Continuing Medical Education Programs Dr. Anika Niambi Al-Shura, Lecturer Copyright 2014 Niambi...

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Continuing Medical Education ProgramsDr. Anika Niambi Al-Shura, Lecturer

Integrative Cardiovascular Clinical Therapies

This course is approved by the following agencies:

National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for 9.5 PDA points and Florida State Board of Acupuncture for 10 CEUs.

The companion textbook:

Advanced Clinical Therapies in Cardiovascular Chinese Medicine

must be ordered at www.elsevier.com

This informational course describes diseases according to the section of the cardiovascular system it affects. The treatments involve the use of Chinese medicine and Western medicine.

Course Description

Course Objectives

-Describe the basic etiology of lipoprotein disorders, including genetic disorders

-Describe the clinical presentations of lipoprotein disorders as a sign of cardiovascular diseases

-Describe Western medicine and Traditional Chinese medicine prescriptions for lipoprotein disorders.

-Describe the suggested medicated diet for patients on a treatment course.

Course Modules

Module 1:

Overview of Diseases

Module 2:

Cardiac Rhythm Diseases

Module 3:

Chamber and Valve Diseases

Module 4:

Vascular System Diseases

Module 4

Vascular System Diseases

Chapter 9:

Key Points of Vascular Disorders

Chapter 10:

Key Points of Vascular Disorders in TCM

Contents

Chapter 9: Key Points of Vascular System Disorders

Part 1:Hypertension

Part 2:Angina Pectoris

Part 3:Hyperlipidemia

Contents

Part 4:Thromboangiitis Obliterans

Part 5:Takayasu Arteritis

Part 6: Answers to Textbook Questions

Contents

Part 1: Hypertension

Prolonged stress, anxiety and environmental factors can increase the blood pressure.

Vascular narrowing due to physiological changes can contribute to increase in blood pressure.

Treatment of hypertension requires a close relationship between physician and patient, with high patient interest and compliance.

Part 2: Angina Pectoris

Angina pectoris is a condition often connected to arrhythmias. Often invasive procedures can identify the affect on the heart vessels.

Signs include:

low oxygen distribution

blood clots

arterial spasms

plaque deposits in the main and micro-arteries of the heart

Part 3: Hyperlipidemia

Signs include:

plaque deposits in the main arteries and micro-arteries of the heart

Part 4: Thromboangiitis Obliterans

The ischemic period is characterized by inflammation, ulceration, gangrene and claudication.

The nutritional deficiency period is characterized by pain and muscle atrophy.

The necrosis period is characterized by severe ulcerations and gangrene.

Part 5: Takayasu Arteritis

The 1990 American College of Rheumatology Criteria is still used to diagnose this rare condition with specific symptoms:

This condition usually affects young Asian women.

The age of onset is usually between 20-40 years old.

Claudication may be particularly bothersome in the arms with the legs.

The pulse may be diminishing or absent in one or both brachial arteries.

The blood pressure difference may be as much as 10 mm Hg between arms.

An audible bruit may be heard over the subclavian or abdominal aorta.

The aorta may be severely damaged. Though the disorder will not be related to atherosclerosis.

Part 6: Textbook Answer

140/150 and 90/100 may

#14Thyroid disease and sleep apnea

#15lack or insufficient physical activity, excessive smoking, excessive alcohol consumption, excessive sodium intake, insufficient balancing nutrients, and other minerals.

Answer block

up to 14 days

Increased risk of infarction

Damage to myocardial cells

hypothyroidism,

elevated estrogen levels in pre-, peri-, and postmenopausal women and sex hormones in men.

Answer block

elevated blood pressure levels and

LDL levels with reduced HDL levels.

palliative care option which mostly addresses symptoms.

chronic inflammatory

Answer block

Chapter 10: Key Points of Vascular System Disorders in TCM

Part 1:Hypertension

Part 2:Angina Pectoris

Part 3:Hyperlipidemia

Contents

Part 4:Thromboangiitis Obliterans

Part 5:

Takayasu Arteritis

Contents

Part 1: Hypertension

In Chinese medicine, hypertension is included in the category of xuan yun (vertigo).

Part 2: Angina Pectoris

The extreme changes of weather during the summer and winter seasons can cause adverse symptoms.

During summer the heat can cause extreme sweating which leads to a loss of qi and yin fluids.

During winter, the cold can cause deficiency of qi and yang which can cause stress during physical efforts.

Part 3: Hyperlipidemia

A hyperactive liver yang is known to create several organ disharmonies which can be seen in specific symptoms.

It overacts upon the spleen which results in an acute digestive impairment. The digestive impairment will cause a failure of fat to metabolize properly.

The result is a high concentration of blood fats which contributes to obesity and arterial build-up of plaque.

Part 4: Thromboangiitis Obliterans

In Chinese medicine this condition is called tuo ju with five characteristics:

congenital deficiencies

weak kidney qi, yin and yang

cold and dampness

abnormal diet

poor psycho-emotional adaptation

Part 5: Takayasu Arteritis

The condition is differentiated as toxic

phlegm heat during the active phases of the disease.

This differentiation is particular to the condition affecting the aorta, and also the vessels of the limbs causing claudication.

blood stasis and turbid phlegm obstruction.

is a chronic

Inflammatory

condition

active and

stable phases

Answer block

Module 4 Review Questions

Complete the Module 4 review interactive practice quiz.

Course Conclusion

Continuing Medical Education Programs Dr. Anika Niambi Al-Shura, Lecturer Copyright 2014 Niambi...

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