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hypertension

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Ethinyl Estradiol/Drospirenone (Yasmin): A Newer Oral Contraceptive - STEPS - American ...

May 15, 2004 - An effective oral contraceptive, ethinyl estradiol/drospirenone can elevate potassium levels when given in combination with other potassium-elevating agents and offers no advantage over traditional oral contraceptives.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0515/p2425.html

Clinical Briefs - May 15, 2004 - American Family Physician

May 15, 2004 - ...have failed. Bariatric surgery has been shown to have salutary effects on obesity-related diabetes, hypertension, lipid profiles, and quality of life. Comorbidities such as hypertension and hyperlipidemia should be managed intensively. For sedentary patients, a comment such as, It...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0515/p2479.html

Tips From Other Journals - American Family Physician

May 15, 2004 - ...outcome. Subgroup analysis of patients with diabetes demonstrated particular benefit among the sickest subgroups, including patients with hypertension, anterior AMI, or tachycardia on admission. Of the 1,646 patients without diabetes, almost one half received ACE inhibitors. ACE...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0515/p2462.html

Tips From Other Journals - American Family Physician

May 15, 2004 - ...for factors such as components of the metabolic syndrome (i.e., visceral obesity, insulin resistance, hyperglycemia, dyslipidemia, and hypertension) and the presence of stress hormones, negative emotions were found to predict CHD incidents significantly. High-density lipoprotein...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0515/p2458a.html

Diagnosis and Treatment of Acne - American Family Physician

May 1, 2004 - Acne can cause significant embarrassment and anxiety in affected patients. It is important for family physicians to educate patients about available treatment options and their expected outcomes. Topical retinoids, benzoyl peroxide, sulfacetamide, and azelaic acid are effective in ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2123.html

Atrial Fibrillation (Acute) - Clinical Evidence Handbook - American Family Physician

May 1, 2004 - What are the effects of interventions to prevent embolism? What are the effects of interventions for conversion to sinus rhythm? What are the effects of interventions to control heart rate?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0501/p2173.html

Continuing the Tradition of Patient Information in AFP - Inside AFP - American Family ...

May 1, 2004 - ...Previous: Hypertension Management: Three vs. Six Months? Next: Newsletter View the full table of contents >> Home / Journals / afp / Vol. 69/No. 9(May 1, 2004) / Inside AFP: Continuing the Tradition of Patient Information in AFP...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2004/0501/p2043.html

Sinus and Allergy Health Partnership Releases Report on Adult Chronic Rhinosinusitis - ...

May 1, 2004 - Chronic rhinosinusitis is a group of disorders characterized by inflammation of the mucosa of the nose and paranasal sinuses lasting for at least 12 consecutive weeks. The Sinus and Allergy Health Partnership has released a report to help physicians diagnose this disease more accurately.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0501/p2248.html

The Right to Know--But at What Cost? - Curbside Consultation - American Family Physician

May 1, 2004 - This case scenario, submitted by the patient’s son, brings up three interesting ethical questions. The first question involves whether it is ever ethically justifiable to withhold information from patients, and if so, under what circumstances? The second question is: who decides whether...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0501/p2255.html

Poems & Tips From Other Journals - American Family Physician

May 1, 2004 - ...Hypertension Management: Three vs. Six Months? Am Fam Physician. 2004 May 1;69(9):2196-2197. Clinical Question: Can patients with hypertension be seen every six months without loss of control, changes in patient satisfaction, or declines in adherence to treatment? Setting:...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0501/p2196.html

Tips From Other Journals - American Family Physician

May 1, 2004 - ...Hypertension Blood pressure controlled Risk acceptable; no definition of blood-pressure control Risk usually outweighs benefit if systolic blood pressure is 140 to 159 mm Hg and diastolic blood pressure is 90 to 99 mm Hg Blood pressure uncontrolled Risk...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0501/p2233a.html

Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician

Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1961.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

Metabolic Syndrome: Early Identification and a Proactive Approach Are Warranted - ...

