During the heart's relaxation phase, the cuffs rapidly inflate from the calves upward. This pushes a column of oxygen-rich blood back toward the heart - increasing coronary perfusion pressure naturally.
Just before the heart pumps, all cuffs deflate simultaneously. This sudden pressure drop reduces the resistance the heart pumps against - lowering cardiac workload with every single beat.
With repeated sessions, this sustained improvement in blood flow stimulates the growth of small collateral blood vessels -
natural channels that reroute blood around blocked or narrowed arteries. This is why EECP is often called a Natural Bypass.







Recurring chest pain, pressure, or tightness that keeps returning despite medications
Diagnosed narrowing or blockage of the coronary arteries
Breathlessness or fatigue on minimal physical exertion
Unsuitable for angioplasty or bypass surgery due to age, anatomy, or co-morbidities
Reduced functional capacity and quality of life despite standard care
A proactive, non-invasive approach to protecting heart health before conditions worsen














EECP (Enhanced External Counterpulsation) is a non-invasive, FDA-cleared cardiac therapy. Inflatable cuffs placed around the legs and buttocks synchronise with the heartbeat to push blood toward the heart during relaxation and reduce cardiac workload during pumping. Over a full course of 35 sessions, it improves coronary circulation and stimulates the growth of collateral blood vessels — natural bypasses around blocked arteries.
EECP is contraindicated in patients with certain heart valve disorders (particularly aortic regurgitation), active deep vein
thrombosis (DVT), uncontrolled hypertension, or severe peripheral artery disease. At Tigris Valley, every patient undergoes a thorough physician assessment before treatment begins to confirm clinical suitability.
The standard course is 35 sessions - 1 hour each, 5 days a week over 7 weeks. Many patients notice improvement in
symptoms - less chest pain, better stamina - within the first 2 to 3 weeks. The full cardiovascular benefit, including collateral vessel development, accumulates over the complete programme.
EECP is not painful. Most patients describe the sensation as a rhythmic squeezing of the legs - similar to a blood pressure cuff. You lie comfortably on a treatment table throughout the session. The majority of patients read, rest, or simply relax during treatment.
EECP is not a direct surgical replacement - it is a non-invasive therapy that achieves a similar outcome through a different mechanism. For patients who are not candidates for surgery, or who want to avoid it, EECP is a clinically supported alternative. The collateral vessels it stimulates effectively function as natural bypasses. It is best understood as a complement to or in many cases, an alternative to surgical intervention, depending on the patient's condition