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Rational Pharmacotherapy in Cardiology

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POSSIBILITIES OF ENHANCED EXTERNAL COUNTERPULSATION USING IN CLINICAL PRACTICE

https://doi.org/10.20996/1819-6446-2017-13-2-238-247

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Abstract

Possibilities and prospects for the clinical use of enhanced external counterpulsation (EECP), which has long established itself throughout the world, are discussed in the article. Historical background, as well as the development stages of EECP for the treatment of patients with coronary heart disease (CHD) and chronic heart failure (CHF) are considered. The mechanism of action of the EECP and the main hemodynamic, neurohumoral and tissue effects that justify its use are presented. The effect of EECP on endothelial function and coronary reserve, disorders of which occurs in the majority of cardiovascular diseases, is considered separately. Treatment of patients with CHD, including complicated by CHF, are the most studied indications for EECP using in medical practice. The evidence base for treatment of patients with these disorders by EECP is presented in the article. Prospects for the EECP application in other areas of medicine are also presented.

About the Authors

Z. A. Mamieva
I.M. Sechenov First Moscow State Medical University
Russian Federation

Zarina A. Mamieva - 6th Year Student, Medical Faculty 

Trubetskaya ul. 8,Moscow, 119991



A. S. Lishuta
I.M. Sechenov First Moscow State Medical University
Russian Federation

Alexey S. Lishuta - MD, PhD, Associate Professor, Chair of Hospital Therapy №1 

Trubetskaya ul. 8,Moscow, 119991



Yu. N. Belenkov
I.M. Sechenov First Moscow State Medical University
Russian Federation

Yuri N. Belenkov - MD, PhD, Professor, Academician of the Russian Academy of Sciences, Head of Chair of Hospital Therapy №1 

Trubetskaya ul. 8,Moscow, 119991



E. V. Privalova
I.M. Sechenov First Moscow State Medical University
Russian Federation

Elena V. Privalova - MD, PhD, Professor, Chair of Hospital Therapy №1 №1

Trubetskaya ul. 8,Moscow, 119991



A. O. Yusupova
I.M. Sechenov First Moscow State Medical University
Russian Federation

Alfiya O. Yusupova - MD, PhD, Associate Professor, Chair of Hospital Therapy №1

Trubetskaya ul. 8,Moscow, 119991



S. M. Rykova
I.M. Sechenov First Moscow State Medical University
Russian Federation

Svetlana M. Rykova - MD, PhD, Associate Professor, Chair of Clinical Pharmacology and Pharmacotherapy, Institute of Professional Education 

Trubetskaya ul. 8,Moscow, 119991



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For citation:


Mamieva Z.A., Lishuta A.S., Belenkov Y.N., Privalova E.V., Yusupova A.O., Rykova S.M. POSSIBILITIES OF ENHANCED EXTERNAL COUNTERPULSATION USING IN CLINICAL PRACTICE. Rational Pharmacotherapy in Cardiology. 2017;13(2):238-247. (In Russ.) https://doi.org/10.20996/1819-6446-2017-13-2-238-247

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