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hypertension

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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 - ...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 - ...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 - ...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

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

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

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

There Is No Substitute for a Thorough Drug History - Letters to the Editor - American ...

Sep 15, 2003 - ...discomfort, anorexia, and weight loss of 15 lb. There was no history of fever, vomiting, diarrhea, or dysuria. Medical history included hypertension, osteoarthritis, benign prostatic hypertrophy, and hypercholesterolemia. The patient denied using tobacco or alcohol, but was taking...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0915/ol2.html

Tips From Other Journals - American Family Physician

Sep 15, 2003 - ...of unknown clinical significance. A plasma free-metanephrine determination can detect or rule out pheochromocytoma. If the patient has hypertension, a serum potassium level and a plasma aldosterone concentration–plasma renin activity ratio can identify primary aldosteronism. Imaging...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0915/p1195.html

New Developments in the Management of Hypertension - American Family Physician

Sep 1, 2003 - The management of hypertension has evolved over the past decade. Isolated systolic blood pressure elevation, the most common form of uncontrolled hypertension, is recognized as a significant risk factor for vascular complications in patients with hypertension. Nutritional management of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p853.html

Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions - American ...

Sep 1, 2003 - Since the terrorist attacks of September 11, 2001, and the anthrax exposures in the following weeks, concern that smallpox could be used as a biologic weapon has increased. Public health departments and the U.S. military have begun the process of vaccinating soldiers and civilian ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p889.html

Recognition and Prevention of Inhalant Abuse - American Family Physician

Sep 1, 2003 - Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Survey results consistently show that nearly 20 percent of children in middle school and high school have experimented with inhaled substances. The method of delivery is inhalation of a solvent ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p869.html

Is Leflunomide as Safe and Effective in the Treatment of Rheumatoid Arthritis as Other ...

Sep 1, 2003 - Compared with placebo, leflunomide improves clinical outcomes and delays radiologic progression of rheumatoid arthritis. After two years of treatment, leflunomide is as safe as sulfasalazine and more effective. Leflunomide's efficacy and adverse events are similar to those of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0901/p849.html

Examinations Should Include Food Allergy Tests - Letters to the Editor - American ...

Sep 1, 2003 - ...for beta blockade. Diabetes that does not require insulin is a minor criteria, and, in conjunction with age greater than 65 years, hypertension, current smoking, or total cholesterol level more than 240, also is an indication for beta blockade. M. LEE CHAMBLISS, M.D., M.S.P.H. Moses...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0901/p802.html

Tips From Other Journals - American Family Physician

Sep 1, 2003 - ...mortality. Recent research has demonstrated the important role of the renin-angiotensin aldosterone system in the increased risk for hypertension and cardiovascular disease in patients with type 2 diabetes. McFarlane and Sowers reviewed the role of aldosterone as an added risk...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0901/p962.html

Current Perspectives in Polycystic Ovary Syndrome - American Family Physician

Aug 15, 2003 - Polycystic ovary syndrome has been viewed primarily as a gynecologic disorder requiring medical intervention to control irregular bleeding, relieve chronic anovulation, and facilitate pregnancy. A large body of evidence has demonstrated an association between insulin resistance and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p697.html

West Nile Virus in the United States: An Update on an Emerging Infectious Disease - ...

Aug 15, 2003 - West Nile virus is a mosquito-borne flavivirus and human neuropathogen. Since the virus was recognized in New York City in 1999, it has spread rapidly across the United States, with human disease documented in 39 states and the District of Columbia. West Nile virus can cause a broad ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p653.html

Quantum Sufficit - Aug 15, 2003 - American Family Physician

Aug 15, 2003 - ...Artery Risk Development in Young Adults study, those with a stronger sense of time urgency and impatience were more likely to develop hypertension within the next 13 years. The study supports the hypothesis that certain components of type A behavior pose health risks. Here's some...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2003/0815/p605.html

Tips From Other Journals - American Family Physician

Aug 15, 2003 - ...Graduated compression therapy to overcome venous hypertension is useful and can be applied using inelastic or elastic bandages. An inelastic bandage such as the Unna boot (a moist, pasty bandage that hardens to inelasticity) applies more pressure with activity. However, this type of...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0815/p755.html

Tips From Other Journals - American Family Physician

Aug 15, 2003 - ...Because untreated pulmonary embolism (PE) can be rapidly fatal or cause permanent disability from pulmonary hypertension, an accurate and rapid diagnosis is essential. Deep venous thrombosis (DVT) and pulmonary embolism are closely associated. The approach to patients with signs and...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0815/p737a.html

Management of Status Epilepticus - American Family Physician

Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p469.html

Tips From Other Journals - American Family Physician

Aug 1, 2003 - ...should be closely monitored. Because OCPs can increase blood pressure, they should be prescribed with caution in patients with mild hypertension and patients who smoke (see accompanying table). The best OCP to select is the one with the lowest effective estrogen dose. Side effects...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0801/p547.html

