Clinical DIMENSIONEnhanced External CounterpulsationBrosche, Theresa Ann RN, BSN, CCRN; Middleton, Susan Kay RN; Boogaard, Ronald G. MD, FACC Author Information ABOUT THE AUTHORS Theresa A. Brosche, RN, BSN, CCRN, is a clinical adjunct faculty member, Germanna Community College-Nursing; an Intensive Care Unit Staff Nurse, MediCorp Health Care System; a self-employed legal nurse consultant, and a certified personal trainer. Susan Kay Middleton, RN, is the Clinical Director, Lebanon Cardiology Associates, PC, Lebanon, Pennsylvania. Ronald G. Boogaard, MD, FACC, is a Physician at Lebanon Cardiology Associates PC, Lebanon, Pennsylvania. Address correspondence and reprint requests to Theresa A. Brosche, RN, BSN, CCRN, 1001 Sam Perry Blvd, Fredericksburg, VA 22401 ([email protected]). *The patient’s name has been changed in this article to protect anonymity. Dimensions of Critical Care Nursing: September 2004 - Volume 23 - Issue 5 - p 208-214 Buy CE Test AbstractIn Brief Ischemic heart disease that is refractory or resistant to medical management is a concern to health team members, patients, and their families. These patients are limited in their abilities to perform activities of daily living and often find it difficult to exercise which negatively affects their quality of life. Some patients are confined to bed rest due to these limitations. Enhanced external counterpulsation (EECP) is a noninvasive outpatient procedure that has been shown to improve the patient’s quality of life by decreasing ischemic symptoms and permitting increased activity. This article reviews the basic principles of EECP therapy and identifies the goals and benefits for the patient. Helpful tips and observations are discussed as to the use of this treatment using evidence-based research. Basic principles of enhanced external counterpulation are reviewed; goals and benefits for the patient are identified. © 2004 Lippincott Williams & Wilkins, Inc.