Apr 15, 2004 - ...dyslipidemia, or hypertension. Furthermore, newspapers and television news shows are replete with reports about the epidemic of obesity and consequent diabetes in the U.S. population. It is rare to see type 2 diabetes, dyslipidemia, obesity, or hypertension in isolation. The...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0415/p1868.html

Quantum Sufficit - Apr 15, 2004 - American Family Physician

Apr 15, 2004 - ...heart failure (CHF) after being admitted with dyspnea on exertion and edema affecting the left breast. The woman had a history of hypertension but no history of breast injury or infection. Examination showed jugular venous distention and bilateral pretibial pitting edema. There was...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2004/0415/p1852.html

Diary from a Week in Practice - Apr 15, 2004 - American Family Physician

Apr 15, 2004 - ...as freeways. He and his 75-year-old wife lived alone and maintained an independent lifestyle. Aside from arthritis and well-controlled hypertension, he was in remarkably good health. Therefore, KS was faced with the dilemma of having to assess driving ability in the office setting....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0415/p1911.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2004 - ...hypertension or diabetes was unfavorable ($282,818 per QALY; gain of 0.0022 QALYs per person, or less than one quality-adjusted life-day per person). Annual screening of low-risk patients 60 years and older was more cost-effective ($53,372 per QALY). In patients with hypertension,...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0415/p1993.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2004 - ...between 2.0 and 3.0 (n = 1,703 patients). To be included in the study, patients had to have at least one additional risk factor, such as hypertension, age older than 75 years, previous thromboembolic phenomena, left ventricular ejection fraction less than 40 percent, symptomatic...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0415/p1991a.html

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

Apr 1, 2004 - Retinal detachment often is a preventable cause of vision loss. There are three types of retinal detachments: exudative, tractional, and rhegmatogenous. The most common type is rhegmatogenous, which results from retinal breaks caused by vitreoretinal traction. Risk factors for retinal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1691.html

Transient Ischemic Attacks: Part I. Diagnosis and Evaluation - American Family Physician

Apr 1, 2004 - Transient ischemic attack is no longer considered a benign event but, rather, a critical harbinger of impending stroke. Failure to quickly recognize and evaluate this warning sign could mean missing an opportunity to prevent permanent disability or death. The 90-day risk of stroke after...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1665.html

Transient Ischemic Attacks: Part II. Treatment - American Family Physician

Apr 1, 2004 - Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1681.html

Tips From Other Journals - American Family Physician

Apr 1, 2004 - ...years of age. Participants underwent exercise testing using a Bruce treadmill protocol. Cardiovascular risk factors such as diabetes and hypertension were assessed and used to stratify risk according to the 1998 Framingham risk equation. During a mean follow-up of 20.3 years, there...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0401/p1744a.html

Tips From Other Journals - American Family Physician

Apr 1, 2004 - ...of six and one half years. In the EDIC study, 1,349 participants were followed for the development of microalbuminuria, albuminuria, hypertension or treatment with antihypertensive medications, doubling of the serum creatinine concentration since the DCCT baseline level, or need for...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0401/p1764.html

Tips From Other Journals - American Family Physician

Apr 1, 2004 - ...or 13 g per dL (130 g per L) in men, and Karnofsky scores of at least 60. Exclusion criteria included thrombocytosis, treatment-resistant hypertension, epilepsy, and treatment with certain drugs. Before randomization, patients were stratified according to tumor resection status....

American Family Physician : Tip

https://www.aafp.org/afp/2004/0401/p1791.html

Initial Evaluation of Hypertension - Point-of-Care Guides - American Family Physician

Mar 15, 2004 - The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recently released its seventh report (JNC 7). This guideline takes a largely evidence-based approach to the development of recommendations. Key changes from the previous guideline ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0315/p1485.html

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1443.html

Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...

Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1429.html

Memantine (Namenda) for Moderate to Severe Alzheimer's Disease - STEPS - American ...

Mar 15, 2004 - Memantine is well tolerated, but its clinical benefits for the treatment of moderate to severe AD appear modest. The reduction in caregiver time requires confirmation in another trial. As with other drugs for AD, memantine does not reverse deterioration.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0315/p1491.html

Preventive Health for Your Patients - Inside AFP - American Family Physician

Mar 15, 2004 - ...Los Angeles, focuses on the epidemic metabolic syndrome—the triad of type 2 diabetes, dyslipidemia, and hypertension. Type 2 diabetes, dyslipidemia, obesity, or hypertension is rarely seen in isolation and, as the author notes, the prevalence of the metabolic syndrome is estimated...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2004/0315/p1335.html

Does Screening for Tuberculosis in Children Decrease Morbidity or Mortality? - FPIN's ...

