Pumping Life into Longevity: External Counterpulsation as a Catalyst for Healthy Ageing

Abstract

Human ageing is a complex biological process marked by a decline in physiological and functional capacity. As Malaysia faces a rapid demographic shift towards an ageing population, the need for innovative, multidisciplinary approaches to promote healthy ageing becomes increasingly urgent. This review explores the potential role of External Counterpulsation (ECP), a non-invasive mechanical therapy, as a valuable adjunct in healthy ageing strategies. ECP has demonstrated efficacy in improving cardiovascular function, enhancing exercise tolerance, and reducing major adverse cardiovascular events. Its integration into comprehensive ageing frameworks may reduce healthcare burden, enhance functional independence, and support the broader goals of geriatric care, gerontology, and juventology. This paper advocates for a wider adoption of ECP into Malaysia’s ageing policy to foster a healthier, more resilient elderly population.