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Jan 15, 2014 Issue
Screening for Coronary Heart Disease with Electrocardiography [Putting Prevention into Practice]
A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level of 35 mg per...
Jan 15, 2014 Issue
Screening for Coronary Heart Disease with Electrocardiography: Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk of CHD events.
The ankle-brachial index (ABI) is the ratio of the systolic blood pressure at the ankle to the systolic blood pressure at the brachial artery. The American Heart Association (AHA) released a scientific statement on the measurement and interpretation of ABI, including standardization of measurement technique and the threshold for diagnosing PAD.
Fewer than 1% of patients who undergo routine provocative cardiac testing after having two sets of negative serum troponin results following an episode of acute chest pain are identified as having potential benefit from revascularization (American Heart Association [AHA] class I or IIa). False-positive results are common.
There is no evidence that n-3 fatty acids prevent cardiovascular events or death in older adults who have cardiovascular disease (or who are at risk of it but have not had a myocardial infarction).
Nov 1, 2013 Issue
Management of Stable Ischemic Heart Disease: Recommendations from the ACP [Practice Guidelines]
The American College of Physicians (ACP) has developed a guideline on the management of stable ischemic heart disease (IHD). This summary presents recommendations related to risk factor modification (including strategies of unproven benefit), medical therapies to prevent myocardial infarction and de...
Oct 1, 2013 Issue
Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP [Practice Guidelines]
The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed a guideline that helps p...
Jun 15, 2013 Issue
Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults [U.S. Preventive Services Task Force]
Case Study: G.H., a 35-year-old woman, presents for a routine preventive visit. She has no chronic illnesses or significant family history of disease. She does not smoke, but admits she does not exercise regularly or eat a very healthy diet. She drinks a moderate amount of alcohol.
Daily multivitamin supplementation does not reduce the risk of major cardiovascular events in men. The risks of cardiovascular-related mortality and all-cause mortality were also not reduced by multivitamin supplementation.