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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breathlessness, Heart Pumping Came Down, Cholesterol Level Normal. Will EECP Improve Heart Pumping?

Hi Doctor I am 72 years old keeps a good health. suddenly I found breathlessness and my heart pumping( ejection fraction ) has come down to 15%. I am advised to have 35 sessions of EECP. My cholesterol level is in normal range Will EECP improve heart pumping Also pls advise C O Q 30 mg one tablet per day Thanks Regards D K JAIN
Wed, 15 May 2013
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Cardiologist 's  Response
Dear Sir
Thanks for your query to HCmagic.
If you have undergone angiography? If it shows blockages? Do you have anginal chest pain? Because only valid indication (that too,helpful in a minority of patients and to a small extent) for EECP (enhanced external counterpulsation) is chronic stable angina refractory to medical therapy and where angioplasty/ bypass surgery can not be done. Till date there is no recommendation for EECP in increasing ejection fraction (EF). Although there are few observations favoring this but there are many issues. Hence it can not be recommended for sole purpose of increasing pumping.
Coenzyme Q is also not recommended for this purpose.
There are many other therapies helpful in low EF patients.
Please discuss with your physician in light of these observations.
Sincerely
sukhvinder singh
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Breathlessness, Heart Pumping Came Down, Cholesterol Level Normal. Will EECP Improve Heart Pumping?

Dear Sir Thanks for your query to HCmagic. If you have undergone angiography? If it shows blockages? Do you have anginal chest pain? Because only valid indication (that too,helpful in a minority of patients and to a small extent) for EECP (enhanced external counterpulsation) is chronic stable angina refractory to medical therapy and where angioplasty/ bypass surgery can not be done. Till date there is no recommendation for EECP in increasing ejection fraction (EF). Although there are few observations favoring this but there are many issues. Hence it can not be recommended for sole purpose of increasing pumping. Coenzyme Q is also not recommended for this purpose. There are many other therapies helpful in low EF patients. Please discuss with your physician in light of these observations. Sincerely sukhvinder singh