To more thoroughly understand the effectiveness of ECP and its many applications, it is useful to examine some case histories published in Strobeck et al.
 Case History #1: Angina
 Patient
27-year-old male, family history of hyperlipidemia
Evaluation
|
Presented with exertional angina pectoris
1.5-2.0 mm horizontal ST segment depression on exercise treadmill test
100% occlusion of mid-right coronary artery
100% occlusion of med-left anterior descending coronary artery 95% blockages in both proximal mid-right coronary artery and small branch of left circumflex coronary artery
Patient not considered suitable for interventional therapy |
Outcome
Following 35 one-hour sessions of ECP:
- angina completely eliminated at normal levels
- post-treatment radionuclide stress testing showed marked Improvement
Before ECP After ECP
 
Case History #2: Coronary Artery Disease with Diabetes
Patient
72-year-old male, history of diabetes, gout, hypertension,
triple-vessel coronary artery disease (CAD)
Evaluation
Presented with stable angina
Previously declined bypass, maintained on medication
Stress test suggested progression of CAD
Severe hypoperfusion of inferior wall and apex with stress perfusion
Outcome
Following 35 one-hour sessions of ECP:
- Post-treatment stress testing revealed marked improvement in myocardial
Perfusion
- Patient showed increased exercise ability
- Chest pain symptoms were eliminated
- Patient no longer required nitroglycerin
Before ECP After ECP
 
Case History #3: Congestive Heart Failure
Patient
Elderly male, two previous myocardial infarctions, previous bypass surgery
Evaluation
Ischemic cardiomyopathy
Progressive angina with minimal exertion
Maintained on medical therapy
Outcome
Following 35 one-hour sessions of ECP:
- Left ventricular ejection fraction (LVEF) increased by 80% (20% to 36%)
- Functional status and chest pain improved markedly
- Post treatment stress test showed improved cardiac perfusion and function
Before ECP After ECP
 
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