Enhanced External Counter Pulsation (EECP) is a non-invasive medical procedure that aims to improve cardiovascular health by enhancing blood flow and promoting the development of collateral circulation. This therapy involves external pressure cuffs around the lower limbs, synchronising with the patient’s cardiac cycle.

The primary goal of EECP is to provide a form of “natural bypass” by creating new pathways for blood to flow around blocked or narrowed arteries. This is achieved through a series of precisely timed inflation and deflation cycles of the cuffs. During deflation, which corresponds to the heart’s resting phase (diastole), the cuffs inflate sequentially from the calves upwards, increasing the pressure on the peripheral blood vessels. This external pressure effectively reduces the resistance to blood flow, enabling more efficient circulation.