Cardiovascular Disease – Cardiovascular Emergencies And Red Flags [Part 3 of 3]

August 5, 20130 Comments

Cardiovascular Disease

CARDIOVASCULAR EMERGENCIES AND RED FLAGS PART THREE OF THREE

1 CEU credit

Table Of Contents

Regulation of blood pressure

• Hypertension

• Malignant hypertension and hypertensive encephalopathy

• Acute aortic dissection

• Abdominal aneurism

• Pericarditis, pericardial tamponade, pericardial effusion

• Peripheral artery disease & distal arterial embolism

• Intermittent claudication

• Arterial verses venous insufficiency

In this section we go over the fast and slow blood pressure regulating forces from the central nervous system to the peripheral nervous system to the review of the renin, angiotensin, aldosterone and ADH systems. From there it’s just a short jump to diseases when blood pressure gets high and then way too high. Blood pressure can always be disconcerting especially for the TCM practitioner.

I have developed a list of signs and symptoms to look for as a red flag, when your patient is in need of immediate attention verses when he might be sent over to his family practice doctor in a day or two. Along with the actual number that you record for blood pressure you will know what to do. Once again we rely on the body’s limited ways of telling you it’s in trouble. Aortic dissection and abdominal aortic aneurism. The first is a huge emergency the second may never amount to anything. We’’ll go over the differences. Next we cover the heart’s cover, the pericardium and the diseases that can manifest as red flags. Pericardial tamponade is by far the most urgent and we will go over the details of this and the others.

Next we get into the vascular part of cardiovascular: arterial insufficiency AKA PAD and distal arterial embolus-blocking blood flow to the distal leg for example. This is one area to be well versed because this is the disease diabetics get and there are many diabetics that you will be seeing. You will also be more comfortable knowing why, for example, your patient’s physician requested that you not needle her below the knee. These last three heading I would urge to you that you learn all there is to know from my slides and perhaps more. It is so common yet most students and some LAc’s are still not comfortable with these diseases.

Right with this is claudication-angina of the calf essentially. Lastly, I have a great chart comparing arterial to venous insufficiency. Both are very common yet totally different and often perplexing to the provider. So I have made a special effort to clarify these two diseases so that you can relax and be comfortable with their presentations regardless how shocking they can be.

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About the Author ()

Christopher Rasmussen MD, MS is Founder and Professor at AdaptiveTCM where helps Traditional Chinese Medicine Practitioners treat complex patients with confidence through providing online CEUs and research. Dr. Rasmussen is currently writing a comprehensive, preventive medicine book, with an emphasis on inflammatory components of disease prevalent in today's patients.

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