Poems & Tips From Other Journals - American Family Physician

Aug 1, 2003 - ...Synopsis: The investigators of this multinational study enrolled 1,715 patients with type 2 diabetes and nephropathy, most of whom had hypertension. Allocation to treatment assignment was concealed. The patients had significant proteinuria, averaging 2.9 g of urinary protein per...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0801/p534.html

Tips From Other Journals - American Family Physician

Aug 1, 2003 - ...vascular endothelial function that is compromised by other risk factors for cardiovascular disease including hyperlipidemia, smoking, and hypertension. Endothelial dysfunction can result from these disorders and can progress to atherosclerosis. To evaluate the correlation between...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0801/p537.html

Tips From Other Journals - American Family Physician

Aug 1, 2003 - ...creatinine levels. The dosage used in this study was substantially less than the dosage normally used in the treatment of cirrhosis or hypertension (25 to 50 mg per day). Spironolactone is easier to start and titrate than the standard heart failure treatment of...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0801/p543.html

AAFP News - Aug 1, 2003 - American Family Physician

Aug 1, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0801/p409.html

JNC 7 Express: New Thinking in Hypertension Treatment - Editorials - American Family ...

Jul 15, 2003 - ...JNC 7 Express: New Thinking in Hypertension Treatment LEE GREEN, M.D., M.P.H. University of Michigan Medical School Ann Arbor, Michigan Am Fam Physician. 2003 Jul 15;68(2):228-230. Related Content In May 2003, the National Heart, Lung, and Blood Institute's Seventh Joint National...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0715/p228.html

NHLBI Releases New High Blood Pressure Guidelines - Practice Guidelines - American ...

Jul 15, 2003 - New guidelines for the prevention and management of hypertension are available from the National Heart, Lung, and Blood Institute (NHLBI). According to the NHLBI, hypertension affects about 50 million persons in the United States.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0715/p376.html

Clinical Briefs - Jul 15, 2003 - American Family Physician

Jul 15, 2003 - ...present during childhood, there is no consensus on the optimal assessment and treatment of insulin resistance syndrome (i.e., obesity, hypertension, dyslipidemia, and hyper-insulinemia). The American Heart Association has issued a statement reviewing risk factors for these...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0715/p382.html

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

Jul 15, 2003 - ...Previous: JNC 7 Express: New Thinking in Hypertension Treatment Next: Should We Offer Routine Breast Cancer Screening with Mammography? View the full table of contents >> Home / Journals / afp / Vol. 68/No. 2(July 15, 2003) / Diary from a Week in Practice: Diary from a Week...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0715/p257.html

Tips From Other Journals - American Family Physician

Jul 15, 2003 - ...were included in the study. Aspirin use and tobacco cessation were recommended to all patients, along with tight control of diabetes and hypertension. Patients were aggressively treated, resulting in optimal improvement in all lipid parameters. About 50 percent of patients in both...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0715/p372.html

Heart Failure - American Family Physician

Jul 15, 2003 - ...High blood pressure (also known as hypertension) Problems with any of the heart valves Abnormal heart rhythms (also called arrhythmias) Toxic substances (such as alcohol abuse) Congenital heart disease (a heart problem you were born with) What are the symptoms of heart failure? Some...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0715/p339.html

AAFP News - Jul 15, 2003 - American Family Physician

Jul 15, 2003 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2003/0715/p219.html

Heart Attack: Warning Signs and Tips on Prevention - American Family Physician

Jul 15, 2003 - ...If you have hypertension, control your blood pressure. Talk to your doctor about whether aspirin would help reduce your risk of a heart attack. Aspirin can help keep your blood from forming clots that can eventually block the arteries. Read the full article. Get immediate access,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0715/p345.html

Potential Causes of Secondary Hypertension - Letters to the Editor - American Family ...

Jul 1, 2003 - ...Causes of Secondary Hypertension Am Fam Physician. 2003 Jul 1;68(1):42. to the editor: Concerning the excellent article, Diagnosing Secondary Hypertension, 1 by Dr. Onusko, which mentions many rare but relevant possibilities for the cause of secondary hypertension, may I add one...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0701/p42.html

ACE Inhibitor Use and Elevated Creatinine Levels - Letters to the Editor - American ...

Jul 1, 2003 - ...With constant revising of the best practice recommendations based on results of new trials, I welcomed the article1 and editorial2 on hypertension in patients with diabetes in American Family Physician. However, the editorial2 by Dr. Bakris surprised me in its facile diagnosis and...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0701/p41a.html

Behavioral Counseling in Primary Care to Promote a Healthy Diet - Putting Prevention ...

