Bypassing Blockages

Noninvasive therapy boosts collateral circulation in heart.

After retiring from the United States Navy in 1983 following 26 years of service, Daniel Segovia, 78, worked for a while for the US Postal Service, then joined his brothers in a business venture. Unfortunately, the Michigan native then experienced a series of health challenges that eventually brought his working life to a halt.

Dr. L. Amarchand of Brooksville treated Daniel Segovia for shortness of breath and lack of energy using a circulation-boosting therapy called enhanced external counterpulsation (EECP).

EECP has Daniel feeling like a kid again.

“I retired for good when I fell down my steps and broke an arm and a leg,” Daniel shares. “I fell again and broke an ankle and the other arm. After that, I suffered a heart attack, then I had a stroke, actually two strokes. I also have diabetes.”

While these issues put a stop to Daniel’s professional life, they didn’t stop him entirely. He continued to work around the house, keeping himself busy and active. He became concerned, however, when everyday activities became difficult to manage.

“One day, I realized I couldn’t walk from one side of the room to the other without huffing and puffing,” he recalls. “Outside in the yard, I’d work about five minutes, and I’d be huffing and puffing. I was short of breath all the time.

“I didn’t have any chest pain, but I didn’t have any energy. I didn’t want to do anything because I knew I was going to be tired out. No matter what I tried to do, I just didn’t have the energy to do it.”

These symptoms, caused by problems related to Daniel’s heart attack, left him physically and emotionally deflated. He was open to new ways to get his energy and breathing back to normal. He discovered a new way in the pages of a newspaper he found in the office of one of his doctors.

“I like to read, and when I went to see my diabetes doctor, there was a copy of Florida Health Care News in the waiting room,” Daniel confirms. “I got interested in an article about Dr. Amarchand and his procedure, and I wanted to learn more about it.

“I talked to my diabetes doctor and said, I’ve been feeling a loss of energy like the person in this article, and I think I want to see this doctor. My diabetes doctor said Dr. Amarchand was a good doctor, so I went to see him.”

Daniel’s doctor recommended L. Amarchand, MD, a board-certified cardiologist and internist in Brooksville. The article Daniel read was about the unique treatment protocol and surgical alternative that Dr. Amarchand offers his patients. The treatment is a safe, noninvasive, circulation-boosting technique called enhanced external counterpulsation (EECP).

Dr. Amarchand uses nonsurgical EECP to treat patients with heart disorders such as congestive heart failure, blocked coronary arteries and angina pain, all of which can cause the lack of energy and shortness of breath Daniel experienced. Using EECP, Dr. Amarchand has an impressive record of success in maintaining his cardiac patients’ heart health and independence.

Timed Rhythms

In addition to shortness of breath and loss of energy, a tightening or pressure in the chest, weakness and other symptoms can all be caused by a lack of oxygenated blood flowing through the heart.

As these symptoms get progressively worse, it’s not unusual for people to restrict their activities in order to reduce their discomfort. As a result, their quality of life quickly diminishes. EECP can reverse these symptoms by working like a natural bypass procedure.

“More than twelve million Americans have found relief from their symptoms and had their energy restored while also receiving other benefits through the use of EECP,” declares Dr. Amarchand.

Dr. L. Amarchand of Brooksville treated Daniel Segovia for shortness of breath and lack of energy using a circulation-boosting therapy called enhanced external counterpulsation (EECP).

“After two or three EECP treatments, I knew it was doing me good. My legs weren’t tired. My body wasn’t tired. I had energy, and I could breathe better.” – Daniel

Typically, EECP is delivered through a series of 35 hour-long sessions over the course of seven weeks. During an EECP session, the patient reclines, fully clothed, on a cushioned table while listening to music or watching a movie. Compression cuffs are wrapped around the patient’s calves, thighs and buttocks to apply pressure in rhythms carefully timed to the patient’s heartbeat.

“The pressure propels more blood upward and into the coronary arteries, enlarging the arteries and improving collateral circulation,” informs
Dr. Amarchand. “It helps the patient’s own circulatory system bypass coronary artery blockages and opens up the underused collateral blood vessels.”

“It felt like a comical situation because there I was in a funny outfit, all hooked up and lying on a table,” Daniel relates. “Then they turn on the machine, and I start bouncing up and down, a little to the left and a little to the right. The treatment didn’t hurt; it relaxed me. It made me feel better.”

EECP is the perfect option for individuals who want to try a noninvasive procedure before resorting to open heart surgery, notes Dr. Amarchand. It’s also good for those who have not achieved relief with prior surgical procedures such as bypass and angioplasty, and for patients who aren’t candidates for surgery.

“According to studies done on the procedure, eighty-five percent of patients completing EECP treatments obtain substantial and sometimes dramatic relief from their heart-related symptoms,” states Dr. Amarchand. “The same percentage realizes increased exercise tolerance, mental alertness and reduced need for nitroglycerin to relieve angina pain.

“EECP can be repeated as often as needed because it is noninvasive,” adds the doctor. “However, its beneficial effects can last from three to five years.”

EECP treatment is FDA-approved and Medicare-reimbursed.

Feeling Young Again

While all 35 treatment sessions are needed to get the full benefits of EECP, many patients begin to feel relief of their symptoms after just a few sessions. Daniel started to feel better early in the course of his therapy.

“After two or three EECP treatments, I knew it was doing me good,” he reports. “My legs weren’t tired. My body wasn’t tired. I had energy, and I could breathe better. I got home and I walked back and forth from room to room with no problem. After supper, I walked around the house, and it felt good.”

Daniel is amazed by the improvement in his condition. He’s happy he no longer suffers with the symptoms he experienced before EECP therapy. The treatment has him feeling young again. He tells everybody he knows about his miraculous turnaround.

“Everything’s come back, my breathing and my energy,” Daniel enthuses. “I joke around with my family and say I’m like a sixteen-year-old guy. I feel like I did when I used to play around with my kids when they were five and six years old. I have all of the energy, all of the get-up-and-go. I’m even going to the gym.

“Every chance I get, I tell people about Dr. Amarchand and EECP. If I hear somebody say they’re having trouble, I tell them to read up on the procedure, and if they have any questions, call Dr. Amarchand. I’m a firm believer in him and his EECP therapy.”

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    • L. Amarchand, MD, FACP

      L. Amarchand, MD, FACP, is board certified by the American Board of Internal Medicine. He completed a residency in internal medicine and a two-year fellowship in cardiology and cardiac nuclear imaging at St. Barnabas Medical Center in Livingsto... Read More

    • L. Amarchand, MD, FACP

      L. Amarchand, MD, FACP, is board certified by the American Board of Internal Medicine. He completed a residency in internal medicine and a two-year fellowship in cardiology and cardiac nuclear imaging at St. Barnabas Medical Center, Li... Read More

    • Tong Guo

      Dr. Tong Guo, a pioneer in obtaining FDA approval of EECP for use in the United States, assists Dr. Amarchand in overseeing EECP, ensuring the delivery of optimal treatment with excellent outcomes for patients. Dr. Guo worked as a researc... Read More