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Continuing Medical Education Programs Dr. Anika Niambi Al-Shura, Lecturer Copyright 2014 Niambi Wellness. All rights reserved

Integrative Cardiovascular Clinical Therapies Copyright 2014 Niambi Wellness. All rights reserved

Advanced Clinical Therapies in Cardiovascular Chinese Medicine 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 Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Course Description 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. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved 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. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Course Modules Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Module 1: Overview of Diseases Module 2: Cardiac Rhythm Diseases Module 3: Chamber and Valve Diseases Module 4: Vascular System Diseases Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Chamber and Valve Diseases Module 3 Chamber and Valve Diseases Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Contents Chapter 6: Key Points of Chamber and Valve Disorders Chapter 7: Key Points of Chamber and Valve Disorders in TCM Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Chapter 6: Key Points of Chamber and Valve Disorders Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Contents Part 1: Hypertension Part 2: Rheumatic Fever Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Contents Part 3: Endocarditis Part 4: Answers to Textbook Questions Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 1: Hypertension Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Hypertension is an warning that the physiological conditions related to heart functioning are failing. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved The left ventricle is most affected in hypertension. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Enlargement of the dimensions of the chamber can also cause problems with blood flow. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Drugs which elevate BP Bronchodilators Cardiotonics Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 2: Rheumatic Fever Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Rheumatic fever is a complication within the heart after a Streptococcus infection. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved It can cause inflammation within the heart chambers and valves. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 3: Endocarditis Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Rheumatic fever has the possibility of transforming into endocarditis later in life for some patients. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved The condition develops as Streptococci form colonies on the heart valves called vegetations. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved The vegetations may break off and migrate to other organs such as the kidneys and set up life threatening infections. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved The Duke criteria is often used in the diagnosis of endocarditis. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved FROM JANE This is a nmemonic used during physical examination which can help look for evidence of endocarditis. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved From Jane Fever Roth’s spots Osler’s nodes Murmur Jane’s way lesions Anemia Nail Hemorrhage Emboli Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 4: Textbook Answer Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Answer block #1 lack or insufficient physical activity, excessive smoking, excessive alcohol consumption, excessive sodium intake, insufficient balancing nutrients, and other minerals. #2 adult males than females #3 African Americans, Hispanics and Asians #4 20/10 mm Hg Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Answer block #5 <130/<80 #6 Jones #7 Chorea #8 congestive heart failure, chest pain pericardial effusion and friction #9 Duke Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Answer block #10 Fever Roth’s spots Osler’s nodes Murmur Jane’s way lesions Anemia Nail Hemorrhage Emboli #15 cervical nodes #16 axillary nodes #17 inguinal nodes Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Chapter 7: Key Points of Chamber and Valve Disorders in TCM Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Contents Part 1: Hypertension Part 2: Rheumatic Fever Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Contents Part 3: Endocarditis Part 4: Answers to Textbook Questions Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 1: Hypertension Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved In Chinese medicine, hypertension is included in the categories of: xuan yun (vertigo) tou tong (headache) Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Herbs which elevate BP ma huang gan cao lu cha Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 2: Rheumatic Fever Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Wei qi and ying qi are part of the immune system and function to protect the body. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Exogenous toxic heat damages wei qi, dissipates blood, and eventually causes failure amongst the zang and fu organs. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Part 2: Endocarditis Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Exogenous wind, damp, and heat evils transform into endogenous heat toxins. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved The heat toxins eventually cause an imbalance between yin and yang, by consuming yin fluids and flaring fire. Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Part 3: Answers to Textbook Questions Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved Answer block #11 critical event are associated with a blood pressure >160/100 #12 asthma #2 pectoral qi, nutritive qi and defensive qi #3 primordial qi, controlling qi and propelling qi Copyright 2014 Niambi Wellness. All rights reserved

Copyright 2014 Niambi Wellness. All rights reserved

Module 3 Review Questions Copyright 2014 Niambi Wellness. All rights reserved

review interactive practice quiz. Complete the Module 3 review interactive practice quiz. Copyright 2014 Niambi Wellness. All rights reserved

Please continue on to Module 4 Copyright 2014 Niambi Wellness. All rights reserved