Precautions before ECP.

Contraindications

 

ECP should not be used for the treatment of patients with, or who develop the following disorders during the course of treatment with ECP:

  • Uncontrolled congestive heart failure
  • Severe heart valve disease
  • Uncontrolled arrhythmia
  • Hemorrhage
  • Lower extremity stasis ulcers
  • Coagulopathy (a condition where the blood doesn’t clot adequately)
  • Inflammation and blood clots in the veins in the legs, or poor circulation to the legs

Patients with blood pressure higher than 180/110 mm Hg or a heart rate of more than 120 beats per minute should have these conditions brought under control before treatment begins.

 

Precautions

 

Patients with blood pressure *higher than 180/110 mmHg* should be controlled prior to treatment with enhanced external  counterpulsation.

Patients with a heart rate of more than *120 bpm* should be controlled prior treatment with enhanced external counterpulsation.

Patients at high risk of complications from increased venous return should be carefully chosen and monitored during treatment with enhanced externalcounterpulsation. Decreasing cardiac afterload by optimizing cuff inflation and deflation timing may help minimize increased cardiac filling pressures and the possibility of pulmonary congestion due to increased venous return.

Patients with clinically significant valvular disease should be carefully chosen and monitored during treatment with enhanced external counterpulsation.

Certain valve conditions, such (as significant aortic insufficiency) or *severe mitral or aortic stenosis*, may prevent the patient from obtaining benefit from diastolic augmentation and reduce cardiac afterload in the presence of increased venous return. 

 

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Information provided hear is in good faith and may not be considered as final. Your doctor however is the best judge of your condition his views may be most suitable for you. Please also consult him.