Enhanced External Counter Pulsation (EECP) is performed as a non-invasive, non drug treatment to lower the number and intensity of angina episodes and to reduce the chances of a heart attack. Treatment is administered through three pairs of external inflatable cuffs that are applied around the lower legs, upper legs and buttocks. These cuffs continuously inflate and deflate between the resting period of the heartbeat and increase blood returned to the heart.

As the cuffs pump, it increases the pressure in the aorta and increase blood flow into coronary arteries and mechanically opens up semi-blocked coronary arteries. That is the reason why it is not a one-time treatment. It should be done continuously for 35 hours in total, broken down to 5 hours or 5 times a week. This is done in order to create the natural bypass or collaterals and improving organ function in total.


Inflation initiates retrograde
pulse wave


Inflation of lower thigh
cuffs 50ms later


Inflation of upper thigh
cuffs 50ms later


Deflation facilitates
cardiac unloading

Individuals are eligible for treatment if they have:

  • Had coronary artery bypass (CABG) or stents placed in the coronary arteries with ongoing angina.
  • Had no prior bypass or stenting but continue to suffer from angina.
  • Increased oxygen supply for the heart
  • Decrease in chest pain
  • Improved ECG response to exercise
  • Decrease in nitroglycerin use
  • Increase in energy
  • Increased exercise duration
  • Long term effects up to 2 years