- Foundational Knowledge: Comprehensive understanding of heavy metal toxicity, cardiovascular pathology, and detoxification mechanisms.
- Practical Skills: Hands-on training in intravenous chelation administration, patient assessment, and safety protocols.
- Clinical Competence: Supervised patient care experience implementing arterial clearance therapy for cardiac rehabilitation.
Course Modules
The curriculum integrates theoretical knowledge with practical application across five sequential learning stages:
| Module | Focus Area | Description |
|---|---|---|
| I | Biochemistry and Toxicology | Cellular mechanisms of heavy metal accumulation and molecular pathways of detoxification. |
| II | Assessment Protocols | Diagnostic testing, patient evaluation, and contraindication screening procedures. |
| III | Chelation Methodology | IV administration techniques, dosage protocols, and safety monitoring systems. |
| IV | Arterial Clearance | Advanced EDTA therapy for cardiovascular rehabilitation and plaque reduction. |
| V | Clinical Practice | Supervised patient care, outcome assessment, and treatment optimization. |
Patient Assessment and Diagnostics
Comprehensive patient evaluation ensures safe therapeutic intervention through systematic screening protocols.
- Heavy Metal Screening: Provoked urine testing protocols, blood metal analysis, hair mineral testing, and interpretation criteria.
- Cardiovascular Evaluation: Echocardiography parameters, stress testing indications, coronary calcium scoring, and peripheral vascular assessment.
- Renal Function Testing: Baseline creatinine clearance calculations, estimated GFR determination, and proteinuria screening.
Clinical Applications
Appropriate Indications
- Confirmed heavy metal toxicity.
- Peripheral vascular disease.
- Coronary artery disease with angina.
- Cerebrovascular insufficiency.
- Intermittent claudication.
- Post-myocardial infarction rehabilitation.
Critical Contraindications
Severe renal impairment ($CrCl < 30~mL/min$), active pregnancy or lactation, known EDTA/chelating agent allergy, cardiac decompensation, electrolyte instability, uncontrolled hypertension, and acute myocardial infarction require treatment deferral or modification.
Certification Requirements
Certification requires passing scores on comprehensive written examinations, practical skills demonstrations, and completion of supervised clinical rotations.
- Theory: 40 Hours of comprehensive didactic instruction.
- Practical: 25 Hours of hands-on skill development.
- Clinical: 15 Hours of supervised patient care experience.
- Assessments: 3 Examinations including a written exam, skills demonstration, and a clinical case portfolio.

