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Continuing Medical Education Programs
Dr. Anika Niambi Al-Shura, Lecturer
Copyright 2014 Niambi Wellness. All rights reserved
Level 1 Course Titles
• Health Communications in TCM Cardiology
• Integrative Anatomy and Patho-physiology in TCM
Cardiology
• Integrative Examination in Cardiovascular Disease
• Integrative Diagnosing of Cardiovascular Diseases
• Integrative Study of Hematology in Cardiology
• Integrative Hyperlipidemia Treatments in Cardiovascular
Disease
• Integrative Cardiovascular Clinical Therapies
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Niambi Wellness continuing medical
education programs presents
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Integrative Hyperlipidemia
Treatments in
Cardiovascular Disease
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 5 PDA points and
Florida State Board of Acupuncture for 5 CEUs.
The companion textbook:
Essential Treatments in Cardiovascular
Chinese Medicine I: Hyperlipidemia
must be ordered at www.elsevier.com
Copyright 2014 Niambi Wellness. All rights reserved
Course Description
This course covers the basic Western
medicine and Traditional Chinese
Medicine sciences of blood lipids, clinical
significance, differentiations, diagnoses,
treatment principles and methods.
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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.
Copyright 2014 Niambi Wellness. All rights reserved
Copyright 2014 Niambi Wellness. All rights reserved
Course Modules
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Module 1:
Etiology
Module 2:
Clinical Presentations
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Copyright 2014 Niambi Wellness. All rights reserved
Module 1
Etiololgy
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Contents
Chapter 1:
Etiology of Lipoprotein Disorders in Chinese
Medicine and Western Medicine
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Copyright 2014 Niambi Wellness. All rights reserved
Chapter 1: Etiology
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Contents
Part 1:
Integrative Perspectives
Part 2:
Genetics
Part 3:
Answers to Textbook Questions
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Copyright 2014 Niambi Wellness. All rights reserved
Part 1: Integrative Perspectives
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Western Medicine
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The lipid transport system
moves lipids from the
hepato-biliary and
gastrointestinal system to
areas of the body where it
is needed to produce
certain hormones.
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Cholesterol (VLDL) is
sent from the liver into the
small intestine for
chylomicron processing.
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Patients with chronic renal failure often have
elevated triglyceride levels with a low HDL.
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Chinese Medicine
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Tan zhuo
Tan zhuo is
considered turbid
phlegm.
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It is the thick, sticky
and stubborn
substance that clogs
orifices, the lungs and
vessels.
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It can also be
considered the
transformed turbid
fluids.
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These fluids can be
found in the tissues
between the skin and
muscle which give the
heavier body
appearance.
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Xue Yu
Xue yu is considered
as blood stasis which
includes clotting,
hemorrhage, spotting
and pain.
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Xuan yun
Xuan yun is also
considered as
dizziness or vertigo.
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It is seen especially
with circumstances
related to sticky
phlegm obstruction,
blood deficiency and
qi deficiency.
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Part 2: Genetics
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Familial Hyperlipidemia (FH)
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Type I
Type I is hyperlipidemia
It is marked by increased
transport of cholesterol
on the chylomicrons
produced in the small
intestine and pancreatitis.
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Type II
Type II is
hypercholesterolemia
It is marked by defects in
LDL receptors which
control inter and extracellular reception of
cholesterol.
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Some patients may
develop type II diabetes,
hypothyroidism,
atherosclerosis and
coronary artery disease.
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Type III
Type I is
hyperlipoproteinemia
It is marked by a mutation
of the ApoE gene and
increased production of
LDL leading to facial and
palmar xanthomas.
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Type IV
Type IV is
hyperlipoproteinemia.
It is marked by stable
cholesterol levels while
triglycerides including
LDL are elevated.
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Type V
Type V is
hyperlipoproteinemia.
It is a combination of type
I and IV.
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Apolipoprotein B
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APO B 100
This gene is found in high
cholesterol levels
associated with
macrophage response to
a Staphlococcus aureus
infection.
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Macrophage foam cells
leave cholesterol streaks
in the arteries and cause
endothelial damage.
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Apo B48 and APO E
These genes are found in
chylomicrons which
transport lipoproteins
from the small intestines
to the body through the
blood flow.
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Elevated presence of
APO B raises LDL levels
and complicates Diabetes
Mellitus treatment.
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Apolipoprotein (APO)E
E2: increased in risk of
coronary artery disease
and Parkinson disease
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Apolipoprotein (APO)E
E3: studied with E4 for
clinical significances
E4: increased risk of
atherosclerosis, sleep
apnea, ischemic
cerebrovascular disease,
multiple sclerosis,
alzheimers disease.
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Part 3: Textbook Answers
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Answer block
#1
Genetic, diet and
lifestyle cause
lipoprotein disorders.
#2
The product is sent
back to the liver for fat
metabolising.
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Answer block
#3
Patients with
glomerular nephritis
#4
a. renal disease
b. hepatic disease
c. cardiovascular
disease
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Answer block
#5
Staphylococcus
aureus contributes to
elevated LDL levels
by leaving cholesterol
streaks.
#6
Elevated LDL levels
contribute to coronary
artery disease.
#7
Elevated fat levels
lead to complications
in other diseases.
Copyright 2014 Niambi Wellness. All rights reserved
Copyright 2014 Niambi Wellness. All rights reserved
Module 1 Review
Questions
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Complete the Module 1
review interactive practice quiz.
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Please continue on to Module 2
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