What is Augment NOW-ECP (External counterpulsation)?
Augment NOW uses Renew ECP, which is a US FDA approved non-invasive treatment for patients with heart disease (single or multi-vessel), recurrent symptoms even after surgical treatment, congestive heart failure and for those prone to other heart ailments. In addition, it is intended for use in healthy patients to provide improvement in vasodilation, increased VO2 and increased blood flow. The Renew NCP-5 device is the only one in the world, approved by the US FDA for healthy patients.
How does AUGMENT NOW work?
Augment NOW gently but firmly compresses the blood vessels in the lower limbs to increase blood flow to your heart. Each wave of pressure is electronically timed to the heartbeat, so that the increased blood flow is delivered to your heart at the precise moment when it is relaxing. When the heart pumps again, pressures released instantaneously. This lowers the resistance in the blood vessels of the legs so that blood may be pumped more easily from your heart. ECP may encourage blood vessels to open small channels that become extra branches. These channels or collaterals may eventually become "Natural Bypass" vessels to provide blood flow to the heart muscle, contributing to the relief of angina symptoms.
What are the Benefits of AUGMENT NOW?
The treatment is a simple, safe and non-invasive risk free treatment. It is considered to be an effective treatment for the following reasons: -
- Very cost effective as it does not involve surgery and hospital stay
- Enables the patient to return to work and participate in their active lifestyle
- Makes the patient more energetic
- Enables the patient to walk more distances without experiencing any chest pain
Who are the candidates for AUGMENT NOW?
Any patient suffering from coronary artery disease is a potential candidate for ECP. In addition ECP is especially beneficial for : -
- Patients who have had persistent chest pain-angina, despite having undergone angioplasty or bypass surgery.
- Patients who just don't want to go under the knife (surgery).
- Patients who are heavily dependent on medications or have to cut down their activities in order to alternative angina.
- Patients who are contraindicated for by pass or angioplasty due to kidney failure, liver failure, severe COPD cases, diffuse diabetes disease, very old age, patients of syndrome X, ischemic and dilated cardiomyopathy
- Healthy individuals to improve arterial heath and stamina.
How is the AUGMENT NOW treatment carried out?
Patients lie down on a padded table in a treatment room. Three electrodes are applied to the chest and connected to an ECG machine at all times. The ECG displays the heart's rhythm during treatment. A set of cuffs are wrapped around the caves, thighs and buttocks. Patients experience a sensation of a strong "hug" moving upward from calves to thighs to buttocks during inflation followed by rapid release of pressure on deflation. Inflation and deflation are electronically synchronized with the heart beat using ECG monitors.
What is the treatment plan of AUGMENT NOW?
Total program is of 35 hours for cardiac patients. Treatment is administered 1 hour a day, 6 days a week, for 6 weeks. Some patients have two treatments in one day, in order to complete the program more quickly. The program is extended beyond 35 sessions, depending on medical condition and goals. For healthy patients, the cardiologist decides on the therapy durations based on the condition and risk factors.
Is it safe? Are there any side effects?
Augment NOW (RENEW ECP) has a high standard of safety. The treatment is us FDA approved and used by doctors in India and across the world to treat extremely ill cardiac patients who could not be treated with any medication or procedure. The only side effects of ECP are an increased feeling of wellbeing improved quality of life and reduced medication, if you consider those as side effects.
Do the benefits of AUGMENT NOW last?
Yes, the benefits last. It has been seen that after ECP therapy treatment, there has been a reduced usage of nitroglycerin, reduced cases of angina and increased blood flow.
Can AUGMENT NOW treatment dislodge plaque and cause a stroke or heart attack?
How does AUGMENT NOW (ECP) compare to angioplasty or bypass surgery?
The five-year outcomes for ECP patients are virtually the same as for angioplasty and bypass surgery.
Are there any patients who are not recommended AUGMENT NOW?
Yes, but very few patients. Those who absolutely should not be treated with ECP are pregnant women, individuals with severe aortic valve leakage and patients who have active blood clot in their legs, other condition specific contraindications also persists like ≥ 180 mmHg systolic or ≥ 110 mmHg diastolic. deep vein thrombosis (DVT) etc, which the Cardiologist checks and evaluates.
Is repeat treatment needed?
If you follow a healthy lifestyle and stay physically active after basic treatment then repeat treatment is needed only after 3-5 yrs or even later or never. If you are not active then yearly you can go for a maintenance program. If in any case symptoms return, then the program can be repeated again only after the cardiologist's consultation. We suggest you to have a healthy lifestyle and be physically active, this way you will be in charge of your health and we would be proud of that.
Who else can benefit from AUGMENT NOW ?
Other than heart disease, patients with erectile dysfunction, peripheral vascular disease, stroke, tinnitus, restless leg syndrome, diabetes, memory disorders, kidney disease, chronic fatigue syndrome may also benefit from Augment NOW.
There are also applications in sports injury recovery and rehab as it may increase the performance of athletes and shorten recovery time after exercise.