Search Results for

Medicine by the numbers

1-48 of 48 Results
Sort by Relevance , Date , Title

Syncope: Evaluation and Differential Diagnosis - American Family Physician

Mar 1, 2017 - Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. It accounts for 1% to 1.5% of emergency department visits, resulting in high hospital admission rates and significant medical costs. Syncope is classified as neurally mediated, cardiac, and ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p303.html

Acute Coronary Syndrome: Diagnostic Evaluation - American Family Physician

Feb 1, 2017 - Myocardial infarction (MI), a subset of acute coronary syndrome, is damage to the cardiac muscle as evidenced by elevated cardiac troponin levels in the setting of acute ischemia. Coronary artery disease is the leading cause of mortality in the United States. Chest pain is a common ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p170.html

Palpitations: Evaluation in the Primary Care Setting - American Family Physician

Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p784.html

The Role of BNP Testing in Heart Failure - American Family Physician

Dec 1, 2006 - Brain natriuretic peptide (BNP) levels are simple and objective measures of cardiac function. These measurements can be used to diagnose heart failure, including diastolic dysfunction, and using them has been shown to save money in the emergency department setting. The high negative ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1893.html

Evaluation of Syncope - American Family Physician

Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p640.html

Diagnosing the Cause of Chest Pain - American Family Physician

Nov 15, 2005 - Chest pain presents a diagnostic challenge in outpatient family medicine. Noncardiac causes are common, but it is important not to overlook serious conditions such as an acute coronary syndrome, pulmonary embolism, or pneumonia. In addition to a thorough history and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2012.html

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test ...

May 1, 2019 - Using the INTERCHEST chest pain decision rule to decide next steps when a patient presents to a primary care physician with chest pain.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0501/p584.html

Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...

Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1052.html

The Athlete Preparticipation Evaluation: Cardiovascular Assessment - American Family ...

Apr 1, 2007 - Thousands of young athletes receive preparticipation evaluations each year in the United States. One objective of these evaluations is to detect underlying cardiovascular abnormalities that may predispose an athlete to sudden death. The leading cardiovascular causes of sudden death in ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0401/p1008.html

Radiologic Evaluation of Suspected Renovascular Hypertension - American Family Physician

Aug 1, 2009 - More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p273.html

Preparation of the Cardiac Patient for Noncardiac Surgery - American Family Physician

Mar 1, 2007 - Approximately 20 to 40 percent of patients at high risk of cardiac-related morbidity develop myocardial ischemia perioperatively. The preferred approach to diagnostic evaluation depends on the interactions of patient-specific risk factors, surgery-specific risk factors, and exercise ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p656.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...

Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0315/od1.html

Essentials of the Diagnosis of Heart Failure - American Family Physician

Mar 1, 2000 - Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1319.html

Diagnosis of Acute Coronary Syndrome - American Family Physician

Jul 1, 2005 - The term 'acute coronary syndrome' encompasses a range of thrombotic coronary artery diseases, including unstable angina and both ST-segment elevation and non-ST-segment elevation myocardial infarction. Diagnosis requires an electrocardiogram and a careful review for signs and symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p119.html

Radiologic Evaluation of Acute Chest Pain—Suspected Myocardial Ischemia - American ...

Aug 15, 2007 - The American College of Radiology has developed appropriateness criteria for a number of clinical conditions and procedures. Criteria are available on imaging tests used in the evaluation of acute chest pain--suspected myocardial ischemia. Imaging tests for a suspected cardiac etiology ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0815/p533.html

Should Preparticipation Cardiovascular Screening of Athletes Include ECG? No: There Is ...

