980s for trauma patients with blood loss. They fell out of favor due to a high frequency of secondary complications. Of course, this EECP suit uses arm cuffs, etc. It does look a bit like a freaky "Frankenstein" invention. Or a medical device designed by Rube Goldberg. When I see it operating. What is the maximium heart rate that it can keep up with? Does it work with irregular rhythms like A-Fib? Thanks. Sincerely, MSM MD
I really like your videos. Very crisp and educational and makes one rethink and challenge the traditional understandings. I was wondering two things: 1. Can the EECP reduce the chance of (brain) stroke as well? 2. Will a guy, who excercises regularly, have good collateral blood flow? I do not have angina but is there a way I can develop better collaterals just as a defensive mechanism?
@carolejackson8357
2 жыл бұрын
My questions also. Blood vessels increase when building muscle by strength training? Seems logical new vessels grow in heart when strengthen. But this therapy compresses more blood into heart when in relaxed stage so likely a different dynamic than exercise alone.
@SimonFranck100
8 ай бұрын
It's better than exercise alone
👍👍👍 6:09 The vast majority are without symptoms! 😪
Hello Dr.Jamnadas, thank you for such an excellent video explaining about alternate option for CABG or PTCA. Based on the details provided in your video and few others I am reviewing, I am unclear if EECP has the potential to promote growth of collaterals to compensate any blocks in Right arterial system as well. I’m trying to learn through research articles online looking for solution for my father’s right ventricular dysfunction following a MI recently and have been given an option to undergo 2nd time CABG or PTCA (not prefered by doctor). But we are looking for non-invasive options. Thank you.
Are there specific criteria and contraindications? For example, my father has a ICD implant, EF of 30-35%, HF, CAD, A-Fib
I've Sinus Bradycardia with 1st degree block and pvc's 2 Stents and CABG Done since 1990 Can I have this procedure done Kindly advice Thanks
Hi doc , does eecp increase GFR and improve recover of cod and stoke patients? For kidney and brain the pulsations are synchronized with systole or diastole ?
Dear Dr Pradip....its Dr Shekar from Australia........is this technique work for other sites for conditions like Renal artery stenosis or can you make a youtube video w.r.t Renal artery stenosis and i know its not your main domain but there similarities with respect to treatment (stenting procedures) as nephrologists & interventional nephrologist always differ in terms of management...thanks
I have osteoporosis and I started to take AlgaeCal supplement that is plant-based calcium.. with the claim that it dies not contribite to calcium deposits in the arteries. Is this claim true?
I need to know how often I should seek treatment? I just completed the 7 weeks a few month ago. they told me at the location that it will last about 3 years and i may need to do it again? can you enlighten me on this?
Great video doc! How does exercise, especially exercice involving leg muscle contraction influences the angiogenesis of collateral vascularization in the heart or even in the brain? Thanks.
Excellent doctor.May i know the truth that a medication has been identified and submitted for patent registration in chicago by Dr.Yang and his group for removing of plague.And also can you confirm that there would be a complete solution for removal of plague in future about 3 to years ?
🙏 how much do u charge how long t treatment takes
Can this treatment be used for someone with a very low ejection fraction & dilated cardiomyopathy ?
I had EECP back in 2007 and still no angina! ☺️
Can we do this as prevention... for diabetic patients
Is it possible to get this result with sport? Maybe HIIT kind of sport?
Hey doc can it be the first line of surgery instead of angios ??
Dr. J, my dad has a CaC score of 8749, I want to discuss eecp with his cardiologist on 5-29-23. He just had the CaC score on 4-25-23 and cardiologist is booked till the appointment date. What do I need to pose as the main reason for the test? Dad has a fib as well…. Right carotid total blocked also.
Sir all these collaterals can be bulit by doing cardio and building endurance. Isn't it
Is the procedure also beneficial for people who dont have symptoms but want to increase their stamina, energy and exercise endurance
Is it working for the patients did angioplasty
I live in India Dr. and have been listening to your videos which are very educative and make a lot of sense. Here in India we eat rotis made from whole wheat that is ground in local mills, just as coconut oil is pressed in local mills with nothing added. So would you consider rotis made at home a whole food?
@jameskantor0459
2 жыл бұрын
@ Nalini, that is not a whole food, sorry. Eat limited amounts.