Mar 15, 2004 - Routine screening of low-risk children for tuberculosis infection before entering kindergarten is not necessary.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0315/p1479.html

The Uninsured - Medicine and Society - American Family Physician

Mar 15, 2004 - ...premature death; fail to receive recommended care for chronic diseases; lack regular access to medications to manage conditions such as hypertension or HIV infection; and receive fewer diagnostic and treatment services after a traumatic injury or heart attack, resulting in an...

American Family Physician : Medicine and Society

https://www.aafp.org/afp/2004/0315/p1357.html

Tips From Other Journals - American Family Physician

Mar 15, 2004 - ...high-risk patients. These agents are believed to be more effective than angiotensin-converting enzyme (ACE) inhibitors in patients with hypertension and left ventricular hypertrophy. Nevertheless, in a large multinational trial, cardiovascular mortality was significantly reduced in...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0315/p1525a.html

An Approach to Interpreting Spirometry - American Family Physician

Mar 1, 2004 - Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit. However, interpreting spirometry results can be ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1107.html

Obstructive Sleep Apnea in Children - American Family Physician

Mar 1, 2004 - Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1147.html

Tips From Other Journals - American Family Physician

Mar 1, 2004 - ...levels, and in one patient taking cyclosporine because increased serum bilirubin levels and icterus were noted. Two patients developed hypertension while taking cyclosporine, but this condition was controlled with medication and slowly resolved after the treatment course was...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0301/p1270.html

Tips From Other Journals - American Family Physician

Mar 1, 2004 - ...had at least two documented normal thyroid tests during pregnancy. The two groups of mothers were matched for age, parity, smoking, and hypertension. Blood samples were collected between 25 and 48 hours or 49 and 120 hours after birth for determination of thyroid-stimulating hormone...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0301/p1228.html

AAFP News - Mar 1, 2004 - American Family Physician

Mar 1, 2004 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2004/0301/p1031.html

Eplerenone (Inspra) for Hypertension - STEPS - American Family Physician

Feb 15, 2004 - Compared with other commonly used antihypertensive medications, eplerenone is effective in lowering blood pressure when used alone or as add-on therapy. However, mortality benefits related to antihypertensive treatment have not yet been shown, so it should not be considered a first-line...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0215/p915.html

A New View of Occult and Obscure Gastrointestinal Bleeding - American Family Physician

Feb 15, 2004 - Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity. The initial work-up for occult bleeding typically ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p875.html

Does Lidocaine-Prilocaine Cream (EMLA) Decrease the Pain of Neonatal Circumcision? - ...

Feb 15, 2004 - EMLA cream reduces the pain experienced by newborns during circumcision compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0215/p909.html

An Unusual Case of Chest Pain - Photo Quiz - American Family Physician

Feb 15, 2004 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2004/0215/p919.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...of Gestational Hypertension-Preeclampsia Am Fam Physician. 2004 Feb 15;69(4):979-980. Hypertension is the most common medical disorder that occurs during pregnancy, occurring in 6 to 8 percent of pregnancies in the United States. The term gestational hypertension-preeclampsia is...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p979.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...and Hypertension Am Fam Physician. 2004 Feb 15;69(4):978-979. Severe obesity is associated with multiple comorbidities (such as hypertension and diabetes) that can decrease life expectancy. Gastric bypass (GBP) surgery for severe obesity can positively affect hypertension and...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p978.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...weight was rapidly regained after therapy was stopped. Amphetamines also were used as weight loss agents, but their use often resulted in hypertension, addiction, and adverse myocardial events. Fenfluramine, which increased serotonin levels, was used alone or in combination with the...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p948.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...of atherosclerotic risk factors that includes insulin resistance, microalbuminuria, hypercoagulability, dyslipidemia, obesity, and hypertension. Recognition of the increased risk for coronary disease and stroke makes intervention essential in patients with these risk factors. Scott...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p955a.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...Hypertension and proteinuria are risk factors for faster progression of kidney disease. Pharmacologic control of hypertension reduces urine protein excretion and slows progression of the disease. Recent guidelines included in the seventh report of the Joint National Committee for...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p965.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...Metabolic syndrome is defined as obesity, insulin resistance, dyslipidemia, and hypertension. Persons who have the syndrome are at increased risk for adverse coronary events and stroke. Aggressive management can decrease mortality. Wong and associates used data from the Third...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p957.html