Jul 1, 2003 - Case study: More than 80 percent of Americans eat fewer than the recommended number of daily servings of fruit, vegetables, and grain products. Furthermore, they receive more than the recommended proportions of daily calories from saturated fat and total fat. You contemplate ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2003/0701/p147.html

Diary from a Week in Practice - Jul 1, 2003 - American Family Physician

Jul 1, 2003 - ...sleep aids only made him feel fuzzy in the morning. He was an overweight man with a short, stocky neck, and I was treating him for mild hypertension and acid reflux disease. My examination of his nose and throat did not uncover any evidence of upper airway obstruction. I had to...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0701/p79.html

Over-the-Counter Medications in Pregnancy - American Family Physician

Jun 15, 2003 - Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus. The safety profile of some medications may change according to the gestational age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2517.html

The Abnormal Fontanel - American Family Physician

Jun 15, 2003 - The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2547.html

Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician

Jun 15, 2003 - Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2527.html

Severe Hyponatremia as a Result of Thiazide Diuretic - Letters to the Editor - American...

Jun 15, 2003 - ...His medical history was remarkable for hypertension diagnosed 12 months before for which he was taking lisinopril/hydrochlorothiazide, 20/25 mg daily. Social history was significant for 10 years of alcohol abuse with reported minimal intake over the last six months following a stay...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0615/ol1.html

Behavioral Counseling in Primary Care to Promote a Healthy Diet - U.S. Preventive ...

Jun 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on counseling to promote a healthy diet in primary care patients and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical ...

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

https://www.aafp.org/afp/2003/0615/p2573.html

Tips From Other Journals - American Family Physician

Jun 15, 2003 - ...population that attended was similar to those who were invited except they tended to be more affluent and smoked less. The prevalence of hypertension and coronary heart disease was similar to that in the general population. Information obtained during the session included a...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0615/p2599.html

Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice...

Jun 1, 2003 - Although the percentage of patients who are treated for hypertension has increased, the percentage of those who demonstrate control of blood pressure has declined. As a result of this trend, clinicians may increasingly rely on ambulatory blood pressure monitoring to improve the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2343.html

Acute Abdominal Pain in Children - American Family Physician

Jun 1, 2003 - Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2321.html

Use of Atypical Antipsychotics in Patients with Dementia - American Family Physician

Jun 1, 2003 - Increasingly, atypical antipsychotic drugs are prescribed for elderly patients with symptoms of psychosis and behavioral disturbances. These symptoms often occur in patients with Alzheimer's disease, other dementias, or Parkinson's disease. As the average age of Americans increases, the...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2335.html

Ambulatory Blood Pressure Monitoring: Technology with a Purpose - Editorials - American...

Jun 1, 2003 - ...Hypertension and its sequelae are responsible for many visits to family physicians. Office-based measurement of blood pressure using aneroid or mercury sphygmomanometry is central to such visits. In this issue of American Family Physician, Marchiando and Elston1 review a different,...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0601/p2262.html

Clinical Briefs - Jun 1, 2003 - American Family Physician

Jun 1, 2003 - ...to be taken by unknowing nitrate users is real, because erectile dysfunction is often a concurrent condition in patients with diabetes, hypertension, and hyperlipi-demia, and in smokers and patients with ischemic heart disease. Consumers who have used this product and have medical...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0601/p2417.html

Tips From Other Journals - American Family Physician

Jun 1, 2003 - ...Recent evidence shows that obstructive sleep apnea (OSA) increases nocturnal blood pressure and is a risk factor for arterial hypertension during the day. While nasal continuous positive airway pressure (nCPAP) has been shown to improve symptoms in patients with OSA, its role in...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0601/p2404.html

Using an Ambulatory Blood Pressure Monitor - American Family Physician

Jun 1, 2003 - ...in your body. In some people, it takes a lot of force. These people have what is called high blood pressure. Another word for it is hypertension. Blood pressure is recorded as two numbers separated by a slash, like 120/80. The first number is the systolic pressure; it is the force...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0601/p2353.html

Should Active Management of the Third Stage of Labor Be Routine? - Cochrane for ...

May 15, 2003 - Active management of the third stage of labor (i.e., administration of a uterotonic medication before the placenta is delivered, early clamping and cutting of the umbilical cord, and application of controlled traction to the cord) is associated with reduced maternal blood loss, fewer ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0515/p2119.html

Screening for Type 2 Diabetes in Adults - U.S. Preventive Services Task Force - ...

May 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for type 2 diabetes in adults and the supporting scientific evidence.

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

https://www.aafp.org/afp/2003/0515/p2177.html

Clinical Briefs - May 15, 2003 - American Family Physician

May 15, 2003 - ...selectively blocking aldosterone receptors. Clinical studies suggest that aldosterone contributes to the development and progression of hypertension. Eplerenone can be administered separately or in combination with other antihypertensive therapies. Side effects include dizziness,...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0515/p2227.html

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