Noninvasive Revascularization by Enhanced External Counterpulsation: A Case Study and Literature Review Mandeep Singh, MD, David R. Holmes, MD, A. Jamil.

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Noninvasive Revascularization by Enhanced External Counterpulsation: A Case Study and Literature Review Mandeep Singh, MD, David R. Holmes, MD, A. Jamil Tajik, MD, Gregory W. Barsness, MD Mayo Clinic Proceedings Volume 75, Issue 9, Pages 961-965 (September 2000) DOI: 10.4065/75.9.961 Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Mechanism of diastolic augmentation and systolic afterload reduction using enhanced external counterpulsation. Note the electrocardiographically-gated sequential diastolic activation to “milk” lower extremity venous and arterial blood from the periphery to the central vasculature (steps 1–3). All cuffs deflate simultaneously immediately prior to systole (step 4). Mayo Clinic Proceedings 2000 75, 961-965DOI: (10.4065/75.9.961) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Matched stress and rest perfusion images obtained before (left) and after (right) external counterpulsation treatment. Note the improvement after treatment in adenosine-induced inferior (arrowhead), inferoseptal (asterisk), and apical (plus sign) ischemia noted on the pretreatment images. Redist =redistribution. Mayo Clinic Proceedings 2000 75, 961-965DOI: (10.4065/75.9.961) Copyright © 2000 Mayo Foundation for Medical Education and Research Terms and Conditions