Sep 1, 2015 - Although there are many reasons to conduct preparticipation sports examinations, there is insufficient evidence to support cardiac screening with ECG.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0901/p343.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Noninvasive Cardiac Imaging - American Family Physician

Apr 15, 2007 - Noninvasive cardiac imaging can be used for the diagnostic and prognostic assessment of patients with suspected or known coronary artery disease. It is central to the treatment of patients with myocardial infarction, coronary artery disease, or acute coronary syndromes with or without ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1219.html

Update on Exercise Stress Testing - American Family Physician

Nov 15, 2006 - Exercise stress testing is an important diagnostic tool for the evaluation of suspected or known cardiac disease. In 2002, the American College of Cardiology (ACC) and the American Heart Association (AHA) revised their guidelines for exercise testing. Ten categories from the ACC/ AHA ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1749.html

A Primary Care Approach to the Patient with Claudication - American Family Physician

Feb 15, 2000 - Peripheral arterial occlusive disease occurs in about 18 percent of persons over 70 years of age. Usually, patients who have this disease present with intermittent claudication with pain in the calf, thigh or buttock that is elicited by exertion and relieved with a few minutes of rest. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1027.html

Should Family Physicians Routinely Screen for Hypercholesterolemia in Children? Yes: ...

Oct 15, 2012 - Yes: The Evidence Supports Universal Screening. Atherosclerotic cardiovascular disease events are the culmination of a process that has clearly been shown to begin in childhood, with accumulation of abnormal lipids in the vascular intima.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od2.html

Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...

Oct 1, 2013 - 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...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1001/p469.html

Postexercise Systolic Blood Pressure Response: Clinical Application to the Assessment ...

Oct 1, 1998 - Stress test parameters indicating the presence and extent of coronary artery disease have traditionally included such variables as exercise duration, and the blood pressure and ST-segment responses to exercise. The three-minute systolic blood pressure ratio, another important indicator ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1126.html

Screening for High Blood Pressure in Adults - Putting Prevention into Practice - ...

Mar 15, 2016 - A 55-year-old black man presents for a blood pressure evaluation. He is trying to be more physically active and health conscious but has not seen a physician for five years. He takes no medications, has no concerns, and his physical examination findings are unremarkable. According to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0315/p511.html

Cardiovascular Screening of Student Athletes - American Family Physician

Aug 15, 2000 - Each year, a number of children and adolescents die suddenly from cardiac problems that are associated with a small subgroup of disorders and high-risk behaviors. While sudden cardiac death in any child or adolescent is distressing, it can be particularly devastating when it occurs in a...

American Family Physician : Article

https://www.aafp.org/afp/2000/0815/p765.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the...

Dec 15, 2014 - J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1215/p859.html

The Use of Coronary Computed Tomography Angiography to Rule Out CAD in the ED - AFP ...

Nov 15, 2012 - Is coronary CTA good enough to allow for the safe discharge of low- to intermediate-risk patients with chest pain? Coronary CTA and standard care were equally effective at identifying a low-risk population. The test saved seven hospital hours, but at the expense of radiation exposure, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/1115/p900.html

Sudden Death in Young Athletes: Screening for the Needle in a Haystack - American ...

Jun 1, 1998 - Nontraumatic sudden death in young athletes is always disturbing, as apparently invincible athletes, become, without warning, victims of silent heart disease. Despite public perception to the contrary, sudden death in young athletes is exceedingly rare. It most commonly occurs in male ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2763.html

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...

May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od3.html

Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...

Sep 1, 2012 - Yes: Screening Improves CAD Risk Management in Selected Patients. Sudden death is often the first manifestation of atherosclerotic coronary artery disease (CAD). One-third of deaths from CAD in the Atherosclerosis Risk in Communities study occurred without warning signs, and there was ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0901/p398.html

Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...

Sep 1, 2012 - No: Screening is Unproven, Expensive, and Potentially Harmful. Coronary artery calcium (CAC) scores have been recommended as a way to screen for coronary artery disease (CAD). Before we get too enthusiastic about this expensive new test, remember that a good screening test must perform ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0901/p405.html

New AHA Recommendations for Blood Pressure Measurement - Practice Guidelines - American...

