Mohamed Irfan Hasan, V (2019) A Study on the Effect of EECP on Clinical and Echocardiographic Profile of Patients with Angina and Heart Failure. Masters thesis, Tirunelveli Medical College, Tirunelveli.
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Abstract
BACKGROUND: Heart Failure and Stable Angina are important cause of morbidity and poor quality of life among the Cardiovascular patients. Despite optimal medical therapy, few patients are symptomatic and require hospitalisations.Non-invasive techniques like EECP are increasingly used but sparsely studied. AIM OF THE STUDY: To observe the patients with angina and heart failure who undergo EECP and study its effect on clinical features and Echocardiographic profile, post procedure. METHODS: This study is a prospective study done on 50 patients with chronic Stable Angina & Heart Failure selected for EECP. Patients were assessed initially and after completion of 35 cycles of EECP. RESULTS: The Mean EF improved by 8.42 which was statistically significant (p < 0.0001). There was a reduction in pulse rate, which was statistically significant. Systolic BP decreased by 3 mm Hg on an average, with a p value of 0.05 and was not statistically significant. Diastolic BP reduced from 76.20 mm Hg, to 73.04 mm Hg and was statistically significant (p < 0.012). Female patients had significant improvement in EF(p < 0.05). Anginal symptoms decreased in 14 patients with symptomatic angina. 37 patients reverted back to Class I dyspnoea from Higher class of Dyspnoea after EECP. Few patients were optimised with a lower dose of Diuretics and Nitrates after careful assessment. 66% of patients enrolled had reported an Improvement in Quality of Life. CONCLUSION: We conclude that EECP significantly reduces anginal episodes, improves failure symptoms, reduces the dose of nitrates & diuretics, and improves the quality of life of the patients with only minimal risk of adverse events. Importantly, EECP is useful in a symptomatic TVD patient, unsuitable for revascularisation & also in patients with residual disease after PCI/CABG.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.201611356 |
| Uncontrolled Keywords: | Heart Failure, Angina, EECP, Ejection Fraction, TVD, Quality of Life, Nitrates, Diuretics. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 25 Aug 2019 04:23 |
| Last Modified: | 25 Aug 2019 04:23 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11204 |
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