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Heart and Circulatory Heart and Circulatory System System - how its deterioration can - how its deterioration can be prevented by aspects of be prevented by aspects of Complementary Medicine Complementary Medicine By By Dr Jakub S.Malinowski Knowler Dr Jakub S.Malinowski Knowler Master of Science, Biology Master of Science, Biology Doctor of Medicine Doctor of Medicine Expert and Practitioner in Complementary Medicine Expert and Practitioner in Complementary Medicine Text & all images Copyright Text & all images Copyright

The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

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The most fundamental cardio-vascular issues are being provided by an expert in medicine and the complementary one on a ground of what it can mean for everyone in the context of prophylaxis. The old cliche "prevention is better than cure" could not be more true when it comes to looking after our health and, particularly, our heart and circulatory system. It can be protected and, unbelievably, its good condition depends on a few simple rules which all of us can easily follow. Even if we are unlucky to have a history of family (genetic) weakness, we still can look after our health and reduce the risk to an absolute minimum. It is a very small effort for a huge pay-back!

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Page 1: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Heart and Circulatory SystemHeart and Circulatory System - how its deterioration can be prevented - how its deterioration can be prevented by aspects of Complementary Medicineby aspects of Complementary Medicine

Heart and Circulatory SystemHeart and Circulatory System - how its deterioration can be prevented - how its deterioration can be prevented by aspects of Complementary Medicineby aspects of Complementary Medicine

By By

Dr Jakub S.Malinowski KnowlerDr Jakub S.Malinowski KnowlerMaster of Science, Biology Master of Science, Biology

Doctor of MedicineDoctor of MedicineExpert and Practitioner in Complementary MedicineExpert and Practitioner in Complementary Medicine

Text & all images CopyrightText & all images Copyright

By By

Dr Jakub S.Malinowski KnowlerDr Jakub S.Malinowski KnowlerMaster of Science, Biology Master of Science, Biology

Doctor of MedicineDoctor of MedicineExpert and Practitioner in Complementary MedicineExpert and Practitioner in Complementary Medicine

Text & all images CopyrightText & all images Copyright

Page 2: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Are you certain Are you certain that you are that you are really in good really in good

health?health?

• How about How about your heart? your heart? • How is your blood How is your blood

circulation?circulation?• Do not allow Do not allow

yourself to believe yourself to believe that “it cannot that “it cannot happen at my age” happen at my age” ……

Page 3: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

We all know that good We all know that good health is vital for quality of health is vital for quality of our life. our life. Yet, we often do not react Yet, we often do not react to symptoms as they to symptoms as they appear, allowing serious appear, allowing serious complications to develop complications to develop until the disease until the disease unexpectedly strikes! unexpectedly strikes! Sadly, often it may be too Sadly, often it may be too late to reverse the late to reverse the advanced process once advanced process once activated, like an infarct.activated, like an infarct.UniversallyUniversally

the Heart & the Heart & Blood Circulation Blood Circulation

play a dominant role in play a dominant role in maintenance of healthy maintenance of healthy body & mind...body & mind...

We all know that good We all know that good health is vital for quality of health is vital for quality of our life. our life. Yet, we often do not react Yet, we often do not react to symptoms as they to symptoms as they appear, allowing serious appear, allowing serious complications to develop complications to develop until the disease until the disease unexpectedly strikes! unexpectedly strikes! Sadly, often it may be too Sadly, often it may be too late to reverse the late to reverse the advanced process once advanced process once activated, like an infarct.activated, like an infarct.UniversallyUniversally

the Heart & the Heart & Blood Circulation Blood Circulation

play a dominant role in play a dominant role in maintenance of healthy maintenance of healthy body & mind...body & mind...

Page 4: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Anatomy and general Anatomy and general function of function of the heartthe heart are are quite well known to quite well known to everybody. The image of everybody. The image of this organ is commonly this organ is commonly seen in many places and seen in many places and aspects. It is nothing new aspects. It is nothing new these days!these days!

Page 5: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

However, However, blood blood circulatory circulatory system in its system in its detail is not detail is not quite so quite so familiar, even familiar, even to some to some professionals,professionals,both regardingboth regardingmorphologymorphology,,as well as as well as molecularmolecularphysiologyphysiology of each part ofof each part ofthe system.the system.

Page 6: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Our heart works as the blood Our heart works as the blood pump using the function of blood pump using the function of blood vessels, from the arteries to vessels, from the arteries to veins & capillaries. This explains veins & capillaries. This explains its priority as the one of four its priority as the one of four predominant systems supervising predominant systems supervising whole organism.whole organism.That is why, once a substance is That is why, once a substance is inserted or injected it is spread inserted or injected it is spread around whole of the body. This may around whole of the body. This may result in either positive or negative result in either positive or negative reaction for the health processes. reaction for the health processes. Dangerous substances are: Dangerous substances are: pathogenic toxins, interactive pathogenic toxins, interactive molecules and microbes as well some molecules and microbes as well some produced by ourselves, such as auto produced by ourselves, such as auto aggressive cells, antibodies or cells aggressive cells, antibodies or cells transformed into oncogenic-bodies – transformed into oncogenic-bodies – we need to avoid these at all costswe need to avoid these at all costs..

Our heart works as the blood Our heart works as the blood pump using the function of blood pump using the function of blood vessels, from the arteries to vessels, from the arteries to veins & capillaries. This explains veins & capillaries. This explains its priority as the one of four its priority as the one of four predominant systems supervising predominant systems supervising whole organism.whole organism.That is why, once a substance is That is why, once a substance is inserted or injected it is spread inserted or injected it is spread around whole of the body. This may around whole of the body. This may result in either positive or negative result in either positive or negative reaction for the health processes. reaction for the health processes. Dangerous substances are: Dangerous substances are: pathogenic toxins, interactive pathogenic toxins, interactive molecules and microbes as well some molecules and microbes as well some produced by ourselves, such as auto produced by ourselves, such as auto aggressive cells, antibodies or cells aggressive cells, antibodies or cells transformed into oncogenic-bodies – transformed into oncogenic-bodies – we need to avoid these at all costswe need to avoid these at all costs..Thankfully, the Immune System protectsThankfully, the Immune System protectsus quite effectively, so majority of us quite effectively, so majority of dangers are neutralised and killeddangers are neutralised and killedsuccessfully. successfully. On the other hand it is our conscious and On the other hand it is our conscious and rational decision to look after ourselves torational decision to look after ourselves tocontrol our body. For that we use our brain,control our body. For that we use our brain, as well as the Central Nervous System. as well as the Central Nervous System.

Page 7: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Talking about our blood vessels, we Talking about our blood vessels, we could say “as long they are all right we could say “as long they are all right we are OK.”are OK.”

Talking about our blood vessels, we Talking about our blood vessels, we could say “as long they are all right we could say “as long they are all right we are OK.”are OK.”• And this is very true!And this is very true!The health of our whole organism, down to smallest part, The health of our whole organism, down to smallest part,

depends on condition of the arteries and veins. Each time depends on condition of the arteries and veins. Each time they are damaged, our health deteriorates, influencing they are damaged, our health deteriorates, influencing patho-anathomy & patho-physiology of the subsequent patho-anathomy & patho-physiology of the subsequent complications.complications. Eg: Eg: post-inflammative scar or a plaque of smoking post-inflammative scar or a plaque of smoking deposits, as well as arteriosclerotic changes will deposits, as well as arteriosclerotic changes will inevitably end up as nasty consequences! inevitably end up as nasty consequences!

Similarly, mechanical or physical shock on the tissue of Similarly, mechanical or physical shock on the tissue of vessels leaves damage not only at the place of shock, but vessels leaves damage not only at the place of shock, but causes faulty blood stream flow, resulting with a blood causes faulty blood stream flow, resulting with a blood clot blocking blood delivery to all the vessels past the clot blocking blood delivery to all the vessels past the clot. This may result in various possible infection, terrible clot. This may result in various possible infection, terrible pain and oedema –eventually disabling our movemet.pain and oedema –eventually disabling our movemet.

Subsequently, if not treated in time, a dislamination of the Subsequently, if not treated in time, a dislamination of the blood vessels’ wall will occur, an aneurism, running a risk blood vessels’ wall will occur, an aneurism, running a risk of serious haemorrhage.of serious haemorrhage. Subsequently this may even lead Subsequently this may even lead to death. to death.

• And this is very true!And this is very true!The health of our whole organism, down to smallest part, The health of our whole organism, down to smallest part,

depends on condition of the arteries and veins. Each time depends on condition of the arteries and veins. Each time they are damaged, our health deteriorates, influencing they are damaged, our health deteriorates, influencing patho-anathomy & patho-physiology of the subsequent patho-anathomy & patho-physiology of the subsequent complications.complications. Eg: Eg: post-inflammative scar or a plaque of smoking post-inflammative scar or a plaque of smoking deposits, as well as arteriosclerotic changes will deposits, as well as arteriosclerotic changes will inevitably end up as nasty consequences! inevitably end up as nasty consequences!

Similarly, mechanical or physical shock on the tissue of Similarly, mechanical or physical shock on the tissue of vessels leaves damage not only at the place of shock, but vessels leaves damage not only at the place of shock, but causes faulty blood stream flow, resulting with a blood causes faulty blood stream flow, resulting with a blood clot blocking blood delivery to all the vessels past the clot blocking blood delivery to all the vessels past the clot. This may result in various possible infection, terrible clot. This may result in various possible infection, terrible pain and oedema –eventually disabling our movemet.pain and oedema –eventually disabling our movemet.

Subsequently, if not treated in time, a dislamination of the Subsequently, if not treated in time, a dislamination of the blood vessels’ wall will occur, an aneurism, running a risk blood vessels’ wall will occur, an aneurism, running a risk of serious haemorrhage.of serious haemorrhage. Subsequently this may even lead Subsequently this may even lead to death. to death.

Page 8: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

It is unimportant to list here all heart It is unimportant to list here all heart problems and diseases, however, we problems and diseases, however, we need to know know that heart natural – need to know know that heart natural – biological pump action comprises of biological pump action comprises of two factors when working: two factors when working: - mechanical, called - mechanical, called

hemodynamichemodynamic; ; - other emitting & transmitting bio- - other emitting & transmitting bio-electrical impulses, called electrical impulses, called

electro-cardiological.electro-cardiological. Both are equally responsible and Both are equally responsible and important to our health as, failure of important to our health as, failure of each one, would result in the serious each one, would result in the serious and traumatic episodes.and traumatic episodes.

• Blood circulation dysfunction may result in inevitable damage toBlood circulation dysfunction may result in inevitable damage to our body, regardless of patients’ age;our body, regardless of patients’ age;• However, we are not utterly doomed to this fate. Our body’s However, we are not utterly doomed to this fate. Our body’s

preventative biological mechanisms usually alert us, provoking a preventative biological mechanisms usually alert us, provoking a rational reaction and a relevant medical treatment. rational reaction and a relevant medical treatment.

• This should be a combination of This should be a combination of conventionalconventional & & professional professional complementary medicinecomplementary medicine treatment. treatment.

Page 9: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Prevention is better than curePrevention is better than cure As the saying goes, preventing health problems is As the saying goes, preventing health problems is unquestionably more sensible and effective that unquestionably more sensible and effective that treating problems that have been allowed to treating problems that have been allowed to develop- develop- The same applies to the conditions affecting heart The same applies to the conditions affecting heart and circulatory system.and circulatory system.

