The ESMR therapy is a non-invasive therapy approach using Extracorporeal Shockwave technology for Myocardial Revascularization. Ischemic myocardial areas no longer accessible by conventional revascularization therapies could be treated with the Cardiospec ESMR therapy to relieve symptoms resulted from the myocardial ischemia. The treatment is performed using a shock wave generator that is designed to address the unique clinical-anatomical requirements of the chest cavity.

Patients with advanced Coronary Artery Disease (CAD) frequently have recurrent angina. Surgical and interventional options for these patients typically have been exhausted or will result in only partial revascularization.
The Cardiospec ESMR therapy offers new hope for these patients and provides therapy which complement existing treatment procedures. A cardiac ultrasound imaging system is used to locate the treatment area and to map the exact position and extent of the ischemic zone. Shock waves are then delivered via the anatomical acoustic window to the treatment area under ECG R-wave gating. Several treatment sessions are required to obtain optimal results.