Management of Peripheral Aterial Disease - American Family Physician

Feb 1, 2004 - Peripheral arterial disease is common, but the diagnosis frequently is overlooked because of subtle physical findings and lack of classic symptoms. Screening based on the ankle brachial index using Doppler ultrasonography may be more useful than physical examination alone. Noninvasive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p525.html

Viral Croup - American Family Physician

Feb 1, 2004 - Viral croup is the most common form of airway obstruction in children six months to six years of age. The frightening nature of croup often prompts parents and caregivers to seek physician consultation. For children with mild croup, symptomatic care and mist therapy may be all that is ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p535.html

Screening for Type 2 Diabetes Mellitus in Adults - Putting Prevention into Practice - ...

Feb 1, 2004 - Case study: KC, a 46-year-old woman, visits your office to refill her cholesterol-lowering medication. She says she saw a recent news feature on the diabetes epidemic and asks if she needs to be tested.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0201/p605.html

Diary from a Week in Practice - Feb 1, 2004 - American Family Physician

Feb 1, 2004 - ...him: The fault … lies not in our stars, but in ourselves. The middle-aged patient had come to the mobile clinic with uncontrollable hypertension and type 2 diabetes. Despite the use of four antihypertensive medications prescribed by a previous doctor, the man's diastolic pressure...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0201/p517.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...tolerance. Chiasson and colleagues also attempted to determine whether decreasing postprandial hyperglycemia would decrease the risk of hypertension and cardiovascular disease. Male and female participants were 40 to 70 years of age and had a body mass index (BMI) between 25 and 40...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p717.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...in patients with subclinical disease. Overt hypothyroidism increases low-density lipoprotein (LDL) cholesterol levels, induces diastolic hypertension, alters coagulability, and negatively affects vascular smooth muscle function. Treatment of overt hypothyroidism can moderate these...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p656.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor antagonists, and calcium channel blockers in the treatment of hypertension. An extensive search revealed 354 trials that met study criteria. The researchers defined efficacy as the reduction in systolic and...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p669a.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...per L), and coronary disease or noncoronary occlusive vascular disease. Men with diabetes who were 65 years or older and who had treated hypertension also were eligible for the study. Exclusions included recent myocardial infarction; stroke or hospital admission for angina; chronic...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p649a.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...factors. The authors note that the risk analysis probably will involve clinical evaluation, as well as assessment for residual pulmonary hypertension, screening for genetic thrombophilia, and a D-dimer assay at the end of the treatment period. Indefinite anticoagulation may be...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p681.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...kidney. This study confirms that better control of risk factors for vascular diseases often occurring in patients with diabetes (such as hypertension, hyperlipidemia, hyperglycemia) helps to prevent the progression of nephropathic changes.—B.Z. Add/view commentsHide comments...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p695.html

Tips From Other Journals - American Family Physician

Feb 1, 2004 - ...defibrillator devices. A greater likelihood of survival was noted in younger patients and those whose arrest was witnessed. A history of hypertension, digoxin use, or a need for epinephrine during the resuscitation event conferred a higher mortality risk. The average length of...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0201/p702.html

Hyperparathyroidism - American Family Physician

Jan 15, 2004 - Primary hyperparathyroidism is the most frequent cause of hypercalcemia in ambulatory patients. The condition is most common in postmenopausal women, although it can occur in persons of all ages, including pregnant women. If symptoms are present, they are attributable to hypercalcemia ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p333.html

Does a Low-Sodium Diet Reduce Blood Pressure? - FPIN's Clinical Inquiries - American ...

