Abstract
External counterpulsation (ECP) is a noninvasive method of mechanical cardiac assistance. The legs of the patient lie in two rigid body sleeves that themselves are contained in water-filled sleeves. An intermittent diastolic pressure, triggered by the ECG, is applied to these sleeves, which then exert a uniform pressure on the legs and the blood vessels. This diastolic pressure wave produces additional circulatory impulses; a secondary aim is the reduction of systolic pressure and thus a reduction of left ventricular ejection resistance. Optimal adjustment of the pressure wave is controlled by means of a finger Plethysmograph; when correctly adjusted the pressure wave leads to high diastolic augmentation (Fig. 9.1)
Supported by the “deutsche Forschungsgemeinschaft” (SFB 68 Cologne).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Antebi, E., Giron, F. Zawahry, M. D., Birtwell, W. C., Soroff, H. S.: Experimental evaluation of external circulatory assist as a treatment for coronary occlusion. Surg. Forum 21, 154 (1970)
Banas, J. S., Brilla, A., Soroff, H. S., Levine, H. J.: Evaluation of external counterpulsation for the treatment of severe angina pectoris. Circulation Suppl. II 45/46, 74 (1972)
Jackson, G., Cullum, P., Pastelloupoulos, A., MacArthur, A., Jewitt, D.: Intra-aortic balloon assistance in cardiogenic shock after myocardial infarction or cardiac surgery. Br. Heart J. 39, 598 (1977)
Mueller, H. S.: Role of cardiac assistance in the treatment of cardiogenic shock? In: Intraaortale Ballongegenpulsation (IABP). Hellberg, K., Kettler, D., Vivie, R. d.: (eds.), p. 80. Stuttgart: Georg Thieme Verlag 1977
Parmley, W. W., Chatterjee, K., Charuzi, Y., Swan, H. J. C.: Hemodynamic effects of noninvasive systolic unloading (nitroprusside) and diastolic augmentation (external counterpulsation) in patients with acute myocardial infarction. Am. J. Cardiol. 33, 819 (1974)
Singh, J., Mueller, H., Ayres, S.: Invasive versus noninvasive cardiac assistance in myocardial infarction shock in man. Circulation Suppl. III 49/50, 108 (1974)
Soroff, H. S., Birtwell, W. C., Giron, F., Collins, J. A., Deterling, R. A., Jr.: Support of systemic circulation and left ventricular assist by synchronous pulsation of extramural pressure. Surg. Forum 16, 148 (1965)
Soroff, H. S., Cloutier, C. T., Birtwell, W. C., Begley, L. A., Messer, J. V.: External Counterpulsation. J. Am. Med. Assoc. 229, 1441 (1974)
Tauchert, M., Kochsiek, K., Heiss, H. W., Rau, G., Bretschneider, H. J.: Technik der Organdurchblutungsmessung mit der Argon-Methode. Z. Kreislauf forsch. 60, 871 (1971)
Tauchert, M., Hötzel, J., Schulten, H. K., Behrenbeck, D. W., Hilger, H. H.: Extrakorporale Gegenpulsation. Verh. Dtsch. Ges. Inn. Med. 81, 274 (1975)
Wright, P. W.: External counterpulsation for cardiogenic shock following bypass surgery. Am. Heart J. 90, 231 (1975)
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1979 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Hötzel, J., Tauchert, M. (1979). Hemodynamic Response to External Counterpulsation. In: Unger, F. (eds) Assisted Circulation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67268-2_14
Download citation
DOI: https://doi.org/10.1007/978-3-642-67268-2_14
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-67270-5
Online ISBN: 978-3-642-67268-2
eBook Packages: Springer Book Archive