OS Considerations In CV Disorders

Question 1

Sympathetic fibers that originate from the left side pass through the left deep plexus and innervate the ___

Answer 1

AV node

Hyperstimulating predisposes to ectopic foci and V Fib

Question 2

The __ vagus n. supplies parasympathetics to the SA node while the ___ vagus n. suppplies parasympathetics to the AV node

Answer 2

Right

Left

Question 3

Vagal connections (parasympathetics) are abundant in these areas of the head:

Answer 3

OA
AA
C2 areas

Question 4

Lymphatic drainage from the heart and lungs is mainly via the ___

Answer 4

Right lymphatic duct

Question 5

Peripherally, lymphatic congestion has been linked to ___

Answer 5

Atherosclerosis and HTN

Question 6

The thoracic duct is under this form of autonomic control

Answer 6

Sympathetic

Hypersympathetic activity can reduce flow capacity

Question 7

What should you treat in someone with severe scoliosis since it can compromise cardiac function?

Answer 7

Must tx the postural stressor –> biomechanical model of tx

Question 8

Anterior wall infarctions have more pain referral pattern changes in ___

Answer 8

T1-4

Question 9

Classic cardiac and coronary pain referral patterns can demonstrate palpatory changes found mostly at levels of T1-4 on the __

Answer 9

Left

Question 10

Posterior and inferior wall MI has pain referral patterns and palpatory changes at ___ which is rich in vagal connections and increased bradyarrhythmias

Answer 10

C2

Question 11

What did JC Licciaridones study on osteopathic findings in HTN, Type 2 DM, and depression conclude?

Answer 11

HTN is strongly associated with bilateral trophic changes at T5=7. T8-10., and T11-L2

This study is unique in controlling for age, sex, and other comorbid conditions

Question 12

What is the first tx goal for a pt with an MI?

Answer 12

Decrease sympathetic activity in upper thoracic (neurological model) –> indirect techniques such a paraspinal inbhibition

Question 13

If you need vagal stimulation in a pt with an inferior wall MI you should focus your omm tx on ___

Answer 13

C2 and cranial base

Inferior wall infarction, tx these areas to help decrease bradyarrhythmias, hypotension, and decreased coronary flow to ischemic tissue

Question 14

If you need sympathetic stimulation in an anterior wall MI pt, your OMM tx should be focused on this area:

Answer 14

T2-3 on the left

Tx these areas to help decrease risk of supraventricular and ventricular arrhythmias

Question 15

For a pt who has an MI, you can tx the thoracic inlet ___

If post-resuscitation, you can do indirect tx to the ___

Answer 15

Indirectly

Ribs and sternum

Question 16

Tx of HTN with OMT is aimed at supporting homesostatic mechanisms. List which areas of the body to focus on:

Answer 16

Address kidney and adrenals –> actively involved in body homeostasis

Tx the whole spine –> sympathetic innervation involves entire spinal column

Involves resp/fluid, neurological, and energy model

Question 17

What is the posterior chapmans point for HTN

Answer 17

T11-12

Drops the systolic and diastolic BP as well as aldosterone

Question 18

How do you modify vagal tone in arrhythmias?

Answer 18

Oculocardiac reflex
Carotid sinus
Valsalva
OA/AA/C2

Reduce segmental facilitation in the upper thoracics (neurological model) –> adresses sympathetics

Question 19

Tx emphasis in CHF is on:

Answer 19

Lymphatics (resp-fluid model)

Autonomics (neurological model)

Question 20

How can you tx CHF with OMM?

Answer 20

Tx thoracolumbar diaphragm –> optimize lymphatic pump

Tx thoracic cage

Lymphatic pump and effleurage/petrasssage

Question 21

Sympathetic fibers (T1-6) originating from the right pass to the right deep cardiac plexus and innervate the __

Answer 21

SA node

Hyperactivity predisposes to supraventricular arrhythmias