體外反搏治療對改善動脈硬化baPWV與心力指標之成效-案例報告

The Effectiveness of Enhanced External Counter Pulsation Intervention in Improving Arterial Sclerosis (brachial-Ankle Pulse Wave Velocity, baPWV) and Cardiac Force Index- A Case Report

體外反搏（Enhanced External Counter Pulsation, EECP）是一種非侵入式的循環治療，反搏時能增強內皮細胞剪應力，修復內皮細胞，改善動脈硬化。本篇以案例報告分析呈現，目的為瞭解體外反搏改善動脈硬化與心力指標之成效。介入療程每週五次，一次至少1小時，共35小時，「第0次（前測）」及「滿35次（後測）」為測量時間點。結果：完成35次EECP後，動脈硬化指數baPWV值右側從1858 cm/s降至1443 cm/s，左側2098 cm/s降至1633cm/s，血壓值有明顯下降；心力指標參數其每一次心跳的位移變化提升了20.2cm，標準化3公里後（CMPB3），平均提升2.08cm。結論：EECP介入可改善動脈硬化，對血管產生保護作用，並提升心力指標，代表EECP可增加個案心臟對運動的耐受力，進而改善日常活動狀態。

Enhanced External Counter Pulsation (EECP) is a non-invasive therapy that releases vascular endothelial growth factors during counter pulsation, repairing endothelial cells and improving arterial sclerosis. This case report aims to analyze the effectiveness of EECP in improving arterial sclerosis. The intervention consisted of five sessions per week, lasting one hour each, for a total of 35 hours. Evaluation measurements were taken at baseline(pre-test) and completing 35 sessions(post-test). Results: Completed 35 times EECP intervention, The baPWV showed a decrease from 1858 cm/s to 1443 cm/s on the right side and from 2098 cm/s to 1633 cm/s on the left side. The blood pressure data was also decreased. The parameter of cardiac index shows an increase of 20.2 cm in displacement with each heartbeat. After standardizing for a 3-kilometer speed (CMPB3), the average increase is 2.08 cm. EECP intervention can decrease blood pressure to provide vascular protection, and significantly decrease baPWV. Improvement in the cardiac force index enhances the patient's cardiac tolerance during exercise and improves their daily activity status.