Goodbye To Bypass Surgery

Goodbye to Bypass Surgery and Stents
with
ECP-EXTERNAL COUNTER PULSATION

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AMT-ADVANCED MEDICAL TREATMENT
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BLOCKED ARTERIES OF THE HEART
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RANDHAWA HOSPITAL
12 Mall Road, Amritsar-143001, India.
Mobile : +9 1 9814052303 website: www.randhawahospital.com.
Phone: +911832226660 Email: [email protected].
Q:Who can benefit from ECP+AMT?
1. Those who are afraid of Surgery
2. Those very old patients more than 75 years of age and unfit for surgery
3. Patients with diabetes,blood pressure,kidney disease,overweight,asthma,hypothyroid or other serious
disease making them high risk for surgery
4. Patients with failed Bypass surgery (recurrence of chest pain after bypass)
5. Those patients whose stents have got blocked again.
6. Those whose chest pain cannot be controlled with multiple drugs.
7. Those who have exhausted all options known to man eg two Bypass surgeries,upto ten stents,
advanced heart failure, EF less than 30%.
8. Those who cannot afford the exorbitant cost of bypass surgery or stents.
Q: What is ECP I EECP?

1. External counter pulsation is external, totally non invasive, non surgical treatment for patients suffering
from Coronary artery disease(CAD) in the form of Chest pain (ANGINA), breathlessness on
exertion(HEART FAILURE).
2. Patient lies comfortably on a bed and pulsatile pressure is applied through air cuffs / bladders on his
calves, thighs and buttocks.
3. These are synchronised to give counterpulsation during cardiac diastole-hence called diastolic
augmentation.
4. During ECP the heart muscle gets 200% more blood to the starved areas due to increased perfusion
pressure.
5. This result in widening of existing collaterals and formation of new collaterals.
6. Thus the myocardium (heart muscle) is effectively reperfused or revascularised.This is alsocialled
medical bypass or natural bypass.
7. Clinical studies have shown that upto 85% of CAD patients do not need bypass surgery or stents and
can be managed by ECP+AMT.
AN AGED PATIENT UNDERGOING ECP THERAPY COMFORTABLY
Q: WhatisAMT?
1. Advanced Medical treatment at our hospital (also called Optimised Medical therapy or Aggressive
Medical therapy).
2. It includes High dose Statin s, optimized dose Betablockers and ACE inhibitors in addition to others.
3. Weight reduction of 1 Kg per week with zero fat, very low carb and parts of Mediterranean diet.
4. Regular, graded,progressively increasing exercises under medical supervision .
5. Stress relieving therapy including yoga and medicines.
6. It has been conclusively proven in 2008 that AMT is far better than stents by two trials called
"COURAGE TRIAL" and "OAT" Open Artery Trial.
7. Very recently it has been proven beyond any doubt that existing blockages can be reversed or
reopened with some of the drugs used in AMT like 80mg Atorvastatin and even Olmesartan. This
reversal starts as early as 6 weeks and continues for 2 years.
Q: How does the patient know that he is better?

1. Chest pain markedly decreases in intensity and frequency from the 3rd to 5th day.
2. Breathing becomes easier and he can walk longer by the 10th day.
3. Dramatic decrease in the number of Nitrite sprays or sublingual tablets.
4. Agreat sense of wellbeing and improvement in quality of life.
Q: Will the tests show improvement?

1. Visible changes in ECG,ECHO,Lipid profile are seen after ECP+AMT.
2. Stress Thallium scan shows increased blood flow in those areas of the heart which were starved of
blood earlier due to obstructions.
3. Usual angiograms show only the large epicardial arteries.A delayed angiogram done before and after
EECP shows a marked increase in the number and size of reticular collaterals after ECP.
Q: Which are the patients in whom EECP cannot be done?

t Arrhythmias that interfere with machine triggering.
t Bleeding diathesis.
t Active thrombophlebitis.
t Severe lower extremity vaso-occlusive disease .
t Presence of a documented aortic aneurysm requiring surgical repair.
t Pregnancy.
t Aortic regurgitation more than Grade II .
Q: How long does ECP take?

A: The standard course of treatment we offer is 35 one hour sessions over 25 days.ln the first 10 days we
give two sessions-one in the morning and one in the evening.The remaining 15 days we give single
session per day. (a total of 35 one-hour sessions). Some patients prefer to have two treatments in one
day in order to complete the program in 18 days. Some patients (failed Bypass surgery; blocked stents)
may need to extend the program beyond 35 treatments, depending on their particular medical situation
and goals.
Q: How long do the benefits of ECP last?

A: Long term benefits are seen in data from International ECP patient registry (IEPR) at the Univ of
Pittsburg USA. The benefits of EECP last for three to seven years after treatment (including less angina,
less nitroglycerin usage,greater walking distance etc and improved blood flow patterns documented
on stress thallium and Treadmill testing )
Q: How does ECP compare to angioplasty or bypass surgery?

A: The five-year outcomes for ECP patients are virtually the same as for angioplasty and bypass surgery
patients.Which means that today if a heart patient choses anyone of these three, for the next five years
his chance of a heart attack,angina ,Heart failure or death are exactly the same.The side effects of
Bypass surgery are far too many(including death).Stents have a tendency to get reblocked very soon
especially in diabetics.EECP+AMT have no side effects and give the same results but at a fraction of
the cost.
Q: Is ECP USFDA-approved? What kind of research has been done on it?

