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Secondary Coronary Prevention: Effective Integrative Management

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Individuals with established heart disease, or survivors of major coronary events, are at very high 5- year risk for suffering a second event. While modern pharmacotherapy has afforded individuals in these settings an important magnitude of risk reduction from subsequent events, a number of important diet, lifestyle, and natural health product strategies have been clearly shown to deliver highly significant risk reduction beyond this current standard of care. The talk will showcase expected benefits from pharmacotherapy, then go on to showcase expected impact from diet change, exercise, and a selection of natural health products. In combination, the addition of such a comprehensive integrative approach delivers an enormous magnitude of benefit for individuals in settings of secondary coronary prevention.

Learning Objectives:

  • Pharmacotherapy commonly prescribed to individuals in settings of secondary coronary prevention, and the expected magnitude of benefit from such prescriptions.
  • Review the diet most researched in secondary coronary prevention, and the magnitude of benefit it provides.
  • Review evidence of exercise following a cardiovascular event, and the magnitude of benefit delivered when implemented in secondary coronary prevention.
  • Review evidence relating to a selection of natural health products (focus = CoQ10, acetyl-l-carnitine, thiamine, fish oil) and the expected magnitude of benefit delivered from their application.

CE credits

Canadian Residents: CONO: Category A-1.0 credit (0.25 pharmacology); British Columbia: Category C-1.0 credit (0.25 pharmacology)
AANP: 1.0 credit (0.25 pharmacy)
OANP: 1.0 credit (0.25 pharmacy)

Dr Philip Rouchotas, MSc, ND

Dr Philip Rouchotas, MSc, ND

Dr Rouchotas practices at the Bolton Naturopathic Clinic in Bolton, Ontario. His areas of clinical focus include metabolic syndrome (overweight/ obesity, diabetes, cholesterol, hypertension), autoimmune concerns (arthritis, asthma, inflammatory bowel disease, psoriasis/eczema/acne), mental health concerns, and autism. Philip is also an Associate Professor with the Canadian College of Naturopathic Medicine (CCNM), responsible for assimilation and delivery of the second year curriculum in Clinical Nutrition. He serves as the Editor-in-Chief of Integrated Healthcare Practitioners, a peer- reviewed journal reaching ND’s, MD’s, and DC’s across Canada. Philip graduated from CCNM in 2004, preceded by an honours undergraduate degree and Masters of Science degree, both from the University of Guelph in Nutritional Sciences.