Prevention is better than curePrevention is better than cure As the saying goes, preventing health problems is As the saying goes, preventing health problems is unquestionably more sensible and effective that unquestionably more sensible and effective that treating problems that have been allowed to treating problems that have been allowed to develop- develop- The same applies to the conditions affecting heart The same applies to the conditions affecting heart and circulatory system.and circulatory system. • Rather then relying on professional treatment of the Rather then relying on professional treatment of the

specialists of various health disorders, specialists of various health disorders, lets better lets better concentrate on adequate preventive actions, to concentrate on adequate preventive actions, to maintain health of our heart and blood vessels maintain health of our heart and blood vessels as long as possible before they may need to be as long as possible before they may need to be treated. treated.

• Although general rules of hygiene seem to be Although general rules of hygiene seem to be familiar to most of us, yet in reality of everyday familiar to most of us, yet in reality of everyday life they are often forgotten.life they are often forgotten.

• Lets not forget the importance of properly Lets not forget the importance of properly looking rather than harming ourselves - we looking rather than harming ourselves - we often don’t pay enough attention to this and often don’t pay enough attention to this and there definitely is more that we need to do to in there definitely is more that we need to do to in that respect.that respect.

It requires a better knowledge of our biology.It requires a better knowledge of our biology.

• Rather then relying on professional treatment of the Rather then relying on professional treatment of the specialists of various health disorders, specialists of various health disorders, lets better lets better concentrate on adequate preventive actions, to concentrate on adequate preventive actions, to maintain health of our heart and blood vessels maintain health of our heart and blood vessels as long as possible before they may need to be as long as possible before they may need to be treated. treated.

• Although general rules of hygiene seem to be Although general rules of hygiene seem to be familiar to most of us, yet in reality of everyday familiar to most of us, yet in reality of everyday life they are often forgotten.life they are often forgotten.

• Lets not forget the importance of properly Lets not forget the importance of properly looking rather than harming ourselves - we looking rather than harming ourselves - we often don’t pay enough attention to this and often don’t pay enough attention to this and there definitely is more that we need to do to in there definitely is more that we need to do to in that respect.that respect.

It requires a better knowledge of our biology.It requires a better knowledge of our biology.

Page 10: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Although there is a list of diseases which are associated with specific Although there is a list of diseases which are associated with specific alleles of the genes, some of them may express their phenotype in the next alleles of the genes, some of them may express their phenotype in the next generation asgeneration as a hereditary health disordera hereditary health disorder, , like Marfan’s Syndrome like Marfan’s Syndrome (carried by the(carried by the FBN1gene as dominant), or the Fallot Tetralogy (FBN1gene as dominant), or the Fallot Tetralogy (chromosome chromosome 22 deletions) yet majority of 22 deletions) yet majority of disorders is not passed downdisorders is not passed down to the next to the next generation..generation..

However, there are some However, there are some predispositionspredispositions to getting certain illnesses, to getting certain illnesses, which medically is recognized as a higher probability which medically is recognized as a higher probability of getting ill in of getting ill in comparison to an average person; such diseases are, for instance, liability to comparison to an average person; such diseases are, for instance, liability to a heart attack or a stroke. a heart attack or a stroke. I want to point out that varicose veins - extremely common today - also have I want to point out that varicose veins - extremely common today - also have such a component in their epidemiology.such a component in their epidemiology.We call it We call it a family recorda family record.. Congenital disordersCongenital disorders should today be recognised quite easily, should today be recognised quite easily, and we always have to be aware of anything that may looks and we always have to be aware of anything that may looks abnormal in a baby or a child. Natural atrophy of the Botal’s Duct is abnormal in a baby or a child. Natural atrophy of the Botal’s Duct is not always successfully recognised, so the baby will lack the oxygen not always successfully recognised, so the baby will lack the oxygen in its body, called ischemia. This defect is easily reparable by a in its body, called ischemia. This defect is easily reparable by a surgical correction. However, if not recognised, it can result in a surgical correction. However, if not recognised, it can result in a serious failure in grown up individual. Never ignore your child’s serious failure in grown up individual. Never ignore your child’s behaviour and body colour, it struggling with a physical effort or behaviour and body colour, it struggling with a physical effort or getting bluish skin, fingers, and lips – all these may be signs of that getting bluish skin, fingers, and lips – all these may be signs of that problem. problem.

Although there is a list of diseases which are associated with specific Although there is a list of diseases which are associated with specific alleles of the genes, some of them may express their phenotype in the next alleles of the genes, some of them may express their phenotype in the next generation asgeneration as a hereditary health disordera hereditary health disorder, , like Marfan’s Syndrome like Marfan’s Syndrome (carried by the(carried by the FBN1gene as dominant), or the Fallot Tetralogy (FBN1gene as dominant), or the Fallot Tetralogy (chromosome chromosome 22 deletions) yet majority of 22 deletions) yet majority of disorders is not passed downdisorders is not passed down to the next to the next generation..generation..

However, there are some However, there are some predispositionspredispositions to getting certain illnesses, to getting certain illnesses, which medically is recognized as a higher probability which medically is recognized as a higher probability of getting ill in of getting ill in comparison to an average person; such diseases are, for instance, liability to comparison to an average person; such diseases are, for instance, liability to a heart attack or a stroke. a heart attack or a stroke. I want to point out that varicose veins - extremely common today - also have I want to point out that varicose veins - extremely common today - also have such a component in their epidemiology.such a component in their epidemiology.We call it We call it a family recorda family record.. Congenital disordersCongenital disorders should today be recognised quite easily, should today be recognised quite easily, and we always have to be aware of anything that may looks and we always have to be aware of anything that may looks abnormal in a baby or a child. Natural atrophy of the Botal’s Duct is abnormal in a baby or a child. Natural atrophy of the Botal’s Duct is not always successfully recognised, so the baby will lack the oxygen not always successfully recognised, so the baby will lack the oxygen in its body, called ischemia. This defect is easily reparable by a in its body, called ischemia. This defect is easily reparable by a surgical correction. However, if not recognised, it can result in a surgical correction. However, if not recognised, it can result in a serious failure in grown up individual. Never ignore your child’s serious failure in grown up individual. Never ignore your child’s behaviour and body colour, it struggling with a physical effort or behaviour and body colour, it struggling with a physical effort or getting bluish skin, fingers, and lips – all these may be signs of that getting bluish skin, fingers, and lips – all these may be signs of that problem. problem.

• Great majority of heart & circulation problems are Great majority of heart & circulation problems are acquired ailments which, potentially, could be avoided.acquired ailments which, potentially, could be avoided.

Page 11: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

The neonatal timeThe neonatal time when our body, including the organs, is created, when our body, including the organs, is created, is one of the most vital stages and the correct development at that time will is one of the most vital stages and the correct development at that time will reflect on the whole life of the individual.reflect on the whole life of the individual. Sadly, despite frequent repetition time and again to the point of boredom - the Sadly, despite frequent repetition time and again to the point of boredom - the young people do not seem to realise how harmful is smoking cigarettes, taking drugs or young people do not seem to realise how harmful is smoking cigarettes, taking drugs or using alcohol. Equally sleep depravation, inappropriate food, creating havoc of frequent using alcohol. Equally sleep depravation, inappropriate food, creating havoc of frequent nervous tension and too much stress are driving many future mothers to a brink of nervous tension and too much stress are driving many future mothers to a brink of disaster and, particularly, to the baby in the womb.disaster and, particularly, to the baby in the womb. After the conception the foetus may After the conception the foetus may be exposed to these harmful factors for too long before any serious deviation within be exposed to these harmful factors for too long before any serious deviation within foetus’ organogenesis is recognised - by then it may be too late… foetus’ organogenesis is recognised - by then it may be too late…

Parents expose not only themselves but also their child which will suffer from Parents expose not only themselves but also their child which will suffer from possible consequences and abnormalities all its life, be it short or long. The emotional possible consequences and abnormalities all its life, be it short or long. The emotional baggage of knowing that we are harming our future child should, surely, make people baggage of knowing that we are harming our future child should, surely, make people stop and think and yet, this vicious circle seems to continue. stop and think and yet, this vicious circle seems to continue.

- - Advise? – The answer is obvious, but if we need to spell it, let’s say:Advise? – The answer is obvious, but if we need to spell it, let’s say: - becoming parents we must take more care about what we do.- becoming parents we must take more care about what we do. Many irreversible problems also derive from oral contraceptives, e.g. Many irreversible problems also derive from oral contraceptives, e.g. AlprasolamAlprasolam – the one among them, may cause – the one among them, may cause embolizationembolization (closure of blood (closure of blood vessels), as well as from painkillers, inhaled fumes, not only from passive vessels), as well as from painkillers, inhaled fumes, not only from passive smoking…smoking…

The neonatal timeThe neonatal time when our body, including the organs, is created, when our body, including the organs, is created, is one of the most vital stages and the correct development at that time will is one of the most vital stages and the correct development at that time will reflect on the whole life of the individual.reflect on the whole life of the individual. Sadly, despite frequent repetition time and again to the point of boredom - the Sadly, despite frequent repetition time and again to the point of boredom - the young people do not seem to realise how harmful is smoking cigarettes, taking drugs or young people do not seem to realise how harmful is smoking cigarettes, taking drugs or using alcohol. Equally sleep depravation, inappropriate food, creating havoc of frequent using alcohol. Equally sleep depravation, inappropriate food, creating havoc of frequent nervous tension and too much stress are driving many future mothers to a brink of nervous tension and too much stress are driving many future mothers to a brink of disaster and, particularly, to the baby in the womb.disaster and, particularly, to the baby in the womb. After the conception the foetus may After the conception the foetus may be exposed to these harmful factors for too long before any serious deviation within be exposed to these harmful factors for too long before any serious deviation within foetus’ organogenesis is recognised - by then it may be too late… foetus’ organogenesis is recognised - by then it may be too late…

Parents expose not only themselves but also their child which will suffer from Parents expose not only themselves but also their child which will suffer from possible consequences and abnormalities all its life, be it short or long. The emotional possible consequences and abnormalities all its life, be it short or long. The emotional baggage of knowing that we are harming our future child should, surely, make people baggage of knowing that we are harming our future child should, surely, make people stop and think and yet, this vicious circle seems to continue. stop and think and yet, this vicious circle seems to continue.

- - Advise? – The answer is obvious, but if we need to spell it, let’s say:Advise? – The answer is obvious, but if we need to spell it, let’s say: - becoming parents we must take more care about what we do.- becoming parents we must take more care about what we do. Many irreversible problems also derive from oral contraceptives, e.g. Many irreversible problems also derive from oral contraceptives, e.g. AlprasolamAlprasolam – the one among them, may cause – the one among them, may cause embolizationembolization (closure of blood (closure of blood vessels), as well as from painkillers, inhaled fumes, not only from passive vessels), as well as from painkillers, inhaled fumes, not only from passive smoking…smoking…

• Regular check-ups at the neonatal clinic are strongly recommended. Once the babe is born, rely Regular check-ups at the neonatal clinic are strongly recommended. Once the babe is born, rely on a good paediatrician to care for baby’s development. Discuss everything you notice as on a good paediatrician to care for baby’s development. Discuss everything you notice as suspicious, new or abnormal. When in doubt, ask for second opinion of the consultant. suspicious, new or abnormal. When in doubt, ask for second opinion of the consultant.

• In that, help of In that, help of the complementary medicinethe complementary medicine practitionerpractitioner would be of great value. would be of great value.

• Regular check-ups at the neonatal clinic are strongly recommended. Once the babe is born, rely Regular check-ups at the neonatal clinic are strongly recommended. Once the babe is born, rely on a good paediatrician to care for baby’s development. Discuss everything you notice as on a good paediatrician to care for baby’s development. Discuss everything you notice as suspicious, new or abnormal. When in doubt, ask for second opinion of the consultant. suspicious, new or abnormal. When in doubt, ask for second opinion of the consultant.

• In that, help of In that, help of the complementary medicinethe complementary medicine practitionerpractitioner would be of great value. would be of great value.