Jan 15, 2004 - Reducing sodium intake does lead to a slightly lower average blood pressure. However, no evidence from controlled trials proves that reducing sodium intake decreases morbidity or mortality, or proves that modest sodium restriction is harmful.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0115/p359.html

Diary from a Week in Practice - Jan 15, 2004 - American Family Physician

Jan 15, 2004 - ...I'm always learning things I wish I'd already known. Mrs. Gerson, an 82-year-old woman with hypertension and diabetes, presents with a terrible cough that has momentarily blotted out her chronic knee pain. She hacks convincingly, clutching her ribs. Afebrile and uncharacteristically...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0115/p295.html

Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician - ...

Jan 15, 2004 - ...Regular exercise has the potential to reduce morbidity and mortality from diabetes and many other conditions such as vascular disease, hypertension, and osteoporosis. Although the data are mixed about the positive impact of counseling, the potential benefits of exercise combined...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0115/p269.html

Tips From Other Journals - American Family Physician

Jan 15, 2004 - ...Diuretics Are Treatment of Choice for Hypertension Am Fam Physician. 2004 Jan 15;69(2):428-433. The health benefits of diuretics and beta blockers are proved. To determine the relative health benefits of six first-line antihypertensive therapies, Psaty and colleagues used a new...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0115/p430.html

Tips From Other Journals - American Family Physician

Jan 15, 2004 - ...of structural heart disease. This stage includes patients with hypertension, diabetes, coronary artery disease, previous exposure to cardiotoxic drugs, or a family history of cardiomyopathy. Control of hypertension, coronary artery disease, and diabetes are the chief targets for...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0115/p405.html

Diagnostic Approach to Tinnitus - American Family Physician

Jan 1, 2004 - Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p120.html

Diary from a Week in Practice - Jan 1, 2004 - American Family Physician

Jan 1, 2004 - ...modifications—a daily exercise program, weight loss to achieve a normal body mass index, and initiation of the Dietary Approaches to Stop Hypertension (DASH) eating plan. Two weeks later, Mr. Conrad's potassium was 4.1 mmol per L, and his blood pressure was 124/80 mm Hg. I could not...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0101/p66.html

Tips From Other Journals - American Family Physician

Jan 1, 2004 - ...Outcomes included transient ischemic attacks and strokes, which were classified according to subtypes. Patients also were assessed for hypertension, physical activity levels, and baseline characteristics such as age, race, smoking status, and diabetes. After an average of 5.6 years,...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0101/p204.html

Tips From Other Journals - American Family Physician

Jan 1, 2004 - ...is the most important risk factor to be modified in patients with an abdominal aortic aneurysm. Unexpectedly, the authors found that hypertension, hyperlipidemia, and diabetes are not associated with greater rates of aneurysm dilation. There may even be a future role for antibiotic...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0101/p175.html

Stroke: Strategies for Primary Prevention - American Family Physician

Dec 15, 2003 - Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2379.html

Orthostatic Hypotension - American Family Physician

Dec 15, 2003 - Orthostatic hypotension is a physical finding defined by the American Autonomic Society and the American Academy of Neurology as a systolic blood pressure decrease of at least 20 mm Hg or a diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing. The ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2393.html

Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and ...

Dec 15, 2003 - ...Primary prevention of stroke includes the treatment of hypertension and hyperlipidemia, the use of angiotensin-converting enzyme inhibitors and glucose control in patients with diabetes, the use of warfarin (Coumadin) in patients with atrial fibrillation, and smoking cessation....

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1215/p2335.html

Diary from a Week in Practice - Dec 15, 2003 - American Family Physician

Dec 15, 2003 - ...kidneys and feet, suggested KS. She was discussing a 52-year-old patient who presented to the Family Practice Center with diabetes and hypertension. The resident reported that his patient had no complaints and was primarily there for medication refills. His blood pressure was...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1215/p2375.html

How to Prevent a Stroke - American Family Physician

Dec 15, 2003 - ...and weight loss do not control it, you may need to take medicine to lower your blood pressure. Lowering blood pressure in people who have hypertension is the most important way to prevent stroke. If your cholesterol level is high and exercise and diet do not lower it, you may need...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1215/p2389.html