Oct 1, 2005 - The American Heart Association (AHA) has published a new set of recommendations for the measurement of blood pressure to increase accuracy of clinic readings, and in recognition of major changes over the past 10 years (including the prohibition of mercury in many countries).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1001/p1391.html

Contemporary Management of Angina: Part I. Risk Assessment - American Family Physician

Dec 1, 1999 - Ischemic heart disease is one of the most common disorders managed by family physicians. Stratifying patients according to risk is important early in the course of the disease to identify patients who require invasive (percutaneous or surgical) treatment. Physical examination, clinical ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2543.html

Imaging of Abdominal Aortic Aneurysms - American Family Physician

Apr 15, 2002 - Given the high rate of morbidity and mortality associated with abdominal aortic aneurysms (AAAs), accurate diagnosis and preoperative evaluation are essential for improved patient outcomes. Ultrasonography is the standard method of screening and monitoring AAAs that have not ruptured. ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1565.html

Can ECG Rule Out ACS if Performed While the Patient Is Having Chest Pain? - AFP Journal...

Nov 15, 2010 - Is negative ECG performed while the patient is having chest pain good at ruling out acute coronary syndrome? Although this study says yes, other higher-quality studies say it does not rule out cardiac disease. Observational studies are not ideal for testing some hypotheses.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2010/1115/p1185.html

Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...

Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0415/od2.html

Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment - Putting ...

Feb 15, 2011 - Case study: A 47-year-old man with no history of coronary heart disease (CHD), diabetes mellitus, or any CHD risk equivalent asks about smoking cessation therapies. His past laboratory results include a total cholesterol level of 230 mg per dL (5.96 mmol per L) and a high-density ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0215/p449.html

The Role of Chest CT in Diagnosing Pulmonary Embolism - AFP Journal Club - American ...

Sep 1, 2008 - How good is chest CT at identifying pulmonary embolism? It might have higher false-positive and false-negative rates than previously thought.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0901/p554.html

Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...

Jun 1, 2005 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for abdominal aortic aneurysm (AAA) and the supporting scientific evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2005/0601/p2144.html

Screening for Peripheral Arterial Disease: Recommendation Statement - U.S. Preventive ...

Feb 1, 2006 - This statement summarizes the USPSTF recommendations on screening for peripheral arterial disease and the supporting scientific evidence and updates the 1996 recommendations contained in theGuide to Clinical Preventive Services, 2nd ed.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2006/0201/p497.html

Syncope: Initial Evaluation and Prognosis - Point-of-Care Guides - American Family ...

Oct 15, 2006 - Although syncope often is benign, it may have a serious underlying cause. An important question for primary care or emergency department physicians is whether the patient can be evaluated safely in the outpatient setting.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2006/1015/p1367.html

Screening for Abdominal Aortic Aneurism - Putting Prevention into Practice - American ...

Jun 1, 2005 - Case study: M.G., a 70-year-old black man, requests refills for his medicines. His medications include lisinopril, atorvastatin, glipizide, and daily aspirin. He smoked heavily when he was younger but quit about 15 years ago. He also asks that you order whatever tests should be done at ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2005/0601/p2154.html

ACC Statement on Preparticipation Cardiovascular Screening for Competitive Athletes - ...

Aug 1, 2005 - The American College of Cardiology (ACC) has released new eligibility guidelines for competitive athletes with cardiovascular abnormalities and clinical guidelines for preparticipation screening.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0801/p523.html

Preoperative Evaluation for Noncardiac Surgery - Point-of-Care Guides - American Family...

Apr 15, 2004 - Guidelines from the American College of Physicians (ACP) and the American College of Cardiology/American Heart Association (ACC/AHA) address the preoperative evaluation of patients for noncardiac surgery.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0415/p1977.html

Cardiovascular Risk Profiling in Blacks: Don't Forget the Lipids - Editorials - ...

Nov 1, 1998 - ...DAVID S. KOUNTZ, M.D., University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School, New Brunswick, N.J. SUSAN L. LEVINE, M.D., University of Connecticut Health Center, Farmington, Connecticut Am Fam Physician. 1998 Nov 1;58(7):1541-1542. As a population,...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/1101/p1541.html

navigate_before 1 navigate_next

25 50 100 results per page