Page 12: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

The circulatory systemThe circulatory system is one of the most exposed to the external is one of the most exposed to the external factors of the chemicals used in everyday life. Inhaled through upper factors of the chemicals used in everyday life. Inhaled through upper respiratory track down to the bronchia and the lungs, and eventually to the respiratory track down to the bronchia and the lungs, and eventually to the heart, these chemicals can destroy it. heart, these chemicals can destroy it. Its endothelium, Its endothelium, a layer of cells lining the inner side of blood vessels a layer of cells lining the inner side of blood vessels vascularising of all of the air passagesvascularising of all of the air passages is extremely fragile and sensitive is extremely fragile and sensitive to almost everything. to almost everything.

Expecting mExpecting mothers, instead of taking a regular others, instead of taking a regular antihistamine antihistamine should, when coughing or suffering from allergy, treat it with should, when coughing or suffering from allergy, treat it with various herbal-based remedies as well as recommended cupping, if various herbal-based remedies as well as recommended cupping, if bronchitis has been diagnosed. Chemical bronchitis has been diagnosed. Chemical antihistaminesantihistamines should be should be reserve for use in acute stages only! reserve for use in acute stages only! A warm aromatherapy bath would also be a good choice. A warm aromatherapy bath would also be a good choice. Tetracycline Tetracycline as well as other antibiotics can seriously damage as well as other antibiotics can seriously damage foetus’ development. foetus’ development.

The circulatory systemThe circulatory system is one of the most exposed to the external is one of the most exposed to the external factors of the chemicals used in everyday life. Inhaled through upper factors of the chemicals used in everyday life. Inhaled through upper respiratory track down to the bronchia and the lungs, and eventually to the respiratory track down to the bronchia and the lungs, and eventually to the heart, these chemicals can destroy it. heart, these chemicals can destroy it. Its endothelium, Its endothelium, a layer of cells lining the inner side of blood vessels a layer of cells lining the inner side of blood vessels vascularising of all of the air passagesvascularising of all of the air passages is extremely fragile and sensitive is extremely fragile and sensitive to almost everything. to almost everything.

Expecting mExpecting mothers, instead of taking a regular others, instead of taking a regular antihistamine antihistamine should, when coughing or suffering from allergy, treat it with should, when coughing or suffering from allergy, treat it with various herbal-based remedies as well as recommended cupping, if various herbal-based remedies as well as recommended cupping, if bronchitis has been diagnosed. Chemical bronchitis has been diagnosed. Chemical antihistaminesantihistamines should be should be reserve for use in acute stages only! reserve for use in acute stages only! A warm aromatherapy bath would also be a good choice. A warm aromatherapy bath would also be a good choice. Tetracycline Tetracycline as well as other antibiotics can seriously damage as well as other antibiotics can seriously damage foetus’ development. foetus’ development. • Juvenile ailments like, for instance, rheumatoidal disorders are known to Juvenile ailments like, for instance, rheumatoidal disorders are known to

return in later life as various health problems. Young organism can return in later life as various health problems. Young organism can usually cope with such disorders, even with some dull aches and not pay usually cope with such disorders, even with some dull aches and not pay much attention, but in advanced age these complaints will return, often in much attention, but in advanced age these complaints will return, often in much more serious form. much more serious form.

• Thus be aware of any damp around the home, as fungus which produces Thus be aware of any damp around the home, as fungus which produces atrocious substances will affect adversely rheumatism-related diseases.atrocious substances will affect adversely rheumatism-related diseases.

Although Streptococci-derived antigens stimulate B-lymphocytes to produce army of relevant Although Streptococci-derived antigens stimulate B-lymphocytes to produce army of relevant immuno-specific antibodies, the ones which are responsible for cardiac rheumatism & heart immuno-specific antibodies, the ones which are responsible for cardiac rheumatism & heart valves damage or the blood vessels cusps and also affecting receptors in our joints or in the valves damage or the blood vessels cusps and also affecting receptors in our joints or in the kidneys – this issue is discussed further onkidneys – this issue is discussed further on..

• Immunological origins of majority of rheumatic disorders derive from Immunological origins of majority of rheumatic disorders derive from factors we were exposed to at young age.factors we were exposed to at young age.

• Juvenile ailments like, for instance, rheumatoidal disorders are known to Juvenile ailments like, for instance, rheumatoidal disorders are known to return in later life as various health problems. Young organism can return in later life as various health problems. Young organism can usually cope with such disorders, even with some dull aches and not pay usually cope with such disorders, even with some dull aches and not pay much attention, but in advanced age these complaints will return, often in much attention, but in advanced age these complaints will return, often in much more serious form. much more serious form.

• Thus be aware of any damp around the home, as fungus which produces Thus be aware of any damp around the home, as fungus which produces atrocious substances will affect adversely rheumatism-related diseases.atrocious substances will affect adversely rheumatism-related diseases.

Although Streptococci-derived antigens stimulate B-lymphocytes to produce army of relevant Although Streptococci-derived antigens stimulate B-lymphocytes to produce army of relevant immuno-specific antibodies, the ones which are responsible for cardiac rheumatism & heart immuno-specific antibodies, the ones which are responsible for cardiac rheumatism & heart valves damage or the blood vessels cusps and also affecting receptors in our joints or in the valves damage or the blood vessels cusps and also affecting receptors in our joints or in the kidneys – this issue is discussed further onkidneys – this issue is discussed further on..

• Immunological origins of majority of rheumatic disorders derive from Immunological origins of majority of rheumatic disorders derive from factors we were exposed to at young age.factors we were exposed to at young age.

Page 13: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Thermal shockThermal shock may be dangerous to the may be dangerous to the organism. Both extreme heat & freezing organism. Both extreme heat & freezing cold will result in serious negative cold will result in serious negative

consequences.consequences.

Thermal shockThermal shock may be dangerous to the may be dangerous to the organism. Both extreme heat & freezing organism. Both extreme heat & freezing cold will result in serious negative cold will result in serious negative

consequences.consequences. • Exposition to the extreme temperatures provoke Exposition to the extreme temperatures provoke cyanosiscyanosis or or congelationcongelation

respectively and a serious damage to the blood vessels around the body respectively and a serious damage to the blood vessels around the body ending with lack of blood delivered to the organs. For the brain it may be ending with lack of blood delivered to the organs. For the brain it may be equal to thermical death. Taking poorly dressed, barefoot equal to thermical death. Taking poorly dressed, barefoot babiesbabies without a without a hat in a cold, windy weather as well as leaving them in the sun heat is very hat in a cold, windy weather as well as leaving them in the sun heat is very dangerous and yet very commonly seen in the streets…dangerous and yet very commonly seen in the streets…

• The same danger of the thermal shock applies to the elderly…The same danger of the thermal shock applies to the elderly…• Let us remember, that very low temperature can trigger the heart infarct Let us remember, that very low temperature can trigger the heart infarct

causing immediate death, not only due to congelation, even in a relatively causing immediate death, not only due to congelation, even in a relatively healthy person.healthy person.

• There are numerous ailments which derive from past history of thermal There are numerous ailments which derive from past history of thermal shock, like many rheumatologic diseases which will affect person’s quality shock, like many rheumatologic diseases which will affect person’s quality of all life.of all life.

• Staying in a cold room without movement for prolonged periods of time Staying in a cold room without movement for prolonged periods of time may not only cause a cold and inflammation of the respiratory system, but may not only cause a cold and inflammation of the respiratory system, but by depriving our body of efficient blood circulation, will degrade the rate of by depriving our body of efficient blood circulation, will degrade the rate of metabolism. metabolism.

• In a very high temperature we must drink more than usually – and not only In a very high temperature we must drink more than usually – and not only pure water as it will not replenish the minerals we are loosing when pure water as it will not replenish the minerals we are loosing when sweating, and which our body requires for its equilibrium. Fruit juices and sweating, and which our body requires for its equilibrium. Fruit juices and fruity drinks are always the first choice.fruity drinks are always the first choice.

• Exposition to the extreme temperatures provoke Exposition to the extreme temperatures provoke cyanosiscyanosis or or congelationcongelation respectively and a serious damage to the blood vessels around the body respectively and a serious damage to the blood vessels around the body ending with lack of blood delivered to the organs. For the brain it may be ending with lack of blood delivered to the organs. For the brain it may be equal to thermical death. Taking poorly dressed, barefoot equal to thermical death. Taking poorly dressed, barefoot babiesbabies without a without a hat in a cold, windy weather as well as leaving them in the sun heat is very hat in a cold, windy weather as well as leaving them in the sun heat is very dangerous and yet very commonly seen in the streets…dangerous and yet very commonly seen in the streets…

• The same danger of the thermal shock applies to the elderly…The same danger of the thermal shock applies to the elderly…• Let us remember, that very low temperature can trigger the heart infarct Let us remember, that very low temperature can trigger the heart infarct

causing immediate death, not only due to congelation, even in a relatively causing immediate death, not only due to congelation, even in a relatively healthy person.healthy person.

• There are numerous ailments which derive from past history of thermal There are numerous ailments which derive from past history of thermal shock, like many rheumatologic diseases which will affect person’s quality shock, like many rheumatologic diseases which will affect person’s quality of all life.of all life.

• Staying in a cold room without movement for prolonged periods of time Staying in a cold room without movement for prolonged periods of time may not only cause a cold and inflammation of the respiratory system, but may not only cause a cold and inflammation of the respiratory system, but by depriving our body of efficient blood circulation, will degrade the rate of by depriving our body of efficient blood circulation, will degrade the rate of metabolism. metabolism.

• In a very high temperature we must drink more than usually – and not only In a very high temperature we must drink more than usually – and not only pure water as it will not replenish the minerals we are loosing when pure water as it will not replenish the minerals we are loosing when sweating, and which our body requires for its equilibrium. Fruit juices and sweating, and which our body requires for its equilibrium. Fruit juices and fruity drinks are always the first choice.fruity drinks are always the first choice.

Page 14: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Standing positionStanding position for prolonged periodsfor prolonged periods is is known to be the worst position of all. Passive gravity known to be the worst position of all. Passive gravity of the blood which flow down to the lower extremities of the blood which flow down to the lower extremities may results in painful oedema and swollen tissue. may results in painful oedema and swollen tissue. Eventually this will produce numbness & neurological Eventually this will produce numbness & neurological dysfunction followed by inflammation of the veins – dysfunction followed by inflammation of the veins – eventually ending in inability to move.eventually ending in inability to move.

Standing positionStanding position for prolonged periodsfor prolonged periods is is known to be the worst position of all. Passive gravity known to be the worst position of all. Passive gravity of the blood which flow down to the lower extremities of the blood which flow down to the lower extremities may results in painful oedema and swollen tissue. may results in painful oedema and swollen tissue. Eventually this will produce numbness & neurological Eventually this will produce numbness & neurological dysfunction followed by inflammation of the veins – dysfunction followed by inflammation of the veins – eventually ending in inability to move.eventually ending in inability to move.

In contrast physical activity is the best way to prevent congestive In contrast physical activity is the best way to prevent congestive disorders within the heart, vascular and lymphatic systems - at any disorders within the heart, vascular and lymphatic systems - at any age and in every situationage and in every situation..

Keep moving & be active as much as possible! Keep moving & be active as much as possible! However, this does not mean forcing your body to over-However, this does not mean forcing your body to over-

strenuous activity, for instance during training!strenuous activity, for instance during training! Jogging & long distance running can cause acute inflammation and Jogging & long distance running can cause acute inflammation and

painful cramps and spasms of leg veins and muscles due to excess painful cramps and spasms of leg veins and muscles due to excess production of milk and uric acids. Over extended periods this may production of milk and uric acids. Over extended periods this may affect heart. Administering a remedy such Vit C with magnesium, affect heart. Administering a remedy such Vit C with magnesium, together with sufficiently high energy drink usually alleviates these together with sufficiently high energy drink usually alleviates these symptoms.symptoms.

