ITEMS IN AFP WITH KEYWORD:

Heart Disease

Mar 1, 2016 Issue
Influenza Vaccination for the Prevention of Cardiovascular Disease [Cochrane for Clinicians]

Influenza vaccination may reduce cardiovascular mortality in patients with established cardiovascular disease. The effect of vaccination is unclear among patients in the general population without known cardiovascular disease.


Feb 1, 2016 Issue
Preventing CVD in Adults with Type 2 Diabetes Mellitus: An Update from the AHA and ADA [Practice Guidelines]

The American Heart Association (AHA) and American Diabetes Association (ADA) joined together to release statements on preventing CVD in persons with diabetes.


Jan 1, 2016 Issue
More Nuanced Guidelines for Lipid Lowering to Prevent CVD [POEMs]

The authors of this guideline give a more nuanced and less aggressive approach to lipid lowering than other groups. For the primary prevention of CVD, check blood pressure and lipids (nonfasting is fine) to calculate the 10-year CVD risk. If greater than 12%, treat; if 12% or less, discuss treatment with the patient.


Nov 15, 2015 Issue
CT Coronary Angiography in Patients with Suspected CAD: No Short-Term Benefit, Increased Rate of Invasive Angiography [POEMs]

For patients with suspected stable CAD, adding CT coronary angiography had no short-term effect on patient symptoms or hospitalizations but increased the number of coronary angiograms. Additionally, more patients who had CT coronary angiography underwent preventive treatment and anti-anginal treatment.


Sep 15, 2015 Issue
ECG, Echocardiography, or MPI for Cardiac Screening: Guidance from the ACP [Practice Guidelines]

In the United States, one in three deaths is from cardiovascular disease; coronary heart disease is the leading cause of death. This guideline from the American College of Physicians (ACP) provides recommendations on cardiac screening using these modalities.


Sep 15, 2015 Issue
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors [Putting Prevention into Practice]

J.W., a 34-year-old man who smokes, presents for his annual checkup for hypertension. Hisblood pressure is elevated (142/95 mm Hg), and he has gained 10 lb (4.5 kg) since his lastvisit. J.W. is now considered overweight, with a body mass index (BMI) of 27 kg per m2. He reports no other symptoms or problems.


Sep 1, 2015 Issue
Should Preparticipation Cardiovascular Screening of Athletes Include ECG? No: There Is Not Enough Evidence to Support Including ECG in the Preparticipation Sports Evaluation [Editorials: Controversies in Family Medicine]

Although there are many reasons to conduct preparticipation sports examinations, there is insufficient evidence to support cardiac screening with ECG.


Sep 1, 2015 Issue
Should Preparticipation Cardiovascular Screening of Athletes Include ECG? Yes: Screening ECG Is Cost-Effective [Editorials: Controversies in Family Medicine]

Cardiovascular screening with ECG is a valid, cost-effective, and worthwhile endeavor in the preparticipation sports evaluation.


Aug 1, 2015 Issue
Two-Hour Algorithm to Rule In or Rule Out Acute MI [POEMs]

A simple rule (see synopsis) using high-sensitivity cardiac troponin levels measured on presentation and two hours later is an effective way to identify patients with or without MI. This rule was developed in one group of patients and validated in a second group. At a prevalence of 9%, this rule correctly ruled out MI 99.5% of the time.


Jul 15, 2015 Issue
Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ACC [Practice Guidelines]

Acute coronary syndrome (ACS), a term that encompasses a range of conditions, is caused when blood flow to the heart is suddenly reduced. The American College of Cardiology (ACC), with the American Heart Association (AHA), has provided recommendations for managing non–ST elevation ACS.


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