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Monica Verduzco-Gutierrez, MD Profile picture
@MVGutierrezMD
Dec 16, 2022 • 8 tweets • 5 min read • Read on X
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Trying #EECP at @FlowTherapyEECP today for my #LongCovid

It’s intense but cool. Will try a full course after the holidays.
More in thread below… 1/
2/ What is #EECP?
Enhanced External Counterpulsation (EECP) is used for non-invasive treatment of heart conditions like angina.

ncbi.nlm.nih.gov/pmc/articles/P…
3/ What happens when getting #EECP?

During EECP Flow Therapy, patients lie down on a padded table with specialized cuffs (similar to blood pressure cuffs) wrapped around their calves, lower thighs, and hips. They place a 3-lead EKG
4/ When the heart is in diastole (resting phase), these cuffs inflate sequentially from the calves toward the hips. 🫀➡️🦵🏽
This pressure creates blood flow that is similar to exercise–fueling all areas of your cardiovascular system with essential oxygenated blood while you rest.
5/ I’m told an hour of EECP pumps the equivalent amount of blood pumped in a half marathon.
(Which I haven’t been able to do in almost 2 years)
6/ MOA?
The sequential cuff inflation of #EECP creates retrograde pressure wave that augments diastolic pressure, increasing coronary perfusion pressure & venous return to the right heart (increasing preload & cardiac output).
⬆️ growth factors & nitrous oxide.
⬇️inflam cytokines
7/ Data on #EECP in #LongCovid?

Research was presented at @ACCinTouch on 50 patients.
🚶🏽‍♀️Functional capacity using the DASI assessment improved by 20 points (range 0-58.2)
🥱Fatigue levels using the PROMIS score decreased by 6 points (Range 4-20)

acc.org/About-ACC/Pres…
8/
2 other posters presented at AHA in November…
🧠Including how #EECP helps in cognitive impairment in #LongCovid.

Knowing #LongCovid is endothelial dysfunction & immunothrombosis, of course @FlowTherapyEECP has been extremely impactful.

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More from @MVGutierrezMD

Monica Verduzco-Gutierrez, MD Profile picture
Sep 2, 2024
New paper out from my team at @FlowTherapyEECP using #EECP as a treatment for #LongCOVID symptoms.


In the last week, we've learned more about thromboinflammation & endothelial dysfunction in #LongCOVID, highlighting the complex nature of this condition.🧵 mdpi.com/2673-8112/4/9/…
Image
2/ Many COVID survivors continue to experience symptoms, significantly impacting their quality of life. There are limited treatments. Our recent study explored the use of Enhanced External Counterpulsation (#EECP), an FDA-approved, non-invasive therapy for cardiovascular issues.
3/ EECP works by stimulating pathways that improve microvascular function, inflammation, and immune regulation—potentially addressing the underlying causes of #LongCovid.
(Pic of me doing the treatment myself for my own long covid) Image
Read 7 tweets
Monica Verduzco-Gutierrez, MD Profile picture
Aug 8, 2024
1/ I've seen the "comment section," and many are saying that COVID-19 is just a mild cold and no big deal for athletes. But here's the truth: having any viral infection, including #COVID19, can significantly impact athletic performance and pose serious health risks. 🧵
2/ Even mild viral infections can reduce respiratory capacity, VO2 max, sleep quality, & elevate resting heart rate. This is especially concerning for athletes with conditions like asthma (which Lyles has). Though he did great, COVID cost Noah Lyles the gold. 🥇
3/ Running with these symptoms isn't just risky—it can be dangerous.
Engaging in athletic activity while sick with a virus dramatically increases the risk of a cardiac event.
Read 6 tweets
Monica Verduzco-Gutierrez, MD Profile picture
Jun 21, 2024
This recent study came out with little fanfare, but it’s something that overlaps with TBI & #LongCovid (two of my passions)
1/
 Growth hormone treatment for neurologic symptoms of post‐acute sequelae of COVID‐19 ascpt.onlinelibrary.wiley.com/doi/10.1111/ct…
2/ BIAFAC is “brain injury-associated fatigue and altered cognition” that occurs in some patients with brain injury. It’s a combo of fatigue, brain fog, low GH secretion, hypoaminoacidemia, & gut dysbiosis.
In persons with BIAFAC, neuro symptoms are imprroved with GH treatment.
3/ I’ve worked with Dr. Randy Urban on both TBI & now Long COVID.
He had previously published that #longCOVID patients also have lower growth hormone secretion compared to patients that recovered from COVID without lingering symptoms. So they studied giving GH to persons with LC
Read 7 tweets
Monica Verduzco-Gutierrez, MD Profile picture
Jan 11, 2024
1/🧠Excited to get this to press in @AJPMR:
"EECP Improves Cognitive Function of Persons with #LongCOVID."
What did we find?
journals.lww.com/ajpmr/abstract…
2/ If you want to know more about EECP? Can see my prior thread here of my own experience with @FlowTherapyEECP...
3/ Impaired cognitive function/“brain fog” is reported in anywhere from 22-81% of PASC.
This was a retrospective analysis of Long COVID patients who had EECP. If they self-reported brain fog, an objective digital cognitive assessment (@BrainCheck) was done before & after EECP Image
Read 9 tweets
Monica Verduzco-Gutierrez, MD Profile picture
Jun 23, 2023
1/ At @theNASEM Symposium on Long COVID now listening to Jeanne Bertolli of CDC on perspectives from ME/CFS.
Limitations of definitions…
- Need involvement of those with lived experiences.
- Standardized evaluation of symptoms not required.
- Did not meet all needs
2/ committee came together in 2015 to create the IOM diagnostic criteria for ME/CFS:
https://t.co/Mog8rv3ysjnap.nationalacademies.org/catalog/19012/…
3/ For ME/CFS, documentation of infection or timing of onset not required. PEM is required.

Process used for defining this could help set a process for #LongCOVID
Read 17 tweets
Monica Verduzco-Gutierrez, MD Profile picture
Sep 14, 2022
I presented at @AdvocateKids @advocatehealth #WIMmonth event this past weekend on Inclusive Leadership: Leave no (wo)man behind.

🔑Some about me & my key points to support #WomenInMedicine as a leader: 🧵1/
2/ I am first gen #LatinasInMedicine from a humble background on the Texas-Mexico border. I was a great student growing up. I pleased my family. As a resident, I made more money than my family. I had no idea I was underpaid as a junior attending. I pleased my chair as RVU queen.
3/ I missed the memo on how to be promoted (as happens to BIPOC women). Delayed the process because no guidance.
When I finally took the risk (late), I became the 8th Latina associate professor of PM&R in the country.

✍🏻Teach #WomenInMedicine what it takes for promotion.
Read 8 tweets

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