High altitude,High altitude, over over 2500m above sea level,2500m above sea level, cancan be dangerous to be dangerous to children under 10, as it stimulates the heart muscle to higher beat children under 10, as it stimulates the heart muscle to higher beat rate. This can produce heart insufficiency due to progressing rate. This can produce heart insufficiency due to progressing hypertrophy of its left ventricle. Additionally, effort of physical activity hypertrophy of its left ventricle. Additionally, effort of physical activity in the high altitude will, most probably aggravate it. This defect in the high altitude will, most probably aggravate it. This defect usually results in a cardiomyopathy and dysfunction of the heart usually results in a cardiomyopathy and dysfunction of the heart valves. Thus predisposing the person to the heart failure in later life…valves. Thus predisposing the person to the heart failure in later life…

Page 15: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

For For teenagersteenagers it is important to allow the body it is important to allow the body to complete its growing process so that the heart to complete its growing process so that the heart is developed to its final size and potency without is developed to its final size and potency without being damaged . It has to serve us for whole long being damaged . It has to serve us for whole long life.life.

For For teenagersteenagers it is important to allow the body it is important to allow the body to complete its growing process so that the heart to complete its growing process so that the heart is developed to its final size and potency without is developed to its final size and potency without being damaged . It has to serve us for whole long being damaged . It has to serve us for whole long life.life.

• Smoking and alcohol along with drugs, lower body’s ability to grow and, Smoking and alcohol along with drugs, lower body’s ability to grow and, even if activity of the growth hormone persists, whole physical strength even if activity of the growth hormone persists, whole physical strength of the body remains below its full potential making it prone to health of the body remains below its full potential making it prone to health failure.failure.

• An in-depth examination of whole body carried out around 18 is strongly An in-depth examination of whole body carried out around 18 is strongly recommended, as this is a last moment to correct abnormalities which recommended, as this is a last moment to correct abnormalities which were not discovered before, including these affecting heart and were not discovered before, including these affecting heart and circulatory system. It is quite frequent that individuals completing high circulatory system. It is quite frequent that individuals completing high school are diagnosed with some heart abnormality.school are diagnosed with some heart abnormality.

• During development, when sex hormones are activated, a truly holistic During development, when sex hormones are activated, a truly holistic approach is required for this bio-medical assessment for both boys and approach is required for this bio-medical assessment for both boys and girls.girls.

• There are ailments which begin to appear at exactly this period of life. There are ailments which begin to appear at exactly this period of life. The condition of the heart with blood vessels have to be taken into The condition of the heart with blood vessels have to be taken into consideration as one of the most vital parts of the body. As an example, consideration as one of the most vital parts of the body. As an example, there are professions which may not be suitable for individuals with there are professions which may not be suitable for individuals with certain health conditions so, to keep them safe, it is vital to check total certain health conditions so, to keep them safe, it is vital to check total health of young people at the beginning of their grown-up life. health of young people at the beginning of their grown-up life.

Page 16: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Although Although the adulthoodthe adulthood begins begins with the end of with the end of teenage years yet, particularly for men, the final teenage years yet, particularly for men, the final maturing takes place at around 28. This is the time maturing takes place at around 28. This is the time when last shot of growing happens together with final when last shot of growing happens together with final stabilisation of a natural body mass. stabilisation of a natural body mass.

Although Although the adulthoodthe adulthood begins begins with the end of with the end of teenage years yet, particularly for men, the final teenage years yet, particularly for men, the final maturing takes place at around 28. This is the time maturing takes place at around 28. This is the time when last shot of growing happens together with final when last shot of growing happens together with final stabilisation of a natural body mass. stabilisation of a natural body mass.

• The amount of strength and body potential the organism managed to The amount of strength and body potential the organism managed to accumulate now has to last through individual’s lifetime, with all positives and accumulate now has to last through individual’s lifetime, with all positives and negatives.negatives.

• Although an accident can happen at any time during the life cycle, from this Although an accident can happen at any time during the life cycle, from this moment of maturity our body is really ready to cope with all complications. moment of maturity our body is really ready to cope with all complications. Therefore our habits, behaviour and lifestyle will have a fundamental impact on Therefore our habits, behaviour and lifestyle will have a fundamental impact on our health, and therefore on condition of the heart and circulatory system. our health, and therefore on condition of the heart and circulatory system. Should there be weaknesses within these parts the individual is more prone to Should there be weaknesses within these parts the individual is more prone to various diseases.various diseases.

• Infectious diseasesInfectious diseases – seriously affect us worldwide; some of them are quite – seriously affect us worldwide; some of them are quite dangerous, as for instance flu caused by the dangerous, as for instance flu caused by the influenza virusinfluenza virus. As wide medical . As wide medical evidence shows, this virus can be life threatening, as it attacks almost every evidence shows, this virus can be life threatening, as it attacks almost every organ including the heart – and yet, it is so often ignored as “simple cold”.organ including the heart – and yet, it is so often ignored as “simple cold”.

• Cardiac insufficiency circulatoriaCardiac insufficiency circulatoria is another diagnosis which puts life on is another diagnosis which puts life on line against death. In majority of cases irreversible cardiomyopathy calls for the line against death. In majority of cases irreversible cardiomyopathy calls for the heart transplantation. In other situations it can damage vascularisation of the heart transplantation. In other situations it can damage vascularisation of the lungs or kidneys etc. - Advise in that case: lungs or kidneys etc. - Advise in that case: if one is potentially exposed to the if one is potentially exposed to the infection, it is imperative to observe effective hygiene & avoid too close contact infection, it is imperative to observe effective hygiene & avoid too close contact with others. Most importantly, the relevant vaccination must be our first with others. Most importantly, the relevant vaccination must be our first decision. Once ill, we must refrain from work, stay in bed with supports of decision. Once ill, we must refrain from work, stay in bed with supports of relevant remedies, preferably herbal ones , which do not overload already relevant remedies, preferably herbal ones , which do not overload already affected body. It takes at least a week to heal but recuperation demands one affected body. It takes at least a week to heal but recuperation demands one more week to complete the recovery.more week to complete the recovery.

Page 17: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Despite immune system’s ability to self- control Despite immune system’s ability to self- control and its healing abilities,and its healing abilities, the blood vessels and the blood vessels and subsequently the heart are in the first line of subsequently the heart are in the first line of attack when in contact with many serious diseasesattack when in contact with many serious diseases, , like connective tissue disease, vasculitis, phlebitis, like connective tissue disease, vasculitis, phlebitis, arterio-/athero-scleroses, autoimmune disorders, arterio-/athero-scleroses, autoimmune disorders, and many others.and many others.

Despite immune system’s ability to self- control Despite immune system’s ability to self- control and its healing abilities,and its healing abilities, the blood vessels and the blood vessels and subsequently the heart are in the first line of subsequently the heart are in the first line of attack when in contact with many serious diseasesattack when in contact with many serious diseases, , like connective tissue disease, vasculitis, phlebitis, like connective tissue disease, vasculitis, phlebitis, arterio-/athero-scleroses, autoimmune disorders, arterio-/athero-scleroses, autoimmune disorders, and many others.and many others. • In all these cases, it is strongly advised to not postpone In all these cases, it is strongly advised to not postpone

the visit to a medical centre, like cardiovascular clinic, the visit to a medical centre, like cardiovascular clinic, where a team of specialists in relevant disciplines can where a team of specialists in relevant disciplines can quickly diagnose the problem and, working together, quickly diagnose the problem and, working together, agree best course of treatment. agree best course of treatment.

• It is a right of a patient to take part in decision on It is a right of a patient to take part in decision on treatment choice, to ask for explanation, discuss an treatment choice, to ask for explanation, discuss an alternative approach and report the results so that the alternative approach and report the results so that the doctors are well aware of what does or does not suit the doctors are well aware of what does or does not suit the patient. patient.

• Consider also eventual adverse effects of every Consider also eventual adverse effects of every treatment; Enquire regarding other relevant options of treatment; Enquire regarding other relevant options of the Complementary Medicinethe Complementary Medicine

Page 18: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Geriatric approach to the Geriatric approach to the elderlyelderly Geriatric approach to the Geriatric approach to the elderlyelderly• In relation to In relation to the advanced age, say 70 +the advanced age, say 70 + (although there is no cut-off age as it is a matter of (although there is no cut-off age as it is a matter of

individual condition), individual condition), the heart and circulatory system response to environmental condition is the heart and circulatory system response to environmental condition is slightly different than in younger individualsslightly different than in younger individuals. Different range of physiological parameters . Different range of physiological parameters becomes becomes normal for that agenormal for that age. Thus, when dealing with Seniors, medical staff and all people . Thus, when dealing with Seniors, medical staff and all people around have to take particular care of around have to take particular care of at least two factors:at least two factors:– Most of elderly Humans become more vulnerable and fragile both physically as well as Most of elderly Humans become more vulnerable and fragile both physically as well as

mentally as time progresses. Their body and also the organs get weaker as the strength mentally as time progresses. Their body and also the organs get weaker as the strength ebbs away. Immunity drops down, elasticity of tissue is taken over by stiffness and hardness. ebbs away. Immunity drops down, elasticity of tissue is taken over by stiffness and hardness. Taking blood samples is difficult because the vessels are more prone to bruising. A natural Taking blood samples is difficult because the vessels are more prone to bruising. A natural senile dementia clouds clear thinking; together all these changes limit elderly individual’s senile dementia clouds clear thinking; together all these changes limit elderly individual’s achievement. A simple proposal to go out for a walk or a meal to a restaurant may be achievement. A simple proposal to go out for a walk or a meal to a restaurant may be rejected or impossible… rejected or impossible…

– Despite advancement of aging process the Seniors still need to be active and feel a part of Despite advancement of aging process the Seniors still need to be active and feel a part of the situations or decisions they feel are important. They want to be treated as equals, the situations or decisions they feel are important. They want to be treated as equals, important and needed. A heart failure may limit the range of physical activity, as do a important and needed. A heart failure may limit the range of physical activity, as do a vascular problem in walking, but it is important to help them keep moving! Even the vascular problem in walking, but it is important to help them keep moving! Even the heart heart attack or a haemorrhage at this age is much less life threatening thanattack or a haemorrhage at this age is much less life threatening than in younger peoplein younger people. . With properly care, elderly usually survive such episodes. To prolong relatively active life With properly care, elderly usually survive such episodes. To prolong relatively active life they require to be allowed to decide and perform the activities on their own as best they they require to be allowed to decide and perform the activities on their own as best they can. This way the whole old body has to exercise, every task being both mental & physical can. This way the whole old body has to exercise, every task being both mental & physical training. Surprisingly the Seniors show comparatively better stamina and can extend the training. Surprisingly the Seniors show comparatively better stamina and can extend the activity with time and effort. activity with time and effort.

