Cardiac Rehabilitation Clinical Trial
Official title:
HARapan kiTa ECP (External Counter Pulsation) Study HARTEC Study
External Counterpulsation Therapy (ECP) is a therapeutic procedure that performed on patients with angina or heart failure to relieve the ischaemic symptoms, improve functional capacity, and quality of life. In recent studies, ECP has already proved to reduce angina symptoms, decrease degree of ischemic in heart train test. External Counterpulsation Therapy (ECP) therapy is a non-invasive technique for sequentially pressuring calf, lower thighs, and upper thighs through developed cuffs at pressure above systolic blood pressure when diastole, then deflated at systole.
This study aims to evaluate the effect of ECP therapy on cardiovascular hemodynamic, coronary
perfusion, endothelial function, angiogenesis and artery genesis of the coronary blood vessel
to refractory angina pectoris patients Refractory angina pectoris patients in Harapan Kita
hospitals who do not respond to drugs adequately will be divided by 2 groups, control &
treatment. Inclusion criteria include age 21 - 80 years, Refractory angina CCS III-IV whom
are not candidate for Re-revascularization with proven data of: have stenosis on left main
more than 50%, stenosis on main coronary right artery more than 70% or stenosis more than 70%
on others vessels, conducted in coronary surgery conference with conservative decision
(optimal medications).
Exclusion criteria include aorta aneurysm, abdominal aneurysm, acute coronary syndrome, acute
heart failure, heavy aortic regurgitation, malignant arrhythmia, blood pressure above
180/100mmHg, acute limb ischemia, DVT, active thrombophlebitis, and pregnancy.
the investigator conducts a double-blind randomized control trial. The participants will get
35 hours ECP treatment, initial treatment pressure is 300 mmHg. whilst control groups will
get 75mmHg. At the end of treatment, the investigator compare the hemodynamic effect on
coronary perfusion, endothelial function, angiogenesis, and coronary blood vessel
arteriogenesis. Quality of Life Improvement based on WHO-5 between groups
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