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Psychosocial Effects of Enhanced External Counterpulsation in the Angina Patient: A Second Study

Received April 27, 2000; revised September 7, 2000; accepted November 27, 2000. From the Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Department of Medicine, Division of Cardiology, SUNY at Stony Brook; Department of Surgery, SUNY at Stony Brook; Ruttenberg Cancer Center, Mount Sinai School of Medicine, New York City; The Carter Center, Atlanta, Georgia; Harvard Medical School, Boston, Massachusetts. Address correspondence and reprint requests to Dr. Springer, Department of Psychiatry/WAC 812, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114–2696.

Enhanced external counterpulsation (EECP) is a noninvasive technique that has shown promise in the treatment of ischemic coronary artery disease. Patients undergoing EECP were tested for alterations in psychosocial state associated with treatment. Overall perception of health and quality of life improved with EECP. There was also significant improvement in levels of depression, anxiety, and somatization but no change in levels of anger or hostility. On most measures, change was more significant for subjects who showed objective evidence of resolution of ischemia. Given the known predictive relationship between depression and mortality from cardiac disease, the improvement in depression scores through EECP indicates a finding of potential importance that may warrant further study in future research.

Key Words: Treatment • Ischemia • EECP

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