@siddharthanchelliah568
2 жыл бұрын
Wheat is whole food not flour
Is this treatment only useful for cardio deceases or also for any kind of brain insultus?
weird but fascinating
I’m pretty sure you’re on to something. Counter pulsation allows increased perfusion during diastole by increasing diastolic pressure. It does this mechanically. I’m just wondering what mechanism is responsible for collateral vascularization. Could it be the flow restriction at the narrowing with a Venturi effect causes pressure on the vessel wall that cause the vessels to develop? Just curious. :)
@carolejackson8357
2 жыл бұрын
That was the explanation on a different video.
Is it approved American Cardiovascular Asso?
Doctor what if any patient has normal Ionized Calcium in the blood yet he needs to do Coronary Calcium Score test? Please advise.
very innovative Doc. Your a game changer
ARJUNA TERMINALIA a tree bark has been under study for angina and heart problem.Is it true ?
Not living close to Dr. Jamnadas… could putting your legs upon a wall help… when I do my BP drops and I feel so good doing it
If the patient has had heart bypass surgery, can EECP treatment be done?
Dear Sir Can person with stens do this ?
Is this a one time procedure or something that is continued through the years? And thanks for all the info!
@SimonFranck100
8 ай бұрын
Once in 3 years is normal
Very encouraging but while using the dame cuffs for all persons there are chances of getting covid affected do each time the fuffs should be sanitised or dispisable cuffs should be used
Is this SCD STocking doesnt this cause DVT in legs?
Doc, how much is the chance of rupturing plaque during the EPC?
@SimonFranck100
8 ай бұрын
ZEro
Is this for only after bypass r stunt
If 20 percent. Working can be imprau?
Hi Doctor I need a small suggestion from you that my grandfather is 75 yr old He has three blockages now he is so active that he won't be lazy so what will you suggest better go with Bypass or EECP which will be better. I will be waiting for your response Doctor Thank you
Please guide when does this doctor visits Madrass, India, if he works as a volunteer in India if he ever pays visit. lot's of Respect from Pakistan
Hi sir will it work for cardiomyopathy age 61 Ef is 20 in 2d echo and how to contact you sir
I saw ECP for the first time in a documentary called "Billion in Change". The thought process in that video was very different. Thoughts on removing toxins and waste in your body by the use of ECP?
@SimonFranck100
8 ай бұрын
EECP
About blockages, I’ve read some studies that EDTA chelation unclogs the arteries. Have you heard of this?
My son dianosed with High Blood Pressure 160/92 at Appollo, Chennai and all other reports nil. Cardiologist has put my son undermedication for the last 10 days with Telsma 40 mg and now it is under control. If my son undergoes this ERCP whether any chances discontinuation of medicines which he is using now.
What if the pressure causes bleeding or already bleeding won't it damage ..the brain
Does exercise create collateral circulation???
If one has had a heart attack and had 3 stents placed can he still do this procedure?
Interesting. Sounds like has effects very similar to IBT...inclined bed therapy. Bet the 2 work very well together but the IBT is free. It lowered my diastolic and systolic both 10 points. Ancient Egyptians slept this way. Studies show it causes lymphatic and blood circulation to occur WITHOUT effort from heart by gravity combined with change in relative density of fluids, caused by release of water vapor from exhalations. Physics works.
@SimonFranck100
8 ай бұрын
You are confusing high blood pressure with heart failure. EECP is for the latter
@keralee
8 ай бұрын
@@SimonFranck100 I have not confused them at all. I merely reported one of the outcomes I experienced with IBT. In addition to various effects relating to improved circulation, which are myriad but subtle, it also reduced my blood pressure. Which is not bad for a therapy that is both effortless and free.
Is this treatment good for avascular Necrosis in hips joints? Has anyone tried?
what causes calcium build up
I have 90% calicum in LAD and 95% blockage in other , artis ,should EECP will work for me Doc pls advice
Hi there, my mother is admitted to hospital and EF is 20% including cardiomyopathy and tachycardia having AFib also.... Is there any treatment we can go for? Please reply as soon as possible 🙏
@SimonFranck100
8 ай бұрын
My EF went up from 20% to 35% after 50 sessions. I had mine done at Cordis, Thane