ESMR means Extracorporeal Shockwave Myocardial Revascularisation. ESMR can also be termed Non-invasive cardiac Angiogenesis therapy.
This shockwave therapy it’s like an Ultrasound wave with high intensity and short duration. The sound wave is generated by an underwater high voltage spark, which is delivered non-intensively, focused by a special ellipsoid reflector. The reflector is coupled to the patient’s skin near the affected area with a water cushion. The focal zone distance into the patient’s body is adjusted according to the clinical requirements.
This therapy approach using extracorporeal shockwave technology for myocardial revascularisation (i.e. to improve the blood supply to Heart Muscles). Ischemic myocardial areas no longer accessible by conventional revascularisation therapies like Bypass surgery or Balloon Angioplasty & stent, could be treated with the ESMR therapy to relieve symptoms resulted from the myocardial ischemia.
The purpose of this non-invasive treatment is to produce new pathways around the blocked arteries in ischemic zone of the heart by expanding collaterals that help increase & normal blood flow to heart muscle.
The whole treatment duration is 20-30 min and the patient should undergo a series of nine treatment sessions during a nine-week period.
Treatments in the first week of each month- 1st, 5th & 9th week) at each treatment session shockwaves are delivered to the border of the ischemic area.
