The whole treatment duration is 20-30 minutes and the patient should undergo a series of nine treatment sessions during a nine week period.(3 treatments at first week of each month- 1st week , 5th week, 9th week). At each treatment session shockwaves are delivered under echocardiographic guidance.
ESMR has been proven to alleviate symptoms in 90% of patients. Studies have shown that improved blood perfusion to the heart muscle were only evident in the specific regions of the heart where shock waves were administered. Smokers and diabetic patients might need additional sessions to achieve therapeutic effect. To know more go to clinical data
During the treatment you might feel a local tickling/warmth in the treatment area.
There is no pain that the patient experiences during the treatment.
Can I go back to normal routine after the treatment?
Patient should take it light for immediately post treatment.
Unlike Bypass surgery, Angioplasty and stenting procedures, ESMR is non-invasive, carries no risk, painless, no anaesthesia or sedatives required, and is an outpatient procedure.
Ischemic myocardial areas no longer accessible by conventional revascularization therapies like Bypass surgery or Balloon Angioplasty and stent, could be treated with the ESMR therapy to relieve symptoms resulting from the myocardial ischemia.
Over time, plaque can harden or break open. Hardened plaque narrows the coronary arteries and reduces the flow of oxygen-rich blood to the heart. This can cause chest pain or discomfort called angina .
If the plaque ruptures, a blood clot can form on its surface. A large blood clot can mostly or completely block blood flow through a coronary artery. This is the most common cause of a heart attack.
Angiography can be done to detect these blockages
Shock waves are a kind of sound waves (like ultrasound) with high intensity and short duration. The sound waves are generated by an underwater high voltage spark, which are delivered non-invasively, focused by a special ellipsoid reflector. The reflector is coupled to the patient’s skin near the affected area with a water cushion. The focal zone distance into the patient’s body is adjusted according to the clinical requirements under 2d echo.
The purpose of this innovative non surgical treatment is to produce new pathways around the blocked arteries in Ischemic zone of the heart by expanding networks of tiny blood vessels called collaterals that help increase and normalize the blood flow to heart muscle thereby reducing or relieving angina.