Advanced Metabolic Cardiovascular Certification - Module XVI (A)

MODULE XVI-A  DESCRIPTION

Vascular biology, vascular aging and vascular disease are the focus here. The module teaches how to apply nutrition, exercise and weight management programs in treating such conditions, as well as the clinical presentation and cardiovascular relationships among vascular biology, vascular aging and vascular disease. Laboratory testing and new, noninvasive diagnostic cardiovascular tests are also reviewed.

MODULE XVI-A OBJECTIVES

VASCULAR BIOLOGY FOR THE CLINICIAN

  1. Understand the role of vascular biology in atherosclerosis vascular disease, CHD and CVD.
  2. Understand the role of endothelial dysfunction, nitric oxide, angiotensin II and aldosterone in atherosclerosis, CHD and CVD.
  3. Understand how inflammation, oxidative stress and vascular immune dysfunction promote CVD and CHD.
  4. Define the relationships of the finite vascular responses to the “infinite” range of vascular insults.
  5. Be familiar with the pathways of vascular aging, pathogenesis, and how they relate to the prevention and treatment of atherosclerosis, CHD and CVD.

Additional Objectives:

  • Understand, review and apply in clinical practice the concepts of vascular biology.
  • Understand, review and apply in clinical practice the concepts of the RAAS
  • Understand, review and apply in clinical practice the concepts of nitric oxide
  • Understand, review and apply in clinical practice the concepts of cytokines and chemokines
  • Understand, review and apply in clinical practice the concepts of heat shock proteins
  • Understand, review and apply in clinical practice the concepts of endothelial progenitor cells
  • Understand, review and apply in clinical practice the concepts of endothelial dysfunction
  • Understand, review and apply in clinical practice the concepts of C reactive protein
  • Understand, review and apply in clinical practice the concepts of circulating endothelial cells
  • Understand, review and apply in clinical practice the concepts of Salusins in CVD and Hypertension
  • Understand, review and apply to patient care nutrition, related to vascular biology
  • Understand, review and apply to patient care nutritional supplements, related to vascular biology
  • Understand, review and apply to patient care exercise related to vascular biology
  • Understand, review and apply to patient care weight management related to vascular biology.
  • Understand, review and discuss the clinical presentation issues and cardiovascular relationships of vascular biology.

VASCULAR AGING

  • Understand, review and apply in clinical practice the pathophysiology of vascular aging.
  • Understand, review and apply to patient care nutrition, in the treatment of vascular aging.
  • Understand, review and apply to patient nutritional supplements in the treatment of vascular aging.,
  • Understand, review and apply to patient exercise in the treatment of vascular aging.
  • Understand, review and apply to patient weight management in the treatment of vascular aging.
  • Understand, review and discuss the clinical presentation and cardiovascular relationships of vascular aging.
  • Understand, review, discuss, select and apply laboratory testing for vascular aging.
  • Understand, review, discuss, select new noninvasive diagnostic cardiovascular tests for vascular aging.

HYPERTENSION

  1. Understand the pathogenesis of hypertension and the role of vascular biology, three finite vascular responses ( inflammation, oxidative stress and vascular immune function), plasma renin activity (PRA) and aldosterone to select optimal integrative anti-hypertensive therapy to reduce BP and decrease CVD.
  2. Review diagnostic testing for hypertension: 24 hour ambulatory BP (ABM), endothelial function and arterial compliance testing.
  3. Be able to prioritize and personalize the most important nutritional,  nutraceutical supplements and life style treatments for hypertension.
  4. Apply micronutrient testing in the treatment of hypertension.
  5. Know the most important cardiovascular drug-nutrient interactions
  6. Review briefly the optimal drug therapy for hypertension and combination use with nutraceutical supplements.

Additional Objectives

  • Understand, review and apply in clinical practice the pathophysiology of hypertension
  • Review and discuss cell energy concepts, as it applies to vascular disease and hypertension.
  • Review and discuss mitochondrial function as it applies to vascular disease and hypertension.
  • Review and discuss oxidative stress as it applies to vascular disease and hypertension.
  • Review and discuss inflammation as it applies to vascular disease and hypertension.
  • Review and discuss autoimmune dysfunction as it applies to vascular disease and hypertension.
  • Understand, review and apply to patient care nutrition in the treatment of hypertension
  • Understand, review and apply to patient care nutritional supplements, in the treatment of hypertension
  • Understand, review and apply to patient care exercise in the treatment of hypertension
  • Understand, review and apply to patient care weight management in the treatment of hypertension.
  • Understand, review and discuss the clinical presentation and cardiovascular relationships of hypertension and CVD.
  • Understand, review, discuss, select and apply laboratory testing in CVD
  • Understand, review, discuss, select new noninvasive diagnostic cardiovascular tests to identify CV disease early and select appropriate treatment in hypertension. and CVD

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