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
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)
🔑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.
I was touched that the residents wanted the slides & thought it was one of the most important talks of the year. Will share some in a thread 🧵
We are still trying to figure out the pathophysiology of #LongCOVID... these are just a few of the hypothesis. But definitely inflammation and immune system dysregulation is involved. 2/
Dear #MedTwitter,
Please do not make statements assuming a person with a major disability has a poor quality of life. This is ableism. 1/ thesun.co.uk/news/11968402/…
2/ St. David’s Doctor: “So as of right now, his quality of life - he doesn’t have much of one.”
Melissa: “What do you mean? Because he’s paralyzed with a brain injury he doesn’t have quality of life?”
St. David’s Doctor: “Correct”
3/ This conversation was recorded (and that’s legal in Texas if one person consents), so I’m not making it up...