What are the objective evidences to show the ECP treatment benefit in Congestive Heart failure?
· Increase in exercise duration · Increase in peak oxygen uptake · Increase cardiac output · Reduce systemic vascular resistance · Improvement in preload-adjusted maximal power. · Improvement in ejection fraction · Decrease in heart rate · Improved diastolic filling pressure associated with decrease Brain Natriuretic peptide (BNP) · Trend towards Normalization of Neurohormonal activation is noted. Increase in nitric oxide and decrease in endothelin. · Increase renal perfusion decreases plasma renin activity. · Decrease renin-Angiotensin system axis activation.
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