Diagnosis of Systemic Lupus Erythematossus - American Family Physician

Dec 1, 2003 - Systemic lupus erythematosus is a multisystem inflammatory disease that is often difficult to diagnose. Before the diagnosis can be established, four of 11 clinical and laboratory criteria must be met. Antinuclear antibody titer is the primary laboratory test used to diagnose systemic ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2179.html

Quantum Sufficit - Dec 1, 2003 - American Family Physician

Dec 1, 2003 - ...reduce blood pressure? Now that would be a good thing! As reported in a research letter published in JAMA, 13 adults with untreated mild hypertension were randomly assigned to receive polyphenol-rich dark chocolate bars or polyphenol-free white chocolate bars for two weeks (one bar...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2003/1201/p2121.html

Tips From Other Journals - American Family Physician

Dec 1, 2003 - ...Hypertension in Pregnancy Signals Hypertension Later Am Fam Physician. 2003 Dec 1;68(11):2270-2272. Although almost 30 percent of first pregnancies are believed to be complicated by hypertension, preeclampsia, or eclampsia, the long-term implications for these mothers are unclear....

American Family Physician : Tip

https://www.aafp.org/afp/2003/1201/p2270.html

Poems & Tips From Other Journals - American Family Physician

Dec 1, 2003 - ...outcomes in women at high risk of preeclampsia based on history. Risk factors were previous preeclampsia, chronic (preexisting) hypertension, diabetes, renal disease, and advanced age at conception. Fourteen studies involving 12,416 women met the inclusion criteria. Analysis for...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1201/p2246.html

Tips From Other Journals - American Family Physician

Dec 1, 2003 - ...ischemic attack or carotid endarterectomy, hospitalization for angina, cardiac revascularization or transplant, renal failure, malignant hypertension, all-cause mortality, cancer, and hospitalization for bleeding (excluding hemorrhagic stroke). The sample size was increased during...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1201/p2262.html

Screening for High Blood Pressure - U.S. Preventive Services Task Force - American ...

Nov 15, 2003 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for high blood pressure and the supporting scientific evidence.

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

https://www.aafp.org/afp/2003/1115/p2019.html

Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...Blood Lead and Hypertension in Postmenopausal Women Am Fam Physician. 2003 Nov 15;68(10):2063-2068. Studies of blood lead levels in men suggest that elevated levels increase the risk for hypertension, perhaps through direct effects on the heart, vascular muscle, or central nervous...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2063.html

Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...was defined as a history of coronary artery disease, stroke, peripheral vascular disease, or diabetes plus one other risk factor, such as hypertension, elevated total cholesterol level, low high-density lipoprotein level, smoking, or microalbuminuria. Patients with known heart...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2062.html

Management of Gestational Diabetes Mellitus - American Family Physician

Nov 1, 2003 - Gestational diabetes mellitus is a common but controversial disorder. While no large randomized controlled trials show that screening for and treating gestational diabetes affect perinatal outcomes, multiple studies have documented an increase in adverse pregnancy outcomes in patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1767.html

Adverse Drug Reactions: Types and Treatment Options - American Family Physician

Nov 1, 2003 - Drug hypersensitivity results from interactions between a pharmacologic agent and the human immune system. These types of reactions constitute only a small subset of all adverse drug reactions. Allergic reactions to medications represent a specific class of drug hypersensitivity ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1781.html

Acute Dyspnea in the Office - American Family Physician

Nov 1, 2003 - Respiratory difficulty is a common presenting complaint in the outpatient primary care setting. Because patients may first seek care by calling their physician's office, telephone triage plays a role in the early management of dyspnea. Once the patient is in the office, the initial goal...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1803.html

Atomoxetine for ADHD - STEPS - American Family Physician

Nov 1, 2003 - Atomoxetine is more effective than placebo for treating symptoms of ADHD in children and adults, based on short-term studies. Given safety concerns (growth retardation, potential adverse effects in slow metabolizers) and its high cost, atomoxetine should be considered only as an ...

