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External counter pulsation procedure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
Doctor :   Hi
Doctor :   Dr xxxxxx
Doctor :   here
Doctor :   How may I help you?
User :   Hi
User :   My Dad has been experiencing Angina pain for some time now and is on Ismo
Doctor :   OK
User :   he has a diabetic and Hypertension background
Doctor :   can i know his age, weight, height?
User :   we have been advised EECP by a preventive cardiologist
User :   will that help
User :   age 66 years, 50 kgs and 5 feet 3 inches
Doctor :   EECP - need for this, depends on his echo findings, clinical symptoms, presence of heart failure, etc
Doctor :   Is he symptomatic , if so, what are they?
User :   he has been advised to do a CT angiogram basis which doctor will advise the exact course of treatment
User :   but i wanted to check on the risks/success of eecp
User :   is it a widely accepted course of treatment in these days
Doctor :   can you tell me the findings of CT angio, if it has already been done?
User :   no we are planning to do it this week
User :   his last lipid reports and sugar reports done 6 months ago are normal
User :   however he has had the angina problem for some years now
User :   it has aggrevated of late
Doctor :   External counterpulsation (ECP) is a procedure performed on individuals with ischemic cardiomyopathy (eg pts with chronic angina related heart fatigue) in order to diminish the symptoms of their ischemia.
User :   but gets eased with sorbitrate
User :   are there any risks in this procedure .also what are the chances of success
Doctor :   ECP has been shown to relieve angina, improve exercise tolerance, and decrease the degree of ischemia in a cardiac stress test.
User :   any idea if this treatment is covered under medical insurance
Doctor :   ECP is usually reserved as a "last resort" treatment of individuals with symptoms of ischemic cardiomyopathy who are not amenable to percutaneous coronary intervention or coronary artery bypass graft surgery.
Doctor :   I am not sure, if this procedure is covered by Insurance, You will have to find it out with your insurance provider
User :   ok thanks. I will consult you with details once the angiogram is done so that you could advise me further.
Doctor :   but any medical procedure, advised by a doc, will probably be accepted by any insurance agent
User :   ok.
Doctor :   sure
User :   i will check with the insurance provider
User :   thanks for the advice.
Doctor :   thanks for consulting me
Doctor :   bye for now
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