Enhanced External Counterpulsation (EECP) Cost in India – Procedure, Best Doctors & Hospitals

Posted on January 19th, 2020 by Ganesh Gopakumar


Cost of Enhanced External Counterpulsation (EECP) in India

The cost varies from 1300-1600USD.

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The variation in cost is due to the change in the city and type of hospital. The cost is higher for a hospital in tier 1 city compared to one in a tier 2 city. The expenses in a premium hospital is also higher than an economy hospital.

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Enhanced External Counterpulsation (EECP)

EECP is a non-invasive technique to cure angina by increasing the blood flow to the heart. The flow is increased by using heartbeat synchronized blood pressure cuffs on both legs and buttocks. The cuffs firmly press the blood vessels. The pressure causes more blood to flow to the heart. Increased blood flow can cure many issues. The increased blood flow to the heart muscles can relieve pain. It can also open up small blood vessels that are blocked. 

EECP is very useful where all other treatments and medications have failed to work. It is usually given for 35 hours, 1-2 hours daily, 5 days a week for 7 weeks. 


What is Angina?

Angina (angina pectoris or ischemic chest pain) is chest pain which happens when adequate blood does not reach the heart muscles. The heart muscles are supplied with blood via the coronary arteries. If one or more of these arteries get partially or fully blocked, the blood flow to the heart muscles reduces considerably. This causes angina. 

Benefits of EECP

  • Relief from angina
  • Only a minimal quantity of angina medication is required.
  • You can do strenuous activities without getting the pain
  • You can return to normal life activities. 
  • No need for hospital stays.

Is EECP the treatment for you?

It is an outpatient therapy with almost no complication, so it would be safe for anyone. Still, it will be the best possible treatment for you if:

  • Have chronic and stable chest pain (Angina)
  • Nitrates, calcium channel blockers, beta-blockers, and other medication is not working.
  • You don’t want to invasive surgery.

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Who should avoid EECP?

How is it done?

  • It is basically an out-patient procedure and so you just have to show up on the day of the procedure.
  • You will be made to lie down on a table.
  • Three electrodes will be connected to your chest which is connected to the electrocardiograph (ECG) machine. The heart rhythm and blood pressure are constantly monitored during the therapy. 
  • A set of cuffs are wrapped around the pelvis region. One is wrapped to the buttocks, next to the thighs, and lastly to the calves. Air is used to inflate and deflate these cuffs as required in the procedure.
  • The patient will experience a strong grasp from calves to buttocks as the cuffs are inflated. It is followed by the rapid release of pressure on deflation. The procedure is synchronized electronically with our heartbeat and blood pressure. 

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How does enhanced external counterpulsation (EECP) work?

Firstly, the cuffs get inflated and increase the blood flow from your lower limbs to your heart. Each inflation and deflation leads to a wave of pressure to make the blood flow upward. The blood flow is synchronized with your heartbeat. The synchronization is in such a way that the blood reaches the heart at the moment it is relaxing. The pressure is relaxed at the same moment the heart starts to pump (ventricular systole). The lower resistance makes it easier for the blood to be pumped from the heart into the lower limbs and other parts.

EECP can make vessels split up into new permanent branches that become a “natural bypass” for any blocked vessels. The new bypasses created in coronary arteries can lead to increased blood flow to the heart. Thus, angina caused by reduced blood flow to the heart muscles can be cured. 

Best doctors for EECP in India

  • DR. Ashok Seth
  • Dr. Devi Prasad Shetty
  • Dr. Naresh Tehran
  • Dr. Praveen Chandra
  • Dr. Tejas Patel
  • Dr. K.K Talwar
  • Dr. Ramakanta Panda
  • Dr. Mathew Samuel Kalarickal

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Best hospitals for EECP in India

  • Fortis Escorts Heart Institute
  • Asian Heart Institute, Mumbai
  • Apollo Hospitals, Chennai
  • Nanavati Hospital, Mumbai
  • Max Superspecialty Hospital, Delhi
  • MaxCure Hospital, Hyderabad
  • Manipal Hospital, Bangalore
  • Fortis Hospital, Bangalore

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I had a blood clot in my leg three years ago. Can I have EECP?

Yes. Having a history of blood clots or deep venous thrombosis is not an issue for doing EECP as long as you don’t have it now. But it is recommended to have a Doppler ultrasound of your leg to confirm the clot has gone away completely.

I have varicose veins in my legs. Can I still undergo EECP?

Yes. Varicose veins are just cosmetic tissues and not medical. It does not stop you from undergoing EECP.

Is there any age restriction for EECP?

No. There is no existing age restriction for EECP. Anybody for whom all other methods of treatments have failed can opt for EECP. It is usually done by patients in their 70s and 80s. But patients as young as 30 are seen doing EECP.

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