Read or review with your doctor the conditions with which EECP is normally the suggested treatment. I believe it needs to be daily for one or two months. My doctor suggested it for me, without reviewing the conditions. I found them from a hospital, posted on the internet. There are four stages of symptoms for which it is the recommended treatment. My symptoms were more mild than any that EECP was recommended for, and I was responding well to the protocol of graduated cardio work that I was doing, and have continued to do.
The goal of EECP was to get to where I already was in terms of reduced angina, which is only induced by a poor meal choice, not exercise intolerance. It might have been of some benefit, but at great inconvenience to me, so I chose not to do it. Playing volleyball, I can play longer and just as hard as pretty much all the people in the group. I am not jumping quite as much as some, but I move a lot, and many find me impressive considering I am 15 to 35 years older than most of them.
From what you have written, you have larger and better collateralization than I do, or did at the time when I reviewed the standards for EECP. Your heart rate may not get as high as mine does, 183, but tolerating 10 METS is very, very good. In terms of where I am now, it might be 10 METS. I get my heart up to 159 or more for 10 to 15 minutes rowing. A few times each outing, twice a week, and also very high playing volleyball sometimes. The volleyball is mostly less strenuous, unless I am playing a major part in a long rally, which can leave me breathing a bit hard after a long rally. But that is rare.
You have not stated if you made major changes in your diet, and stressors. Me, diet is very low salt, very low fat, very high in anti-oxidants via cooking herbs, spices, and fruits. Information gleaned from NIH website, pubmed, regarding all this.
One opinion I will give, based on what I have learned of the anti-oxidant content of herbs and spices, is that they are the real key of the Mediteranean diet. Anti-oxidants prevent oxidation of LDL, and that ox-LDL is what increases blockages. Oregano and Parsley the highest content. Pomegranate and dark chocolate of special benefit, and pistachios to improve number and function of stem cells that repair arterial damage. High intensity Interval training helps boost HDL, as do some foods. I do try to get those foods in my diet, too. I think those are high niacin foods. All this was posted on a WEBMD forum, with links to the NIH website, but not updated in a couple years. So WebMD, archived it and removed it.
But they also did a short feature article in the Web MD magazine about my "amazing" cardiac recovery, but leaving out all details. Search on "cardiac recovery", looking for "My Story". It is in the 2012 September issue. I was not just a reader. I was a major contributor to quite a few WebMD forums, and providing verifiable links to all information I posted, unless they were of my personal actions. I am also among a select group of knowledgeable webMD contributors with a few special website rights, and title of Health Ambassador.
I suppose to have recovered to where I can play volleyball for hours at a time, a few days a week if I choose is pretty amazing considering my heart disease. Methodical rehab, extremely beneficial diet.View Thread
Based on over 20 years of comprehensive study of research on heart disease, by Dr. Richard Flanigan of Denver Colorado, a practicing cardiologist, a genetic factor of heart disease only occurs in about 1 in 500 patients. The other 499 are diet, stress and lifestyle issues. Self inflicted.
You should not be doing exercise that tires you. Three weeks after my bypass surgery, I could barely walk 100 feet. Through gradual rehab, and a very strict diet, I can walk briskly a few miles, or play volleyball for hours and hours. Volleyball is way more fun.
Use a heart rate monitor. Everywhere if necessary. Your rate rate will stay in a normal range over most things. Before fatigue strikes, your heart rate will start climbing higher and higher, and is indicative to SLOW DOWN and REST a bit.
The best rehab is gradual, but can progress higher and higher if done methodically.View Thread
100% clogged. You have been going without it, using collaterals for an indeterminate time.
Why did you have an angio ? This procedure is not done without good reason.
I had 99%, 99%, and 80% in the three cardiac mains. When this was found, bypass surgery the next day. I had a full secondary collateral capillary network I was living on. But the angiogram was done for sudden onset severe unstable angina.
After bypass, the two worst arteries went totally blocked, and I could have lost 70% of my heart without 1) the extra capillaries, and 2) the bypasses.
Nine years later, with careful strict diet and careful exercise rehab, I have no issues, and am able to exercise like a 40 year old, if not better.View Thread
No one can predict the future. If my cardiologist were right about me, I would have died 6 years ago. I defied the odds by being extremely pro-active to learn everything I could about our disease, beneficial foods, careful methodical exercise rehab. And by doing everything he told me to do. He suggested four supplements, besides a few prescribed medications, and I am a near ideal patient to rarely ever miss a dose of any of them. Most people are not so good about their meds. Be one who does.
We are not all cookie-cutter critters. That is one reason it is called "practicing medicine". Doctors learn and do their best for us, but it is nearly impossible to keep up with all continuing research. And they don't. They can't. But they give us the best information they can from their years of education and medical practice.
Look me up on facebook. I can let you know what I have done in my extreme case. Diet has potential to can a huge improvement for you in time. "Exercise" is all about starting easy enough, and having patience with yourself.
What's next is up to you.
I do tell my doctors what I do, and things I learn and where I found the information. I am closing in on 9 years post bypass surgery, and doing very well.
Only a little fat is necessary. Most people use fat and salt as if they were major sources of nutrients, which they are not.
I have been on a very low fat diet for 9 years, and am very healthy, very physically active. If I needed a lot more fat, I could not be as healthy as I am.
Excess calories in the diet lead to obesity, and the most calorie dense and nutrient poor foods are fat and alcohol. One can't pull nutrients from where they don't exist. The body will try, but can only do so much.
To keep dietary fats strictly beneficial, one also needs lots of anti-oxidants to keep LDL from oxidizing. Best way to do that is anti-oxidant dense foods: herbs, spices, fruits, in that order. And even among those, some are far more anti-oxidant dense than others. Veggies are low calorie and low in anti-oxidants.View Thread
See him to determine if it is a digestive issue, or actually the heart.
Reduce fat in you diet, and SLOWLY start exercising more often and for longer duration. If you exercise properly, you will avoid getting tired, yet still build endurance.
Natural remedies are reduced fat diet, more fruits especially berries of all kinds, plus pomegranates or its juice, and cook with herbs and spices daily. This will arrest and in time reverse heart disease. It has for me.
Moving produces healing substances from skeletal muscles one can not get anywhere else. So, once you can move some, you should. We are born to move. Don't and it is slow death. Be active, and have a long and wonderful life.View Thread