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AHA Releases Scientific Statement on Cardiovascular Health in Childhood - Practice Guidelines

Tongue Bump - Photo Quiz

Routine Vitamin Supplementation to Prevent Cancer and Cardiovascular Disease - Putting Prevention into Practice

Antidepressants and Smoking Cessation - Cochrane for Clinicians

Estimating 10-year Mortality Risk - Point-of-Care Guides

Abdominal Aortic Aneurysm - Article

ABSTRACT: Most abdominal aortic aneurysms (AAAs) are asymptomatic, not detectable on physical examination, and silent until discovered during radiologic testing for other reasons. Tobacco use, hypertension, a family history of AAA, and male sex are clinical risk factors for the development of an aneurysm. Ultrasound, the preferred method of screening, is cost-effective in high-risk patients. Repair is indicated when the aneurysm becomes greater than 5.5 cm in diameter or grows more than 0.6 to 0.8 cm per year. Asymptomatic patients with an AAA should be medically optimized before repair, including institution of beta blockade. Symptomatic aneurysms present with back, abdominal, buttock, groin, testicular, or leg pain and require urgent surgical attention. Rupture of an AAA involves complete loss of aortic wall integrity and is a surgical emergency requiring immediate repair. The mortality rate approaches 90 percent if rupture occurs outside the hospital. Although open surgical repair has been performed safely, an endovascular approach is used in select patients if the aortic and iliac anatomy are amenable. Two large randomized controlled trials did not find any improvement in mortality rate or morbidity with this approach compared with conventional open surgical repair.

Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women - Putting Prevention into Practice

Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women: Reaffirmation Recommendation Statement - U.S. Preventive Services Task Force

End-stage Renal Disease - Clinical Evidence Handbook

AHA and ACC Outline Approaches to Coronary Disease Risk Assessment - Practice Guidelines

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