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Continuing Medical Education ProgramsDr. Anika Niambi Al-Shura, Lecturer
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Integrative Cardiovascular Clinical Therapies
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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
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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.
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Course Description
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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.
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Course Modules
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Module 1:
Overview of Diseases
Module 2:
Cardiac Rhythm Diseases
Module 3:
Chamber and Valve Diseases
Module 4:
Vascular System Diseases
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Module 4
Vascular System Diseases
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Chapter 9:
Key Points of Vascular Disorders
Chapter 10:
Key Points of Vascular Disorders in TCM
Contents
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Chapter 9: Key Points of Vascular System Disorders
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Part 1:Hypertension
Part 2:Angina Pectoris
Part 3:Hyperlipidemia
Contents
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Part 4:Thromboangiitis Obliterans
Part 5:Takayasu Arteritis
Part 6: Answers to Textbook Questions
Contents
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Part 1: Hypertension
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Prolonged stress, anxiety and environmental factors can increase the blood pressure.
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Vascular narrowing due to physiological changes can contribute to increase in blood pressure.
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Treatment of hypertension requires a close relationship between physician and patient, with high patient interest and compliance.
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Part 2: Angina Pectoris
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Angina pectoris is a condition often connected to arrhythmias. Often invasive procedures can identify the affect on the heart vessels.
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Signs include:
low oxygen distribution
blood clots
arterial spasms
plaque deposits in the main and micro-arteries of the heart
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Part 3: Hyperlipidemia
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Signs include:
plaque deposits in the main arteries and micro-arteries of the heart
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Part 4: Thromboangiitis Obliterans
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The ischemic period is characterized by inflammation, ulceration, gangrene and claudication.
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The nutritional deficiency period is characterized by pain and muscle atrophy.
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The necrosis period is characterized by severe ulcerations and gangrene.
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Part 5: Takayasu Arteritis
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The 1990 American College of Rheumatology Criteria is still used to diagnose this rare condition with specific symptoms:
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This condition usually affects young Asian women.
The age of onset is usually between 20-40 years old.
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Claudication may be particularly bothersome in the arms with the legs.
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The pulse may be diminishing or absent in one or both brachial arteries.
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The blood pressure difference may be as much as 10 mm Hg between arms.
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An audible bruit may be heard over the subclavian or abdominal aorta.
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The aorta may be severely damaged. Though the disorder will not be related to atherosclerosis.
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Part 6: Textbook Answer
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#13
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.
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Answer block
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#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.
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Answer block
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#20
elevated blood pressure levels and
LDL levels with reduced HDL levels.
#21
palliative care option which mostly addresses symptoms.
#22
chronic inflammatory
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Chapter 10: Key Points of Vascular System Disorders in TCM
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Part 1:Hypertension
Part 2:Angina Pectoris
Part 3:Hyperlipidemia
Contents
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Part 4:Thromboangiitis Obliterans
Part 5:
Takayasu Arteritis
Part 6: Answers to Textbook Questions
Contents
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Part 1: Hypertension
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In Chinese medicine, hypertension is included in the category of xuan yun (vertigo).
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Part 2: Angina Pectoris
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The extreme changes of weather during the summer and winter seasons can cause adverse symptoms.
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During summer the heat can cause extreme sweating which leads to a loss of qi and yin fluids.
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During winter, the cold can cause deficiency of qi and yang which can cause stress during physical efforts.
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Part 3: Hyperlipidemia
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A hyperactive liver yang is known to create several organ disharmonies which can be seen in specific symptoms.
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It overacts upon the spleen which results in an acute digestive impairment. The digestive impairment will cause a failure of fat to metabolize properly.
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The result is a high concentration of blood fats which contributes to obesity and arterial build-up of plaque.
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Part 4: Thromboangiitis Obliterans
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In Chinese medicine this condition is called tuo ju with five characteristics:
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congenital deficiencies
weak kidney qi, yin and yang
cold and dampness
abnormal diet
poor psycho-emotional adaptation
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Part 5: Takayasu Arteritis
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The condition is differentiated as toxic
phlegm heat during the active phases of the disease.
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This differentiation is particular to the condition affecting the aorta, and also the vessels of the limbs causing claudication.
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Part 6: Answers to Textbook Questions
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#23
blood stasis and turbid phlegm obstruction.
#24
is a chronic
Inflammatory
condition
#25
active and
stable phases
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Answer block
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Module 4 Review Questions
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Complete the Module 4 review interactive practice quiz.
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Course Conclusion
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