ESMR Therapy

Extracorporeal Shockwave Myocardial Revascularization (ESMR)

Extracorporeal Shockwave Myocardial Revascularization, or ESMR, is one of the most successful methodologies of improving the blood supply to the heart muscles without invasive surgeries. It is also termed as Non-Invasive Cardiac Angiogenesis Therapy (Ni-CATh) by some clinics. To benefit patients who would like to avoid angioplasty and bypass surgery, Poona Preventive Cardiology Center (PPCC) is one of the few clinics that has introduced this German concept of ESMR treatment in India. Its use has rapidly gained popularity as a dependable heart treatment to potentially avoid angioplasty and bypass surgery.
ESMR is usually suggested due to the exhaustion or ineffectiveness of all other conventional treatment options. Nevertheless, ESMR offers a new ray of hope that complements the existing treatment methodologies.

How Does ESMR Treatment Work?

Before the commencement of the procedure, the exact location of the ischemic zone (treatment zone) is identified using the ultrasound imaging system. As the name suggests, mild shockwaves are targeted to the treatment zone through the anatomical acoustic window. These acoustic waves create shear stress on the vessel wall and stimulate the growth of new blood vessels and expand their network around the blocked arteries, which enhances the quantum of blood supply to the heart and reduces the occurrences of angina.

Am I a Candidate for Treatment?

The following categories of patients can opt for ESMR treatment:

Treatment Duration

After conducting the preliminary tests and screening procedures and determining the suitability of the candidature, the treatment sessions are initiated. Typically, each session lasts for half an hour, performed for nine sessions that are spread across three months.

Advantages Of ESMR

Treats Complex Locations:

The primary advantage of ESMR lies in the fact that it can successfully treat the Ischemic myocardial areas that cannot be accessed by other therapies such as Bypass or Angioplasty.

Absolutely painless:

The procedure causes no pain during or after the sessions and can undergo retreatment if necessary without any restrictions.


It is pretty easy to measure the success of ESMR through qualitative techniques. The patient would be more energetic and indulge in an active lifestyle in no time and would experience nil or only a few angina episodes with significantly reduced pain.

Is ESMR Treatment Safe?

During the treatment, the patient feels minimal pain, not more than a tickling effect. It does not carry any associated risk factors. Being an outpatient and non-invasive procedure, sedatives are also not required. In short, no short term or long term side effects are reported till now.
In a nutshell, ESMR offers a new ray of hope for heart patients deprived of other chances due to various medical conditions.
make ap

Need A Doctor For Heart Check-Up?

PPCC offers scientifically guided and proven nonsurgical techniques to reverse coronary heart disease with modern medical treatments, combined with personalized modifications in diet, lifestyle, and stress reduction programs.