• Therefore a proper medical approach with Therefore a proper medical approach with well adjusted doses of medication and supplementswell adjusted doses of medication and supplements and check-ups should be supported by and check-ups should be supported by the Complementary Medicinethe Complementary Medicine as much as possible, as much as possible, incl. massagesincl. massages,, hydrotherapy hydrotherapy,, herbal remedies to limit many ailments & senile decline so typical herbal remedies to limit many ailments & senile decline so typical at this age, like indigestion or morning joint stiffness…at this age, like indigestion or morning joint stiffness…

• In relation to In relation to the advanced age, say 70 +the advanced age, say 70 + (although there is no cut-off age as it is a matter of (although there is no cut-off age as it is a matter of individual condition), individual condition), the heart and circulatory system response to environmental condition is the heart and circulatory system response to environmental condition is slightly different than in younger individualsslightly different than in younger individuals. Different range of physiological parameters . Different range of physiological parameters becomes becomes normal for that agenormal for that age. Thus, when dealing with Seniors, medical staff and all people . Thus, when dealing with Seniors, medical staff and all people around have to take particular care of around have to take particular care of at least two factors:at least two factors:– Most of elderly Humans become more vulnerable and fragile both physically as well as Most of elderly Humans become more vulnerable and fragile both physically as well as

mentally as time progresses. Their body and also the organs get weaker as the strength mentally as time progresses. Their body and also the organs get weaker as the strength ebbs away. Immunity drops down, elasticity of tissue is taken over by stiffness and hardness. ebbs away. Immunity drops down, elasticity of tissue is taken over by stiffness and hardness. Taking blood samples is difficult because the vessels are more prone to bruising. A natural Taking blood samples is difficult because the vessels are more prone to bruising. A natural senile dementia clouds clear thinking; together all these changes limit elderly individual’s senile dementia clouds clear thinking; together all these changes limit elderly individual’s achievement. A simple proposal to go out for a walk or a meal to a restaurant may be achievement. A simple proposal to go out for a walk or a meal to a restaurant may be rejected or impossible… rejected or impossible…

– Despite advancement of aging process the Seniors still need to be active and feel a part of Despite advancement of aging process the Seniors still need to be active and feel a part of the situations or decisions they feel are important. They want to be treated as equals, the situations or decisions they feel are important. They want to be treated as equals, important and needed. A heart failure may limit the range of physical activity, as do a important and needed. A heart failure may limit the range of physical activity, as do a vascular problem in walking, but it is important to help them keep moving! Even the vascular problem in walking, but it is important to help them keep moving! Even the heart heart attack or a haemorrhage at this age is much less life threatening thanattack or a haemorrhage at this age is much less life threatening than in younger peoplein younger people. . With properly care, elderly usually survive such episodes. To prolong relatively active life With properly care, elderly usually survive such episodes. To prolong relatively active life they require to be allowed to decide and perform the activities on their own as best they they require to be allowed to decide and perform the activities on their own as best they can. This way the whole old body has to exercise, every task being both mental & physical can. This way the whole old body has to exercise, every task being both mental & physical training. Surprisingly the Seniors show comparatively better stamina and can extend the training. Surprisingly the Seniors show comparatively better stamina and can extend the activity with time and effort. activity with time and effort.

• Therefore a proper medical approach with Therefore a proper medical approach with well adjusted doses of medication and supplementswell adjusted doses of medication and supplements and check-ups should be supported by and check-ups should be supported by the Complementary Medicinethe Complementary Medicine as much as possible, as much as possible, incl. massagesincl. massages,, hydrotherapy hydrotherapy,, herbal remedies to limit many ailments & senile decline so typical herbal remedies to limit many ailments & senile decline so typical at this age, like indigestion or morning joint stiffness…at this age, like indigestion or morning joint stiffness…

Page 19: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

After surgical treatment on the heart or After surgical treatment on the heart or

any part of the blood vessels any part of the blood vessels system systema relevant supportive protection comes to it a relevant supportive protection comes to it ownown

After surgical treatment on the heart or After surgical treatment on the heart or

any part of the blood vessels any part of the blood vessels system systema relevant supportive protection comes to it a relevant supportive protection comes to it ownown• Depending on the patients’ health problem and the pertinent to it surgical Depending on the patients’ health problem and the pertinent to it surgical

intervention, the recuperation & recovery will be followed by re-entry to intervention, the recuperation & recovery will be followed by re-entry to normal, healthy and active working and private life.normal, healthy and active working and private life.

• Regarding patients’ age & gender, the biology of whole organism requires Regarding patients’ age & gender, the biology of whole organism requires relevant conduct, but disregarding these factors, two aspect play the decisive relevant conduct, but disregarding these factors, two aspect play the decisive rolerole– positive psychological attitudepositive psychological attitude to the reality of the situation to the reality of the situation– physical fitness and determinationphysical fitness and determination to maintain the benefits of improved to maintain the benefits of improved

healthhealth – – – Under no circumstances the patients should be treated like disable people.Under no circumstances the patients should be treated like disable people.

• Complementary MedicineComplementary Medicine will offer many ways and new solutions to help here: will offer many ways and new solutions to help here:• Suitable Suitable life stylelife style and and a dieta diet along with regular along with regular check-ups check-ups will help to avoid the will help to avoid the

remission of disorders or appearance of possible new complications e.g. for those whose remission of disorders or appearance of possible new complications e.g. for those whose heart valves or part of artery have been replaced, heart valves or part of artery have been replaced, avoiding all avoiding all suppurative infectionsuppurative infection is is the most important issue; similarly with transplant of whole heart or any other organ. the most important issue; similarly with transplant of whole heart or any other organ.

• Controlling of blood thickness – the agglutination Controlling of blood thickness – the agglutination INRINR & clot, as well as level of & clot, as well as level of mineralsminerals, , mostly mostly the cations of Ca++the cations of Ca++ in the blood stream responsible for mineralization of the in the blood stream responsible for mineralization of the vessels’ walls and the heart valves tissue. When hardened, they cause valvular vessels’ walls and the heart valves tissue. When hardened, they cause valvular regurgitation in the heart…regurgitation in the heart…

• Taking care not to allow the LDL accumulation within the endothelium of the vessels so Taking care not to allow the LDL accumulation within the endothelium of the vessels so that atherosclerotic changes are avoidedthat atherosclerotic changes are avoided

• Arresting development of all diseases - like diabetes, rheumatic blood vessels Arresting development of all diseases - like diabetes, rheumatic blood vessels deformities, hormones balance disturbances… deformities, hormones balance disturbances…

• Depending on the patients’ health problem and the pertinent to it surgical Depending on the patients’ health problem and the pertinent to it surgical intervention, the recuperation & recovery will be followed by re-entry to intervention, the recuperation & recovery will be followed by re-entry to normal, healthy and active working and private life.normal, healthy and active working and private life.

• Regarding patients’ age & gender, the biology of whole organism requires Regarding patients’ age & gender, the biology of whole organism requires relevant conduct, but disregarding these factors, two aspect play the decisive relevant conduct, but disregarding these factors, two aspect play the decisive rolerole– positive psychological attitudepositive psychological attitude to the reality of the situation to the reality of the situation– physical fitness and determinationphysical fitness and determination to maintain the benefits of improved to maintain the benefits of improved

healthhealth – – – Under no circumstances the patients should be treated like disable people.Under no circumstances the patients should be treated like disable people.

• Complementary MedicineComplementary Medicine will offer many ways and new solutions to help here: will offer many ways and new solutions to help here:• Suitable Suitable life stylelife style and and a dieta diet along with regular along with regular check-ups check-ups will help to avoid the will help to avoid the

remission of disorders or appearance of possible new complications e.g. for those whose remission of disorders or appearance of possible new complications e.g. for those whose heart valves or part of artery have been replaced, heart valves or part of artery have been replaced, avoiding all avoiding all suppurative infectionsuppurative infection is is the most important issue; similarly with transplant of whole heart or any other organ. the most important issue; similarly with transplant of whole heart or any other organ.

• Controlling of blood thickness – the agglutination Controlling of blood thickness – the agglutination INRINR & clot, as well as level of & clot, as well as level of mineralsminerals, , mostly mostly the cations of Ca++the cations of Ca++ in the blood stream responsible for mineralization of the in the blood stream responsible for mineralization of the vessels’ walls and the heart valves tissue. When hardened, they cause valvular vessels’ walls and the heart valves tissue. When hardened, they cause valvular regurgitation in the heart…regurgitation in the heart…

• Taking care not to allow the LDL accumulation within the endothelium of the vessels so Taking care not to allow the LDL accumulation within the endothelium of the vessels so that atherosclerotic changes are avoidedthat atherosclerotic changes are avoided

• Arresting development of all diseases - like diabetes, rheumatic blood vessels Arresting development of all diseases - like diabetes, rheumatic blood vessels deformities, hormones balance disturbances… deformities, hormones balance disturbances…

Page 20: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

The Blood PressureThe Blood Pressure Although it is one of the most common cardiac Although it is one of the most common cardiac problems, it still seems to shocks all who are problems, it still seems to shocks all who are diagnosed with it…diagnosed with it…

The Blood PressureThe Blood Pressure Although it is one of the most common cardiac Although it is one of the most common cardiac problems, it still seems to shocks all who are problems, it still seems to shocks all who are diagnosed with it…diagnosed with it…

• Physiological norm - Physiological norm - 120 /80120 /80 mmHg +/- 8.3 SD mmHg +/- 8.3 SD, 120mm systolic , 120mm systolic and 80mm diasystolic respectively.and 80mm diasystolic respectively.

• However, in children and the elderly and during recuperation However, in children and the elderly and during recuperation periods it vary from that norm.periods it vary from that norm.

• Medically accepted, as a new norm, is Medically accepted, as a new norm, is 140/85140/85mmHgmmHg +/- 10.0 SD+/- 10.0 SD above age of 60+;above age of 60+;

• For variety of reasons, like intensive sport exercise, exhaustion For variety of reasons, like intensive sport exercise, exhaustion from work, onset of a disease or recovery time - it will change. from work, onset of a disease or recovery time - it will change.

• Under pressureUnder pressure Hypotension arteralis,Hypotension arteralis, when lower then when lower then 100/60mmHg100/60mmHg+/-5 SD+/-5 SD, can be equally dangerous whether , can be equally dangerous whether constitutional or transient, as it affects whole body causing serious constitutional or transient, as it affects whole body causing serious disorder of disorder of insufficientia circulatoria insufficientia circulatoria within every organ: from brain within every organ: from brain to kidneys, from head to feet…to kidneys, from head to feet…

• It is good to correlate it to the heart rate, measured in beats per It is good to correlate it to the heart rate, measured in beats per minute – minute – the pulsethe pulse; Physiological norm: ; Physiological norm: 7070bp+/-10 SDbp+/-10 SD

• Every 6 months these parameters should be routinely Every 6 months these parameters should be routinely checked and, if suspiciously different, should be monitored checked and, if suspiciously different, should be monitored weekly and consulted with your doctorweekly and consulted with your doctor

• Physiological norm - Physiological norm - 120 /80120 /80 mmHg +/- 8.3 SD mmHg +/- 8.3 SD, 120mm systolic , 120mm systolic and 80mm diasystolic respectively.and 80mm diasystolic respectively.

• However, in children and the elderly and during recuperation However, in children and the elderly and during recuperation periods it vary from that norm.periods it vary from that norm.

• Medically accepted, as a new norm, is Medically accepted, as a new norm, is 140/85140/85mmHgmmHg +/- 10.0 SD+/- 10.0 SD above age of 60+;above age of 60+;

• For variety of reasons, like intensive sport exercise, exhaustion For variety of reasons, like intensive sport exercise, exhaustion from work, onset of a disease or recovery time - it will change. from work, onset of a disease or recovery time - it will change.

• Under pressureUnder pressure Hypotension arteralis,Hypotension arteralis, when lower then when lower then 100/60mmHg100/60mmHg+/-5 SD+/-5 SD, can be equally dangerous whether , can be equally dangerous whether constitutional or transient, as it affects whole body causing serious constitutional or transient, as it affects whole body causing serious disorder of disorder of insufficientia circulatoria insufficientia circulatoria within every organ: from brain within every organ: from brain to kidneys, from head to feet…to kidneys, from head to feet…

• It is good to correlate it to the heart rate, measured in beats per It is good to correlate it to the heart rate, measured in beats per minute – minute – the pulsethe pulse; Physiological norm: ; Physiological norm: 7070bp+/-10 SDbp+/-10 SD

• Every 6 months these parameters should be routinely Every 6 months these parameters should be routinely checked and, if suspiciously different, should be monitored checked and, if suspiciously different, should be monitored weekly and consulted with your doctorweekly and consulted with your doctor

Page 21: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

All too common risk factorsAll too common risk factorsconsidering prevention rather then considering prevention rather then cure, it has to be said that below cure, it has to be said that below factors present easy opportunity to factors present easy opportunity to succumb to many well known succumb to many well known derivative disorders.derivative disorders.

