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From the Townsend Letter
February / March 2013

The Milner Acetylcholine Protocol (MAP) for Management of Cardiac Dysrhythmias
by Jeremy Mikolai, ND, and Martin Milner, ND
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MAP therapy has been successful in many patients with varying types of tachycardia and dysrhythmias over its years of use. We have successfully combined it with other natural, medical, and surgical interventions to equal success. There are patients who are nonresponders to MAP, but they can be identified and redirected to other therapies within a few weeks of MAP trial. MAP is our first line natural treatment for tachydysrhythmias, especially when comorbidities such as dyslipidemia or metabolic syndrome exist.

We have presented only a small sample of straightforward case data here. We will continue to publish on the successful use of MAP in more complex cases beginning with an upcoming peer-reviewed case series. Following that, we intend to begin comparative effectiveness trials of MAP plus usual therapy (conventional pharmaceutical rate and rhythm control agents) versus usual therapy plus placebo. The MAP is a promising treatment option that warrants further investigation.

To contact the authors or for further information:
Dr. Martin Milner and Dr. Jeremy Mikolai
Heart & Lung Wellness Program
Center for Natural Medicine Inc. (CNM)
1330 SE Cesar E Chavez Blvd.
Portland, Oregon 97214

These authors have no financial conflicts of interest to declare.

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Jeremy Mikolai, ND, is the cofounder of the Naturopathic Institute of Cardiovascular and Pulmonary Medicine (NICVM). He is the attending physician in cardiovascular and pulmonary medicine at the National College of Natural Medicine (NCNM) and co-attending physician in the Heart & Lung Wellness program at the Center for Natural Medicine (CNM), both in Portland, OR. He is in his third year as the Heart & Lung Resident under the mentorship of Dr. Martin Milner at CNM and is the chief resident for 2012–2013 at NCNM. Dr. Mikolai is active in research and is an adjunct faculty member in the Masters of Science in Integrative Medicine Research (MSiMR) program at the Helfgott Research Institute at NCNM. He is actively working to create the first ND fellowship in cardiology.

Martin Milner, ND, has been in private practice since 1983 and is the medical director of the Center for Natural Medicine, Inc. CNM functions both as an integrated group medical practice and as a teaching clinic of NCNM. CNM is also active in clinical trials and research. Dr. Milner is the professor of cardiovascular and pulmonary medicine at NCNM and has been since 1986. He continues to supervise and mentor 48 ND student interns per year in the Heart & Lung Wellness Program, which he has maintained since 1999. He trains two ND residents each year, one who assists him in the Heart & Lung Wellness Program and one in his private practice. Dr. Milner is actively pursuing, with Dr. Mikolai, the creation of the first board certification program for NDs in Naturopathic Cardiology. In this regard, Dr. Milner and Dr. Mikolai cofounded the Naturopathic Institute of Cardiovascular and Pulmonary Medicine (, offering a rigorous curriculum of postgraduate education in naturopathic cardiovascular and pulmonary medicine.

Joseph DelGrosso, RD, (illustrator) is currently in his fourth year as a naturopathic medical student at the National College of Natural Medicine and a registered dietitian. He graduated magna cum laude in 2008 with a bachelor of science in dietetics from the State University of New York College at Oneonta, where he received the distinction of most outstanding dietetic student. He completed his dietetic internship at Queens College, New York.

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