A: ECP was approved by the USFDA in 1995 as a treatment for coronary artery disease and angina. In
2002 , the FDA approved ECP as a treatment for congestive heart failure. It has undergone rigorous
clinical trials at leading universities around the country and ECP has been the subject of more than 100
scientific studies published in leading medical jou rnals throughout the world.Today ECP+AMT is
recognized by AHA - Ame r ican Heart Ass oci ation,ESC-European society of
Cardiologists,England,IMA-lndian Medical Association, China and others.
Q: Where else is ECP I EECP available?

A: ECP or EECP is available in most of the leading hospitals in the world like, Mayo clinic USA;Texas Heart
institute,Houston,Chromwell hosp ital London;Cleaveland clinic; Stony Brooks New York.
However the cost in these places is exorbitant about US$ 9,000 for ECP alone.Cost of room
rent,doctors fees ,nursing ch arges,medicines,blood tests is all EXTRA.Also AM T or OMT-optimised
medical treatment is NOT a part of the package at these places.So the overall cost works out to about
US$ 20,000 atthese centers.
A few of our patients who have kindly consented to share their medical histories with you.
1 Dr YR Khanna 70 yrs.(lndia) Bypass surgery in 1999.Six stents from 2005 to 2008. No relief. Was told
that no further treatment was possible for him.Took ECP+AMT in Jun 2008.
2. Ali bin Salem 52yrs Muscat), CAD+Stent in Paris,severe AS but unfit for surgery. EEC+AMT in Sept
2011, made fit for operation.AVR done on 10.1 0.11.Now doing very well.
3. Abdool Hamid Hoosain.( South Africa).Ten Stents at Johanesburg in 12 years.No further treatment
possible as hewas unfitforCABG .. ECP+AMTdone in Jan 2009.
4. Patrick Brigham. (Bulgaria).Diabetic with six blockages in three arteries in 2005.Advised immediate
Bypass surgery 5 years ago.Refused and chose ECP+AMT in May 2005.ln yood health 5 years later.
All of the above and hundreds of similar patients are totally symptom free and today they are leading normal
lives for upto 7 years after EECP+AMT.
MEET YOUR DOCTOR
Dr SJS Randhawa is a graduate of AFMC Pune (MBBS) in 1975 with a first

division. He passed his masters (MD Medicine) from Baroda and stood first in the MS
University in 1981. He stood first in India in the DNB exam in 1983.
He has vast experience in various top hospitals in the country in Pune, New Delhi,
Vadodra, Bangalore andAmritsar in addition to Los Angeles (USA).
A hard working, caring personality, an eternal optimist who values human life and
when everyone says "Nothing can be done for this patient" he says "Human life is too
precious to abandon-A LOT CAN BE DONE.
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RANDHAWA HOSPITAL (/)

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12 Mall Road, Amritsar-143001 , India. D..
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Mobile: +91 9814052303 Ph. +911832226660 (Office) 0
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IT IS NOW POSSIBLE TO AVOID BYPASS SURGERY & AVOID STENTING
CHEST PAIN! . \_ .. )
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BLOCKED ARTERIES !!!! . '\. ~~~-'#

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RANDHAWA HOSPITAL ·
12 Mall Road, Amritsar. (Pb.) India
E-mail : dr. [email protected]
Website: www.randhawahospital.com
i +91 0183-2564039
+91 0183-2226660
+91 9814052303
ISO 9001·2000 CERTIFIED BY AMERICAN NATIONAL ACCREDITATION BOARD
96899363687 (Saif) ~I ~ .; ) •.•;;.~]jJ
96895553356 (Haithaml • 0""'" <... \.1)
WITH THE LATEST TECHNIQUE FROM USA
EECP & AMT (USFDA approved)
* EECP is external : totally noninvasive
* No Cutting, No injection, No Catheters, absolutely no Pain
* No anesthesia, no blood transfusion
* No risk of injury or death, Zero% side effects.
* Success rate better than stents & equal to Bypass surgery
EECP can benefit the following patients
* Those who are afraid of surgery
* Those very old patients unfit for surgery
* Patient with diabetes, overweight, asthma or other serious disease making
them high risk for surgery
* Patient with failed 'by po:, ' s surgery (recurrence of pain after bypass)
* Those patients whose
DR. S.J.S. RANDHAWA MD; DNB
stents have got blocked
Mobile + 91 9814052303
* Patients with EF less than 50%
Non invasive cardiologist

Goodbye To Bypass Surgery

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Goodbye to Bypass Surgery and Stents

ECP-EXTERNAL COUNTER PULSATION

BLOCKED ARTERIES OF THE HEART

Q: What is ECP I EECP?

AN AGED PATIENT UNDERGOING ECP THERAPY COMFORTABLY

Q: How does the patient know that he is better?

Q: Will the tests show improvement?

Q: Which are the patients in whom EECP cannot be done?

Q: How long does ECP take?

Q: How long do the benefits of ECP last?

Q: How does ECP compare to angioplasty or bypass surgery?

Q: Is ECP USFDA-approved? What kind of research has been done on it?

Q: Where else is ECP I EECP available?

MEET YOUR DOCTOR

Dr SJS Randhawa is a graduate of AFMC Pune (MBBS) in 1975 with a first

RANDHAWA HOSPITAL (/)

BLOCKED ARTERIES !!!! . '\. ~~~-'#

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