All too common risk factorsAll too common risk factorsconsidering prevention rather then considering prevention rather then cure, it has to be said that below cure, it has to be said that below factors present easy opportunity to factors present easy opportunity to succumb to many well known succumb to many well known derivative disorders.derivative disorders.

• Inappropriate Inappropriate diet diet in both in both QualityQuality – fats, sugar, salt as well as – fats, sugar, salt as well as QuantityQuantity. . Missing meals at the usual meal times or some fashionable diets can also bring Missing meals at the usual meal times or some fashionable diets can also bring on serious metabolical consequences.on serious metabolical consequences.

• SmokingSmoking, , excessexcess of of alcoholalcohol consumption, consumption, drugsdrugs, too strong , too strong coffeecoffee & & tea tea and and excess of excess of anabolic anabolic & & bio energy stimulants:bio energy stimulants: cola-like drinks. cola-like drinks.

• PharmacomaniaPharmacomania, the use of medicines “just in case”… as well as , the use of medicines “just in case”… as well as self-self-administrationadministration of various medicines, incl. over-the–counter ones, very often in of various medicines, incl. over-the–counter ones, very often in miscalculated doses.miscalculated doses.

• Being overstressed and under constant pressure – inability to de-stress and Being overstressed and under constant pressure – inability to de-stress and relaxrelax

• Sleep depravationSleep depravation, habitual late bed-times & variable sleeping hours when , habitual late bed-times & variable sleeping hours when working shifts working shifts

• Sedentary lifestyleSedentary lifestyle. Neglecting any form of physical activity. Neglecting any form of physical activity• habitual habitual rejection of treatmentrejection of treatment when necessary. when necessary.• Disregard for basicDisregard for basic hygienic ruleshygienic rules e.g. regular washing hands, sneezing e.g. regular washing hands, sneezing

without covering our nose and mouth , dressing inappropriately to the without covering our nose and mouth , dressing inappropriately to the weather… weather…

• Inappropriate Inappropriate diet diet in both in both QualityQuality – fats, sugar, salt as well as – fats, sugar, salt as well as QuantityQuantity. . Missing meals at the usual meal times or some fashionable diets can also bring Missing meals at the usual meal times or some fashionable diets can also bring on serious metabolical consequences.on serious metabolical consequences.

• SmokingSmoking, , excessexcess of of alcoholalcohol consumption, consumption, drugsdrugs, too strong , too strong coffeecoffee & & tea tea and and excess of excess of anabolic anabolic & & bio energy stimulants:bio energy stimulants: cola-like drinks. cola-like drinks.

• PharmacomaniaPharmacomania, the use of medicines “just in case”… as well as , the use of medicines “just in case”… as well as self-self-administrationadministration of various medicines, incl. over-the–counter ones, very often in of various medicines, incl. over-the–counter ones, very often in miscalculated doses.miscalculated doses.

• Being overstressed and under constant pressure – inability to de-stress and Being overstressed and under constant pressure – inability to de-stress and relaxrelax

• Sleep depravationSleep depravation, habitual late bed-times & variable sleeping hours when , habitual late bed-times & variable sleeping hours when working shifts working shifts

• Sedentary lifestyleSedentary lifestyle. Neglecting any form of physical activity. Neglecting any form of physical activity• habitual habitual rejection of treatmentrejection of treatment when necessary. when necessary.• Disregard for basicDisregard for basic hygienic ruleshygienic rules e.g. regular washing hands, sneezing e.g. regular washing hands, sneezing

without covering our nose and mouth , dressing inappropriately to the without covering our nose and mouth , dressing inappropriately to the weather… weather…

Page 22: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Controls & TestsControls & TestsJust like other parts of body have to be controlled by periodic Just like other parts of body have to be controlled by periodic check-ups, heart & blood vessels’ condition also requires to check-ups, heart & blood vessels’ condition also requires to be controlled so that any possible changes or abnormalities be controlled so that any possible changes or abnormalities can be diagnosed at the earliest stages giving us best can be diagnosed at the earliest stages giving us best chance of recoverychance of recovery

Controls & TestsControls & TestsJust like other parts of body have to be controlled by periodic Just like other parts of body have to be controlled by periodic check-ups, heart & blood vessels’ condition also requires to check-ups, heart & blood vessels’ condition also requires to be controlled so that any possible changes or abnormalities be controlled so that any possible changes or abnormalities can be diagnosed at the earliest stages giving us best can be diagnosed at the earliest stages giving us best chance of recoverychance of recovery• Listening to the heart soundsListening to the heart sounds & & murmursmurmurs is the one of a very basic but extremely is the one of a very basic but extremely

valuable examinations from the beginning of everyone’s adulthood- providing the valuable examinations from the beginning of everyone’s adulthood- providing the doctor with crucial information about work of the heart valves and the flow of blood doctor with crucial information about work of the heart valves and the flow of blood stream through them.stream through them.

• ECGECG although dramatically improved today with the computerised diagnosis, remains although dramatically improved today with the computerised diagnosis, remains still the first attempt of investigation, whenever chest pain or a dyspnoea appears. It still the first attempt of investigation, whenever chest pain or a dyspnoea appears. It gives us enormous data about both hemodynamic & cardioelectrography of each part of gives us enormous data about both hemodynamic & cardioelectrography of each part of the heart. To be expert in reading the record requires a long time studying and the heart. To be expert in reading the record requires a long time studying and specialising but, once achieved, the specialist is important for correct diagnosis. Tspecialising but, once achieved, the specialist is important for correct diagnosis. The he Exercise ECG = Stress testExercise ECG = Stress test, enhances the examination by additional data obtained , enhances the examination by additional data obtained when patient performs a physical exercise, so then we know what are heart responses when patient performs a physical exercise, so then we know what are heart responses to the exertion. to the exertion. Holter ECGHolter ECG takes record of heart action in a continuous test during a takes record of heart action in a continuous test during a period of time, usually from 24hrs to a few days.period of time, usually from 24hrs to a few days.

• Echo cardiographyEcho cardiography, , X-rayX-ray, , MRIMRI,, CT CT,, catheterization catheterization andand nuclear cardiography nuclear cardiography, , help us to diagnose the heart and arteries in every detail giving cardiologist and the help us to diagnose the heart and arteries in every detail giving cardiologist and the surgeon basis to precise treatment. surgeon basis to precise treatment.

• Lab – biochemical testLab – biochemical test, CPK, CPK-MB, AST, LDH, Troponin, ions: K+ ,Na+, Mg++, Cl-, , CPK, CPK-MB, AST, LDH, Troponin, ions: K+ ,Na+, Mg++, Cl-, O2-saturation along others, all belong to the screening test during heart problems. O2-saturation along others, all belong to the screening test during heart problems.

• FlebographyFlebography / / arteriographyarteriography and a contrast X-Ray of the vessels’ network is another and a contrast X-Ray of the vessels’ network is another relevant examination of the blood peripheral vessels.relevant examination of the blood peripheral vessels.

• For a general assessment of the heart and peripheral blood circulation network For a general assessment of the heart and peripheral blood circulation network the the pulse ratepulse rate and and Blood PressureBlood Pressure BP, as well as temperature of local part of the body BP, as well as temperature of local part of the body will be taken.will be taken.

• Regular blood test of the Regular blood test of the cholesterolcholesterol & & triglyceridestriglycerides level will be performed if a body level will be performed if a body mass suggests necessity or in patients above middle age. mass suggests necessity or in patients above middle age.

• Listening to the heart soundsListening to the heart sounds & & murmursmurmurs is the one of a very basic but extremely is the one of a very basic but extremely valuable examinations from the beginning of everyone’s adulthood- providing the valuable examinations from the beginning of everyone’s adulthood- providing the doctor with crucial information about work of the heart valves and the flow of blood doctor with crucial information about work of the heart valves and the flow of blood stream through them.stream through them.

• ECGECG although dramatically improved today with the computerised diagnosis, remains although dramatically improved today with the computerised diagnosis, remains still the first attempt of investigation, whenever chest pain or a dyspnoea appears. It still the first attempt of investigation, whenever chest pain or a dyspnoea appears. It gives us enormous data about both hemodynamic & cardioelectrography of each part of gives us enormous data about both hemodynamic & cardioelectrography of each part of the heart. To be expert in reading the record requires a long time studying and the heart. To be expert in reading the record requires a long time studying and specialising but, once achieved, the specialist is important for correct diagnosis. Tspecialising but, once achieved, the specialist is important for correct diagnosis. The he Exercise ECG = Stress testExercise ECG = Stress test, enhances the examination by additional data obtained , enhances the examination by additional data obtained when patient performs a physical exercise, so then we know what are heart responses when patient performs a physical exercise, so then we know what are heart responses to the exertion. to the exertion. Holter ECGHolter ECG takes record of heart action in a continuous test during a takes record of heart action in a continuous test during a period of time, usually from 24hrs to a few days.period of time, usually from 24hrs to a few days.

• Echo cardiographyEcho cardiography, , X-rayX-ray, , MRIMRI,, CT CT,, catheterization catheterization andand nuclear cardiography nuclear cardiography, , help us to diagnose the heart and arteries in every detail giving cardiologist and the help us to diagnose the heart and arteries in every detail giving cardiologist and the surgeon basis to precise treatment. surgeon basis to precise treatment.

• Lab – biochemical testLab – biochemical test, CPK, CPK-MB, AST, LDH, Troponin, ions: K+ ,Na+, Mg++, Cl-, , CPK, CPK-MB, AST, LDH, Troponin, ions: K+ ,Na+, Mg++, Cl-, O2-saturation along others, all belong to the screening test during heart problems. O2-saturation along others, all belong to the screening test during heart problems.

• FlebographyFlebography / / arteriographyarteriography and a contrast X-Ray of the vessels’ network is another and a contrast X-Ray of the vessels’ network is another relevant examination of the blood peripheral vessels.relevant examination of the blood peripheral vessels.

• For a general assessment of the heart and peripheral blood circulation network For a general assessment of the heart and peripheral blood circulation network the the pulse ratepulse rate and and Blood PressureBlood Pressure BP, as well as temperature of local part of the body BP, as well as temperature of local part of the body will be taken.will be taken.

• Regular blood test of the Regular blood test of the cholesterolcholesterol & & triglyceridestriglycerides level will be performed if a body level will be performed if a body mass suggests necessity or in patients above middle age. mass suggests necessity or in patients above middle age.

Page 23: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Additional tests and examinations can be performed in particular Additional tests and examinations can be performed in particular need, on the affected organ, as its vascularisation is usually need, on the affected organ, as its vascularisation is usually involved in such failure.involved in such failure.

From From the complementary medicinethe complementary medicine point of view, these point of view, these examinations are of unprecedented value. Yet some professionals examinations are of unprecedented value. Yet some professionals may take a specific assessment by focussing on conductivity of may take a specific assessment by focussing on conductivity of impulses along the limbs, or want to concentrate on character of impulses along the limbs, or want to concentrate on character of sounds or on palpation of peripheral centres of the pulse. These sounds or on palpation of peripheral centres of the pulse. These examination neither interfere nor contradict above listed medical examination neither interfere nor contradict above listed medical procedures, and they do not replace them. procedures, and they do not replace them.

