This book establishes and specifies a rigorously scientific and clinically valid basis for nonpharmaceutical approaches to many common diseases and disorders found in clinical settings. It includes lifestyle and supplement recommendations for beginning and maintaining autonomic nervous system and mitochondrial health and wellness. The book is organized around a six-pronged mind-body wellness program and contains a series of clinical applications and frequently asked questions. The physiologic need and clinical benefit and synergism of all six aspects working together are detailed, including the underlying biochemistry, with exhaustive references to statistically significant and clinically relevant studies. The book covers a range of clinical disorders, including anxiety, arrhythmia, atherosclerosis, bipolar disease, dementia, depression, fatigue, fibromyalgia, heart diseases, hypertension, mast cell disorder, migraine, and PTSD. Clinical Autonomic and Mitochondrial Disorders: Diagnosis, Prevention, and Treatment for Mind-Body Wellness is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, primary care, neurology, endocrinology, psychiatry, and integrative and functional medicine. It provides therapy options to the indications and diagnoses published in our book Clinical Autonomic Dysfunction (Springer, 2014).
Autorentext
Nicholas L. DePace, MD, FACC
Franklin Cardiovascular Associates
Autonomic Dysfunction and POTS Center
Clinical Professor of Medicine
Hahnemann Hospital
Drexel University
Attending Cardiologist
Pennsylvania Hospital Penn Medicine
Philadelphia, PA
USA
Joseph Colombo, Ph.D.
CTO & Senior Medical Director, TMCAMS, Inc.
Parasympathetic & Sympathetic Nervous System Consultant
Franklin Cardiovascular Associates
Inhalt
TABLE OF CONTENTS
DISCLAIMER6
FOREWORD7
PREFACE8
SUMMARY10
1.INTRODUCTION17
2.ABOUT THE PROGRAM18
Energy Production21
Back To The Program32
The Importance of Antioxidants33
3.OMEGA-3 FATTY ACIDS (Prong-1)47
Details of Oxidized LDL and Atherosclerosis Production51
Fish Oil Omega-3s as an Anti-inflammatory54
More Properties of Fish Oil66
Summary of Cumulative Data70
4.NITRIC OXIDE (Prong-2)75
The Universal Messenger77
Detoxification and the Urea Cycle89
Nitric Oxide Production92
Beet Root Powder99
L-Arginine100
L-Citrulline105
L-Carnitine109
The Anti-Atherosclerotic Molecule110
An Anti-Inflammatory Molecule113
Erectile Dysfunction115
An Antioxidant Molecule116
Heart Failure117
Nitric Oxide in the Nervous System124
The Dark-Side of Nitric Oxide129
Summary133
5.OXIDATIVE STRESS REDUCTION (Prong-3)138
Reduce Mitochondrial Dysfunction142
Oxidative Stress150
Markers of Oxidative Stress153Aldehydes: Oxidative stress and ROS production vs. Alpha-Lipoic Acid, as Modeled in Diabetes155
Oxidative Stress in Cardiovascular Diseases159
Oxidative Stress I: Biology and Cardiovascular Disease168
Oxidative Stress II: Impact on the Heart and Vasculature170
Oxidative Stress III: Cardiovascular Risk of Obesity, Diabetes, Smoking, and Pollution175
Oxidative Stress and Aging176
Homocysteine186
Folic Acid (Vitamin B9)191
Tryptophan192
Oxidative Stress and Autonomic Neuropathy, Type II Diabetes as a Model196
Application in Bipolar Disease221
Application in Heart Failure223
Application in Fatty Liver Disease226
Application in Mast Cell Activation Syndrome and Food Allergies228
Preventing the Dark-Side of Nitric Oxide232
6.MEDITERRANEAN DIET (Prong-4)236
Disease and the Mediterranean Diet239
Endothelial Function and the Mediterranean Diet247
Polyphenols and the Mediterranean Diet249
The Mediterranean Diet: What To Expect250
Health Benefits of Olive Oil253
The Power of the Grape256
The Incredible Whole Wheat Grain258
Resveratrol262
Antioxidant Effects263
Mediterranean Diet Summary266
Alcohol Consumption273
7.EXERCISE (Prong-5)276
Exercise and the Nervous System281
Antioxidant Effects286
Exercise and Endothelial Function288
Exercise and Physical Activity292
8.PSYCHOSOCIAL STRESS REDUCTION (PRONG-6)305
Hypothalamus-Pituitary-Adrenal Axis Connects Brain and Body307
The Nervous System's Brain-Body Connections314
Modulation of Parasympathetic and Sympathetic Input to the Heart318
Emotion and Sudden Arrhythmic Death322
Emotions Modulate P&S Activity327
Stress, Emotions, The Vagus Nerve, and Inflammation330
Lateralization of Emotions and P&S Responses331
The Brain-Heart Connection334
Dentistry is Also Connected337
The Vagus Nerve339
The Brain-Gut Connection344
Dynamic Parasympathetic Excess345
Some Comments on Adrenal Fatigue349
Reducing Stress is an Antioxidant350
9.Mind-body wellness program benefits357
Contra-Indications or Interactions357
Alpha-Lipoic Acid Interactions357
Coenzyme Q-10 Interactions358
L-Arginine Interactions358
L-Carnitine Interactions358
L-Citrulline Interactions359
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