American Family Physician : STEPS

https://www.aafp.org/afp/2003/1101/p1827.html

Tips From Other Journals - American Family Physician

Nov 1, 2003 - ...Systolic Hypertension Affects Balance, Gait, and Fall Risk Am Fam Physician. 2003 Nov 1;68(9):1846-1847. Age-associated changes in blood pressure homeostasis exacerbated by hypertension have been associated with increased fall risk. Possible mechanisms for this adverse condition...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1101/p1846.html

Tips From Other Journals - American Family Physician

Nov 1, 2003 - ...Participants in the study were consecutive patients who were at least 20 years of age, regardless of treatment status for hypertension. The only exclusion factor was cardiac arrhythmia. Each participant was instructed by a nurse in measuring blood pressure using an oscillometric...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1101/p1847.html

Panax ginseng - American Family Physician

Oct 15, 2003 - The herbal remedies referred to as ginseng are derived from the roots of several plants. One of the most commonly used and researched of the ginsengs is Panax ginseng, also called Asian or Korean ginseng. The main active components of Panax ginseng are ginsenosides, which have been ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1539.html

Reducing Cardiovascular Disease Risk in Patients with Type 2 Diabetes: A Message from ...

Oct 15, 2003 - Cardiovascular disease is responsible for 65 percent of deaths in persons with type 2 diabetes. However, awareness of cardiovascular disease risk factors among patients with diabetes remains low, resulting in missed opportunities to lower risks for coronary events and strokes. The ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1569.html

Clinical Briefs - Oct 15, 2003 - American Family Physician

Oct 15, 2003 - ...Good evidence suggests that treatment of hypertension lowers the risk for CHD events in women, and that these benefits may be greater in black women. Fair or good evidence suggests that the use of diagnostic tests and treatments may differ by gender. Men are more likely than women...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/1015/p1667.html

Strategies to Improve Diabetes Care - Editorials - American Family Physician

Oct 15, 2003 - ...Finally, patient self-management training is critical to successful care of diabetes and associated hyperlipidemia and hypertension. A comprehensive review of traditional patient education found that patient knowledge increased, but glycemic control did not.13 In one randomized...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1015/p1500.html

Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...ACE Inhibitor vs. Diuretic for Hypertension Therapy Am Fam Physician. 2003 Oct 15;68(8):1631. Studies in recent years have shown clinical benefits of angiotensin-converting enzyme (ACE) inhibitors beyond their ability to simply lower blood pressure ACE inhibitors appear to be of...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1631.html

Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...were obtained, detecting three CCVMs and one case of delayed transition from fetal to neonatal circulation and self-limited pulmonary hypertension. Analysis showed a sensitivity of 60 percent, specificity of 99.95 percent, positive predictive value of 75 percent, negative predictive...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1660.html

Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...in mortality and myocardial infarction rates. This finding was true even when other variables such as gender, age, smoking, diabetes, hypertension, previous myocardial infarction, and elevated troponin levels were controlled for in the analysis. The invasive strategy reduced...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1662.html

Tips From Other Journals - American Family Physician

Oct 1, 2003 - ...September 1998 and December 1999 were enrolled in the study. The diagnosis of cirrhosis was established by biopsy or by signs of portal hypertension such as gastroesophageal varices, previous variceal bleeding, or ascites. Researchers collected clinical and laboratory data at the...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1001/p1408.html

Tips From Other Journals - American Family Physician

Oct 1, 2003 - ...and recovery in 2 percent. Frequent ventricular ectopy was more common in older patients, and those with known coronary artery disease, hypertension, and decreased exercise tolerance. A subnormal increase in heart rate with exercise as well as a delayed return to the resting heart...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1001/p1398.html

Tips From Other Journals - American Family Physician

Oct 1, 2003 - ...or ARB agent were similar to those who did not receive these medications. Although more of the treated group had diabetes or a history of hypertension, renal function was significantly worse in patients who were not receiving one of the medications. Within one year of discharge, 27...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1001/p1420a.html

Cerebrospinal Fluid Analysis - American Family Physician

Sep 15, 2003 - Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1103.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1125.html

Clinical Briefs - Sep 15, 2003 - American Family Physician

Sep 15, 2003 - ...heart attacks or strokes in persons at average risk and to avoid the need for intensive pharmacotherapy to control risk factors such as hypertension, hyperlipidemia, and diabetes. Behaviors targeted for change include diets high in cholesterol, saturated fat, salt, and calories, and...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0915/p1224.html

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