Additional tests and examinations can be performed in particular Additional tests and examinations can be performed in particular need, on the affected organ, as its vascularisation is usually need, on the affected organ, as its vascularisation is usually involved in such failure.involved in such failure.

From From the complementary medicinethe complementary medicine point of view, these point of view, these examinations are of unprecedented value. Yet some professionals examinations are of unprecedented value. Yet some professionals may take a specific assessment by focussing on conductivity of may take a specific assessment by focussing on conductivity of impulses along the limbs, or want to concentrate on character of impulses along the limbs, or want to concentrate on character of sounds or on palpation of peripheral centres of the pulse. These sounds or on palpation of peripheral centres of the pulse. These examination neither interfere nor contradict above listed medical examination neither interfere nor contradict above listed medical procedures, and they do not replace them. procedures, and they do not replace them. • The serious risk in every case of the heart and blood vessels disorder The serious risk in every case of the heart and blood vessels disorder

requires that complementary professionals give the priority to the requires that complementary professionals give the priority to the conventional medicine.conventional medicine.

• Nevertheless, once the correct path of treatment is decided by Nevertheless, once the correct path of treatment is decided by conventional specialist, the complementary one may support it from conventional specialist, the complementary one may support it from more general approach, in monitoring the progress of recovery and more general approach, in monitoring the progress of recovery and offering offering some herbal remediessome herbal remedies, which can be agreed at the discussion , which can be agreed at the discussion with the specialist, in regard to which remedy, in which form and what with the specialist, in regard to which remedy, in which form and what doses should be administered.doses should be administered.

• In consideration to cardiac arrhythmia problem and increased BP some In consideration to cardiac arrhythmia problem and increased BP some herbal specifics herbal specifics areare entirely excluded,entirely excluded, for instance: foxgloves = for instance: foxgloves = DigitalisDigitalis, , teophyline - teophyline - cocoa beanscocoa beans also in a strong tea also in a strong tea, hawthorn = , hawthorn = CrataegusCrataegus, lily , lily of the valley = Convallaria, St John’s Wort = Hypericum and a few more; of the valley = Convallaria, St John’s Wort = Hypericum and a few more; it is why experienced complementary medicine practitioner must be it is why experienced complementary medicine practitioner must be aware of biochemical interaction of various remedies and potential aware of biochemical interaction of various remedies and potential danger. When in doubt ask the pharmacist, or a herbalist and only use danger. When in doubt ask the pharmacist, or a herbalist and only use qualified specialists when seeking treatment or advice.qualified specialists when seeking treatment or advice.

• The serious risk in every case of the heart and blood vessels disorder The serious risk in every case of the heart and blood vessels disorder requires that complementary professionals give the priority to the requires that complementary professionals give the priority to the conventional medicine.conventional medicine.

• Nevertheless, once the correct path of treatment is decided by Nevertheless, once the correct path of treatment is decided by conventional specialist, the complementary one may support it from conventional specialist, the complementary one may support it from more general approach, in monitoring the progress of recovery and more general approach, in monitoring the progress of recovery and offering offering some herbal remediessome herbal remedies, which can be agreed at the discussion , which can be agreed at the discussion with the specialist, in regard to which remedy, in which form and what with the specialist, in regard to which remedy, in which form and what doses should be administered.doses should be administered.

• In consideration to cardiac arrhythmia problem and increased BP some In consideration to cardiac arrhythmia problem and increased BP some herbal specifics herbal specifics areare entirely excluded,entirely excluded, for instance: foxgloves = for instance: foxgloves = DigitalisDigitalis, , teophyline - teophyline - cocoa beanscocoa beans also in a strong tea also in a strong tea, hawthorn = , hawthorn = CrataegusCrataegus, lily , lily of the valley = Convallaria, St John’s Wort = Hypericum and a few more; of the valley = Convallaria, St John’s Wort = Hypericum and a few more; it is why experienced complementary medicine practitioner must be it is why experienced complementary medicine practitioner must be aware of biochemical interaction of various remedies and potential aware of biochemical interaction of various remedies and potential danger. When in doubt ask the pharmacist, or a herbalist and only use danger. When in doubt ask the pharmacist, or a herbalist and only use qualified specialists when seeking treatment or advice.qualified specialists when seeking treatment or advice.

Page 24: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

In a mild cardiac and blood vessels dysfunctionIn a mild cardiac and blood vessels dysfunction the the complementary medicinecomplementary medicine offers many herbal remedies with offers many herbal remedies with very positive and helpful effect on healing. The therapeutic very positive and helpful effect on healing. The therapeutic facilities of these are already very well known & confirmed. facilities of these are already very well known & confirmed. Almost free from side effects, therefore preferred to Almost free from side effects, therefore preferred to stronger, pharmaceutical drugs…stronger, pharmaceutical drugs… PharmacognosyPharmacognosy, a branch of pharmacology, informs us about bio , a branch of pharmacology, informs us about bio chemical compounds and their medical facilities in plants-related chemical compounds and their medical facilities in plants-related medications, which are listed in medications, which are listed in pharmacopoeiaspharmacopoeias of majority of of majority of countries in the world. It tells us what we can expect from each one.countries in the world. It tells us what we can expect from each one.

In a mild cardiac and blood vessels dysfunctionIn a mild cardiac and blood vessels dysfunction the the complementary medicinecomplementary medicine offers many herbal remedies with offers many herbal remedies with very positive and helpful effect on healing. The therapeutic very positive and helpful effect on healing. The therapeutic facilities of these are already very well known & confirmed. facilities of these are already very well known & confirmed. Almost free from side effects, therefore preferred to Almost free from side effects, therefore preferred to stronger, pharmaceutical drugs…stronger, pharmaceutical drugs… PharmacognosyPharmacognosy, a branch of pharmacology, informs us about bio , a branch of pharmacology, informs us about bio chemical compounds and their medical facilities in plants-related chemical compounds and their medical facilities in plants-related medications, which are listed in medications, which are listed in pharmacopoeiaspharmacopoeias of majority of of majority of countries in the world. It tells us what we can expect from each one.countries in the world. It tells us what we can expect from each one.

for instance: for instance:

• a specific derivative from Cuckoo-flower = a specific derivative from Cuckoo-flower = Cardamine pratensisCardamine pratensis – is quite effectively – is quite effectively beneficial, for boosting the heart muscle. beneficial, for boosting the heart muscle.

• opposing specific, setwall = opposing specific, setwall = Valeriana officinalis -Valeriana officinalis - has natural relaxing and calming has natural relaxing and calming effect.effect.

• horse chestnut = horse chestnut = Aesculus hippocastanumAesculus hippocastanum is well known for its pro-veins facilities. is well known for its pro-veins facilities.

• as natural diuretics as natural diuretics CeleryCelery and and ParsleyParsley, also have blood thinning effect similar to , also have blood thinning effect similar to 75mg aspirin. Taking these be carful if administering warfarin or sinkumar 75mg aspirin. Taking these be carful if administering warfarin or sinkumar drugs for drugs for thrombotic and blood clots preventionthrombotic and blood clots prevention at they will at they will change change the INRthe INR value! value!

• Comfrey = Comfrey = Symphytum officinaleSymphytum officinale - has a good reputation as anti-inflammatory effect - has a good reputation as anti-inflammatory effect , especially for the leg veins when inflamed. , especially for the leg veins when inflamed. The alternative plants in world herbarium exist - thousands of various species - The alternative plants in world herbarium exist - thousands of various species - but their effect is of similar on the cardiovascular disorders.but their effect is of similar on the cardiovascular disorders.

Apart from these, there also exist many herbal essential oils which, if applied rationally Apart from these, there also exist many herbal essential oils which, if applied rationally as aromatherapy, would be very helpful to both heart and blood vessels.as aromatherapy, would be very helpful to both heart and blood vessels.

for instance: for instance:

• a specific derivative from Cuckoo-flower = a specific derivative from Cuckoo-flower = Cardamine pratensisCardamine pratensis – is quite effectively – is quite effectively beneficial, for boosting the heart muscle. beneficial, for boosting the heart muscle.

• opposing specific, setwall = opposing specific, setwall = Valeriana officinalis -Valeriana officinalis - has natural relaxing and calming has natural relaxing and calming effect.effect.

• horse chestnut = horse chestnut = Aesculus hippocastanumAesculus hippocastanum is well known for its pro-veins facilities. is well known for its pro-veins facilities.

• as natural diuretics as natural diuretics CeleryCelery and and ParsleyParsley, also have blood thinning effect similar to , also have blood thinning effect similar to 75mg aspirin. Taking these be carful if administering warfarin or sinkumar 75mg aspirin. Taking these be carful if administering warfarin or sinkumar drugs for drugs for thrombotic and blood clots preventionthrombotic and blood clots prevention at they will at they will change change the INRthe INR value! value!

• Comfrey = Comfrey = Symphytum officinaleSymphytum officinale - has a good reputation as anti-inflammatory effect - has a good reputation as anti-inflammatory effect , especially for the leg veins when inflamed. , especially for the leg veins when inflamed. The alternative plants in world herbarium exist - thousands of various species - The alternative plants in world herbarium exist - thousands of various species - but their effect is of similar on the cardiovascular disorders.but their effect is of similar on the cardiovascular disorders.

Apart from these, there also exist many herbal essential oils which, if applied rationally Apart from these, there also exist many herbal essential oils which, if applied rationally as aromatherapy, would be very helpful to both heart and blood vessels.as aromatherapy, would be very helpful to both heart and blood vessels.

Page 25: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Medicines & herbal specifics to Medicines & herbal specifics to prevent the heart attack as well as prevent the heart attack as well as thrombosis – a blood clot inside of thrombosis – a blood clot inside of the affected blood vesselthe affected blood vessel

Medicines & herbal specifics to Medicines & herbal specifics to prevent the heart attack as well as prevent the heart attack as well as thrombosis – a blood clot inside of thrombosis – a blood clot inside of the affected blood vesselthe affected blood vessel

• AspirinAspirin plays preventive role as anti aggregative factor to thrombocytes plays preventive role as anti aggregative factor to thrombocytes inside blood vessels. inside blood vessels. It prevents blockages (blood clots) of coronary arteries of the It prevents blockages (blood clots) of coronary arteries of the heart and all peripheral blood vessels, eventually saving us from an infarct. It is heart and all peripheral blood vessels, eventually saving us from an infarct. It is proven that its benefits far outweigh risk of bleeding and stroke, as in dose ofproven that its benefits far outweigh risk of bleeding and stroke, as in dose of 75 – 80 75 – 80 mg “the baby Aspirin”mg “the baby Aspirin” should not trigger these processes in normal conditions, as should not trigger these processes in normal conditions, as extensive trials confirm . Therefore it is strongly recommended to everyoneextensive trials confirm . Therefore it is strongly recommended to everyone over 45 over 45 years of ageyears of age. . NB. For younger, who reveal symptoms of a chest pain the used dose is NB. For younger, who reveal symptoms of a chest pain the used dose is usually 300mg.usually 300mg.

