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

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 Copyright 2014 Niambi Wellness. All rights reserved

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 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. Copyright 2014 Niambi Wellness. All rights reserved

Course Modules 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

Module 4 Vascular System Diseases Copyright 2014 Niambi Wellness. All rights reserved

Chapter 9: Key Points of Vascular Disorders Chapter 10: Key Points of Vascular Disorders in TCM Contents Copyright 2014 Niambi Wellness. All rights reserved

Chapter 9: Key Points of Vascular System Disorders Copyright 2014 Niambi Wellness. All rights reserved

Part 1: Hypertension Part 2: Angina Pectoris Part 3: Hyperlipidemia Contents Copyright 2014 Niambi Wellness. All rights reserved

Part 4: Thromboangiitis Obliterans Part 5: Takayasu Arteritis Part 6: Answers to Textbook Questions Contents Copyright 2014 Niambi Wellness. All rights reserved

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

Prolonged stress, anxiety and environmental factors can increase the blood pressure. Copyright 2014 Niambi Wellness. All rights reserved

Vascular narrowing due to physiological changes can contribute to increase in blood pressure. Copyright 2014 Niambi Wellness. All rights reserved

Treatment of hypertension requires a close relationship between physician and patient, with high patient interest and compliance. Copyright 2014 Niambi Wellness. All rights reserved

Part 2: Angina Pectoris Copyright 2014 Niambi Wellness. All rights reserved

Angina pectoris is a condition often connected to arrhythmias. Often invasive procedures can identify the affect on the heart vessels. Copyright 2014 Niambi Wellness. All rights reserved

Signs include: low oxygen distribution blood clots arterial spasms plaque deposits in the main and micro- arteries of the heart Copyright 2014 Niambi Wellness. All rights reserved

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

Signs include: plaque deposits in the main arteries and micro-arteries of the heart Copyright 2014 Niambi Wellness. All rights reserved

Part 4: Thromboangiitis Obliterans Copyright 2014 Niambi Wellness. All rights reserved

The ischemic period is characterized by inflammation, ulceration, gangrene and claudication. Copyright 2014 Niambi Wellness. All rights reserved

The nutritional deficiency period is characterized by pain and muscle atrophy. Copyright 2014 Niambi Wellness. All rights reserved

The necrosis period is characterized by severe ulcerations and gangrene. Copyright 2014 Niambi Wellness. All rights reserved

Part 5: Takayasu Arteritis Copyright 2014 Niambi Wellness. All rights reserved

The 1990 American College of Rheumatology Criteria is still used to diagnose this rare condition with specific symptoms: Copyright 2014 Niambi Wellness. All rights reserved

This condition usually affects young Asian women. The age of onset is usually between years old. Copyright 2014 Niambi Wellness. All rights reserved

Claudication may be particularly bothersome in the arms with the legs. Copyright 2014 Niambi Wellness. All rights reserved

The pulse may be diminishing or absent in one or both brachial arteries. Copyright 2014 Niambi Wellness. All rights reserved

The blood pressure difference may be as much as 10 mm Hg between arms. Copyright 2014 Niambi Wellness. All rights reserved

An audible bruit may be heard over the subclavian or abdominal aorta. Copyright 2014 Niambi Wellness. All rights reserved

The aorta may be severely damaged. Though the disorder will not be related to atherosclerosis. Copyright 2014 Niambi Wellness. All rights reserved

Part 6:Textbook Answer Copyright 2014 Niambi Wellness. All rights reserved

#13 140/150 and 90/100 may #14 Thyroid disease and sleep apnea #15 lack or insufficient physical activity, excessive smoking, excessive alcohol consumption, excessive sodium intake, insufficient balancing nutrients, and other minerals. Copyright 2014 Niambi Wellness. All rights reserved Answer block

#16 up to 14 days #17 Increased risk of infarction #18 Damage to myocardial cells #19 hypothyroidism, elevated estrogen levels in pre-, peri-, and postmenopausal women and sex hormones in men. Copyright 2014 Niambi Wellness. All rights reserved Answer block

#20 elevated blood pressure levels and LDL levels with reduced HDL levels. #21 palliative care option which mostly addresses symptoms. #22 chronic inflammatory Copyright 2014 Niambi Wellness. All rights reserved Answer block

Copyright 2014 Niambi Wellness. All rights reserved

Chapter 10: Key Points of Vascular System Disorders in TCM Copyright 2014 Niambi Wellness. All rights reserved

Part 1: Hypertension Part 2: Angina Pectoris Part 3: Hyperlipidemia Contents Copyright 2014 Niambi Wellness. All rights reserved

Part 4: Thromboangiitis Obliterans Part 5: Takayasu Arteritis Part 6: Answers to Textbook Questions Contents Copyright 2014 Niambi Wellness. All rights reserved

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

In Chinese medicine, hypertension is included in the category of xuan yun (vertigo). Copyright 2014 Niambi Wellness. All rights reserved

Part 2: Angina Pectoris Copyright 2014 Niambi Wellness. All rights reserved

The extreme changes of weather during the summer and winter seasons can cause adverse symptoms. Copyright 2014 Niambi Wellness. All rights reserved

During summer the heat can cause extreme sweating which leads to a loss of qi and yin fluids. Copyright 2014 Niambi Wellness. All rights reserved

During winter, the cold can cause deficiency of qi and yang which can cause stress during physical efforts. Copyright 2014 Niambi Wellness. All rights reserved

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

A hyperactive liver yang is known to create several organ disharmonies which can be seen in specific symptoms. Copyright 2014 Niambi Wellness. All rights reserved

It overacts upon the spleen which results in an acute digestive impairment. The digestive impairment will cause a failure of fat to metabolize properly. Copyright 2014 Niambi Wellness. All rights reserved

The result is a high concentration of blood fats which contributes to obesity and arterial build-up of plaque. Copyright 2014 Niambi Wellness. All rights reserved

Part 4: Thromboangiitis Obliterans Copyright 2014 Niambi Wellness. All rights reserved

In Chinese medicine this condition is called tuo ju with five characteristics: Copyright 2014 Niambi Wellness. All rights reserved

congenital deficiencies weak kidney qi, yin and yang cold and dampness abnormal diet poor psycho-emotional adaptation Copyright 2014 Niambi Wellness. All rights reserved

Part 5: Takayasu Arteritis Copyright 2014 Niambi Wellness. All rights reserved

The condition is differentiated as toxic phlegm heat during the active phases of the disease. Copyright 2014 Niambi Wellness. All rights reserved

This differentiation is particular to the condition affecting the aorta, and also the vessels of the limbs causing claudication. Copyright 2014 Niambi Wellness. All rights reserved

Part 6: Answers to Textbook Questions Copyright 2014 Niambi Wellness. All rights reserved

#23 blood stasis and turbid phlegm obstruction. #24 is a chronic Inflammatory condition #25 active and stable phases Copyright 2014 Niambi Wellness. All rights reserved Answer block

Copyright 2014 Niambi Wellness. All rights reserved

Module 4 Review Questions

Complete the Module 4 review interactive practice quiz. Copyright 2014 Niambi Wellness. All rights reserved

Course Conclusion Copyright 2014 Niambi Wellness. All rights reserved