• Herbal remediesHerbal remedies play part in this prevention very well and provide us with play part in this prevention very well and provide us with many positive effects on vessels walls. Some of them act as antiarhythimics many positive effects on vessels walls. Some of them act as antiarhythimics and vaso-contracting or vasodilatatives and vaso-contracting or vasodilatatives = = relaxingrelaxing., thus as blood pressure ., thus as blood pressure modulators. Among them let’s name: Arnica tincturemodulators. Among them let’s name: Arnica tincture= = Flos ArniceFlos Arnice , Hawthorn, Hawthorn= =

Flos CrategiFlos Crategi ATC:C01 EBATC:C01 EB, Valerian, Valerian ==Radix ValerianaeRadix Valerianae, , RauwolfiaRauwolfia= = Radix Rauwolfiae=AimalinumRadix Rauwolfiae=Aimalinum

ATC: C01 BAATC: C01 BA, , Ginseng= EleutherococcusGinseng= Eleutherococcus== Rhisoma/ Radix EleutherococciRhisoma/ Radix Eleutherococci,, Aloe Aloe flos recens flos recens extractextract/ tincture/ tincture - - the last two as biogenic stimulant & an the last two as biogenic stimulant & an analepticanaleptic, a restorative & , a restorative & invigorating herbal medicine invigorating herbal medicine

• Those, which are commonly known shouldn’t be taken freely, but only after Those, which are commonly known shouldn’t be taken freely, but only after consultation with yourconsultation with your complementary medicine doctor and pharmacist. complementary medicine doctor and pharmacist.

• AspirinAspirin plays preventive role as anti aggregative factor to thrombocytes plays preventive role as anti aggregative factor to thrombocytes inside blood vessels. inside blood vessels. It prevents blockages (blood clots) of coronary arteries of the It prevents blockages (blood clots) of coronary arteries of the heart and all peripheral blood vessels, eventually saving us from an infarct. It is heart and all peripheral blood vessels, eventually saving us from an infarct. It is proven that its benefits far outweigh risk of bleeding and stroke, as in dose ofproven that its benefits far outweigh risk of bleeding and stroke, as in dose of 75 – 80 75 – 80 mg “the baby Aspirin”mg “the baby Aspirin” should not trigger these processes in normal conditions, as should not trigger these processes in normal conditions, as extensive trials confirm . Therefore it is strongly recommended to everyoneextensive trials confirm . Therefore it is strongly recommended to everyone over 45 over 45 years of ageyears of age. . NB. For younger, who reveal symptoms of a chest pain the used dose is NB. For younger, who reveal symptoms of a chest pain the used dose is usually 300mg.usually 300mg.

• Herbal remediesHerbal remedies play part in this prevention very well and provide us with play part in this prevention very well and provide us with many positive effects on vessels walls. Some of them act as antiarhythimics many positive effects on vessels walls. Some of them act as antiarhythimics and vaso-contracting or vasodilatatives and vaso-contracting or vasodilatatives = = relaxingrelaxing., thus as blood pressure ., thus as blood pressure modulators. Among them let’s name: Arnica tincturemodulators. Among them let’s name: Arnica tincture= = Flos ArniceFlos Arnice , Hawthorn, Hawthorn= =

Flos CrategiFlos Crategi ATC:C01 EBATC:C01 EB, Valerian, Valerian ==Radix ValerianaeRadix Valerianae, , RauwolfiaRauwolfia= = Radix Rauwolfiae=AimalinumRadix Rauwolfiae=Aimalinum

ATC: C01 BAATC: C01 BA, , Ginseng= EleutherococcusGinseng= Eleutherococcus== Rhisoma/ Radix EleutherococciRhisoma/ Radix Eleutherococci,, Aloe Aloe flos recens flos recens extractextract/ tincture/ tincture - - the last two as biogenic stimulant & an the last two as biogenic stimulant & an analepticanaleptic, a restorative & , a restorative & invigorating herbal medicine invigorating herbal medicine

• Those, which are commonly known shouldn’t be taken freely, but only after Those, which are commonly known shouldn’t be taken freely, but only after consultation with yourconsultation with your complementary medicine doctor and pharmacist. complementary medicine doctor and pharmacist.

Page 26: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Health assessment of heart & circulatory Health assessment of heart & circulatory system condition highlights possible system condition highlights possible symptoms and the degree of their inefficiency symptoms and the degree of their inefficiency should it appear. Classified as four stages by should it appear. Classified as four stages by the NYHAthe NYHA is today commonly known and used is today commonly known and used worldwide:worldwide:

Health assessment of heart & circulatory Health assessment of heart & circulatory system condition highlights possible system condition highlights possible symptoms and the degree of their inefficiency symptoms and the degree of their inefficiency should it appear. Classified as four stages by should it appear. Classified as four stages by the NYHAthe NYHA is today commonly known and used is today commonly known and used worldwide:worldwide:

• II - - A A heart & circulation problems seem to exist, often without any heart & circulation problems seem to exist, often without any visible symptoms either when moderately active or while resting. Only visible symptoms either when moderately active or while resting. Only very intensive activity reveals and indirect examinations confirms the very intensive activity reveals and indirect examinations confirms the onset of these problems.onset of these problems. At this stage the Complementary Medicine is At this stage the Complementary Medicine is most effective.most effective.

• IIII - - Certain moderate deficiency, like difficulty in breathing and pain in Certain moderate deficiency, like difficulty in breathing and pain in the chest while climbing stairs or running for the bus comes to light.the chest while climbing stairs or running for the bus comes to light. My My advise: control it and manage the symptoms with low doses of appropriate advise: control it and manage the symptoms with low doses of appropriate medication.medication.

• IIIIII - - a physical disability at every exertion, however symptoms a physical disability at every exertion, however symptoms disappear shortly after rest. Physical efforts are evidently very limited.disappear shortly after rest. Physical efforts are evidently very limited. The exact time to treat the problem as serious and remain under cardiologist’s The exact time to treat the problem as serious and remain under cardiologist’s regular control.regular control.

• IVIV -- strong persisting chest pain and dispnoe, strong persisting chest pain and dispnoe, insufficientia circulatoriainsufficientia circulatoria of of the coronary arteries and peripheral blood circulation, even when at the coronary arteries and peripheral blood circulation, even when at rest. Patient is entirely confined to bed. rest. Patient is entirely confined to bed. Radical and effective immediate Radical and effective immediate treatment is required. At this stage there is highest risk of death.treatment is required. At this stage there is highest risk of death. Holistic Holistic support of Complementary Medicine comes to its own at that stage: support of Complementary Medicine comes to its own at that stage: preventing bedsores, edemas, indigestion, insomnia & nervous stress.preventing bedsores, edemas, indigestion, insomnia & nervous stress.

Page 27: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Augmentative role of medical Augmentative role of medical treatment on the heart & blood treatment on the heart & blood

vessels.vessels.

Augmentative role of medical Augmentative role of medical treatment on the heart & blood treatment on the heart & blood

vessels.vessels. • Amongst the key methods of the Complementary Medicine, Amongst the key methods of the Complementary Medicine,

hydrotherapyhydrotherapy & & balneologybalneology provide undisputed benefits for provide undisputed benefits for everybody everybody in preventionin prevention as well as during later stages of as well as during later stages of recovery process. Additionally, combination of various types of recovery process. Additionally, combination of various types of massagemassage,, hydrotherapy hydrotherapy, , herbal compressesherbal compresses and and physiotherapyphysiotherapy contribute to regaining health at every point. contribute to regaining health at every point.

• Today, as never before, people value these types of treatments Today, as never before, people value these types of treatments and their providers. Well equipped clinics have fantastic and their providers. Well equipped clinics have fantastic equipment and fully qualified professionals to provide the most equipment and fully qualified professionals to provide the most specialistic procedures. Benefits far exceed placebo effect, as specialistic procedures. Benefits far exceed placebo effect, as many ignorant people claim – as we commonly known many ignorant people claim – as we commonly known worldwide. worldwide.

• Complementary medicine resorts are fully pre-booked and really Complementary medicine resorts are fully pre-booked and really busy, from very famous, like Karlove Vary, Vichy, Heviz or busy, from very famous, like Karlove Vary, Vichy, Heviz or Wiesbaden and Trentino to equally beneficial, even if much less Wiesbaden and Trentino to equally beneficial, even if much less famous, like distant spas (ffamous, like distant spas (füürdos) in Hungarian countrysiderdos) in Hungarian countryside

• Amongst the key methods of the Complementary Medicine, Amongst the key methods of the Complementary Medicine, hydrotherapyhydrotherapy & & balneologybalneology provide undisputed benefits for provide undisputed benefits for everybody everybody in preventionin prevention as well as during later stages of as well as during later stages of recovery process. Additionally, combination of various types of recovery process. Additionally, combination of various types of massagemassage,, hydrotherapy hydrotherapy, , herbal compressesherbal compresses and and physiotherapyphysiotherapy contribute to regaining health at every point. contribute to regaining health at every point.

• Today, as never before, people value these types of treatments Today, as never before, people value these types of treatments and their providers. Well equipped clinics have fantastic and their providers. Well equipped clinics have fantastic equipment and fully qualified professionals to provide the most equipment and fully qualified professionals to provide the most specialistic procedures. Benefits far exceed placebo effect, as specialistic procedures. Benefits far exceed placebo effect, as many ignorant people claim – as we commonly known many ignorant people claim – as we commonly known worldwide. worldwide.

• Complementary medicine resorts are fully pre-booked and really Complementary medicine resorts are fully pre-booked and really busy, from very famous, like Karlove Vary, Vichy, Heviz or busy, from very famous, like Karlove Vary, Vichy, Heviz or Wiesbaden and Trentino to equally beneficial, even if much less Wiesbaden and Trentino to equally beneficial, even if much less famous, like distant spas (ffamous, like distant spas (füürdos) in Hungarian countrysiderdos) in Hungarian countryside

Page 28: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

For For the heart & the heart & blood circulationblood circulation, , there is a lot of there is a lot of evidence that both evidence that both conventionalconventional & & complementary complementary medicinemedicine come out come out of a common stem of a common stem of knowledge, all of knowledge, all based on humans’ based on humans’ biology. biology.

For For the heart & the heart & blood circulationblood circulation, , there is a lot of there is a lot of evidence that both evidence that both conventionalconventional & & complementary complementary medicinemedicine come out come out of a common stem of a common stem of knowledge, all of knowledge, all based on humans’ based on humans’ biology. biology. Therefore, especially for the Therefore, especially for the

cardiovascular systemcardiovascular system, , a close co-operationa close co-operation

between all specialists is between all specialists is invaluable and extremely invaluable and extremely important.. important..

Particularly today, when it Particularly today, when it is impossible for one is impossible for one doctor to be an expert in doctor to be an expert in every discipline.every discipline.

Therefore, especially for the Therefore, especially for the cardiovascular systemcardiovascular system, ,

a close co-operationa close co-operation between all specialists is between all specialists is invaluable and extremely invaluable and extremely important.. important..

Particularly today, when it Particularly today, when it is impossible for one is impossible for one doctor to be an expert in doctor to be an expert in every discipline.every discipline.

Page 29: The heart and circulatory system - how its deterioration can be prevented by aspects of Complementary Medicine. by Dr Jakub S.Malinowski Knowler MD, MSc, CThAMCP, CNHSreg, NHS-DirM,

Now, that you are more Now, that you are more aware of the facts, before aware of the facts, before you begin to worry about you begin to worry about your health, your health, seek second seek second opinion by asking the most opinion by asking the most reliable specialist.reliable specialist.

Do not try Do not try any treatment any treatment on your own, on your own, as it is too risky and as it is too risky and may cause may cause unexpected unexpected problems… problems…

Now, that you are more Now, that you are more aware of the facts, before aware of the facts, before you begin to worry about you begin to worry about your health, your health, seek second seek second opinion by asking the most opinion by asking the most reliable specialist.reliable specialist.

Do not try Do not try any treatment any treatment on your own, on your own, as it is too risky and as it is too risky and may cause may cause unexpected unexpected problems… problems…

For a consultation contact the author :For a consultation contact the author : www.drmalinowskiknowler.cwww.drmalinowskiknowler.co.uko.uk

For a consultation contact the author :For a consultation contact the author : www.drmalinowskiknowler.cwww.drmalinowskiknowler.co.uko.uk