Search Results for

stroke

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POEMs

...of TIA or Minor Stroke Clinical Question Does adding clopidogrel (Plavix) improve outcomes over aspirin alone in the early treatment of transient ischemic attack (TIA) or minor stroke? Bottom Line Patients with minor stroke (National Insti- tutes of Health [NIH] Stroke Scale...

American Family Physician

https://www.aafp.org/afp/2014/0101/afp20140101p55.pdf

POEMs

...In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are POEMs (patient-oriented evidence that matters) are provided by...

American Family Physician

https://www.aafp.org/afp/2014/0715/afp20140715p110.pdf

POEMs

...In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are POEMs (patient-oriented evidence that matters) are provided by...

American Family Physician

https://www.aafp.org/afp/2014/0715/afp20140715p112.pdf

POEMs

...In this meta-analysis, newer anticoagulants appear to be slightly more effective than warfarin in the short term (two years) in preventing strokes of all kinds in patients with atrial fibrillation. However, they are POEMs (patient-oriented evidence that matters) are provided by...

American Family Physician

https://www.aafp.org/afp/2014/0715/afp20140715p114.pdf

POEMs

...function; a high risk of bleeding; moderate to severe mitral ste- nosis; and acute coronary syndromes, coro- nary revascularization, or stroke within the 30 days before randomization. The partici- pants were randomized to receive warfarin (international normalized ratio target = 2.0...

American Family Physician

https://www.aafp.org/afp/2014/0515/afp20140515p824.pdf

POEMs

...function; a high risk of bleeding; moderate to severe mitral ste- nosis; and acute coronary syndromes, coro- nary revascularization, or stroke within the 30 days before randomization. The partici- pants were randomized to receive warfarin (international normalized ratio target = 2.0...

American Family Physician

https://www.aafp.org/afp/2014/0515/afp20140515p824a.pdf

POEMs

...function; a high risk of bleeding; moderate to severe mitral ste- nosis; and acute coronary syndromes, coro- nary revascularization, or stroke within the 30 days before randomization. The partici- pants were randomized to receive warfarin (international normalized ratio target = 2.0...

American Family Physician

https://www.aafp.org/afp/2014/0515/afp20140515p827.pdf

POEMs

...Real-World Study Finds Lower Mortality and Stroke Risk with Dabigatran, but More GI Bleeds Clinical Question In a real-world setting, how do the harms of dabigatran (Pradaxa) and warfarin (Couma- din) compare? Bottom Line In this well-designed observational study, older...

American Family Physician

https://www.aafp.org/afp/2015/0915/afp20150915p528.pdf

POEMs

...Real-World Study Finds Lower Mortality and Stroke Risk with Dabigatran, but More GI Bleeds Clinical Question In a real-world setting, how do the harms of dabigatran (Pradaxa) and warfarin (Couma- din) compare? Bottom Line In this well-designed observational study, older...

American Family Physician

https://www.aafp.org/afp/2015/0915/afp20150915p529.pdf

POEMs

...Real-World Study Finds Lower Mortality and Stroke Risk with Dabigatran, but More GI Bleeds Clinical Question In a real-world setting, how do the harms of dabigatran (Pradaxa) and warfarin (Couma- din) compare? Bottom Line In this well-designed observational study, older...

American Family Physician

https://www.aafp.org/afp/2015/0915/afp20150915p528a.pdf

POEMs

...to only one of many possible clinical outcomes (e.g., hemorrhagic stroke only). This study identified patients 50 years and older with a baseline systolic BP between 130 and 180 mm Hg and no his- tory of diabetes or stroke. All were at increased risk of cardiovascular complications...

American Family Physician

https://www.aafp.org/afp/2016/0315/afp20160315p520a.pdf

POEMs

...to only one of many possible clinical outcomes (e.g., hemorrhagic stroke only). This study identified patients 50 years and older with a baseline systolic BP between 130 and 180 mm Hg and no his- tory of diabetes or stroke. All were at increased risk of cardiovascular complications...

American Family Physician

https://www.aafp.org/afp/2016/0315/afp20160315p520.pdf

POEMs

...received a drug-eluting stent and tolerated at least one year of dual antiplatelet therapy with aspirin and clopidogrel. None experienced a stroke, myocardial infarction, revascularization, or major bleed- ing episode during that period. They were then ran- domized to receive...

American Family Physician

https://www.aafp.org/afp/2014/1001/afp20141001p497.pdf

POEMs

...received a drug-eluting stent and tolerated at least one year of dual antiplatelet therapy with aspirin and clopidogrel. None experienced a stroke, myocardial infarction, revascularization, or major bleed- ing episode during that period. They were then ran- domized to receive...

American Family Physician

https://www.aafp.org/afp/2014/1001/afp20141001p497a.pdf

POEMs

...representativeness of the NHANES data, including self- reporting of statin use and lack of data on peripheral vascular disease or transient ischemic attacks, which may underestimate rates of CVD in the sample. Study design: Cross-sectional Funding source: Foundation...

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od4.pdf

POEMs

...representativeness of the NHANES data, including self- reporting of statin use and lack of data on peripheral vascular disease or transient ischemic attacks, which may underestimate rates of CVD in the sample. Study design: Cross-sectional Funding source: Foundation...

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od5.pdf

POEMs

...representativeness of the NHANES data, including self- reporting of statin use and lack of data on peripheral vascular disease or transient ischemic attacks, which may underestimate rates of CVD in the sample. Study design: Cross-sectional Funding source: Foundation...

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od6.pdf

POEMs

...representativeness of the NHANES data, including self- reporting of statin use and lack of data on peripheral vascular disease or transient ischemic attacks, which may underestimate rates of CVD in the sample. Study design: Cross-sectional Funding source: Foundation...

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od7.pdf

POEMs

...or stroke likelihood. The problem, if you want to call it that, is the effect of statins- studies conducted in the current statin era do not show an added benefit of trying to bump HDL levels even though early studies of niacin by itself showed a pronounced effect in reducing...

American Family Physician

https://www.aafp.org/afp/2015/0115/afp20150115p132.pdf

POEMs

...or stroke likelihood. The problem, if you want to call it that, is the effect of statins- studies conducted in the current statin era do not show an added benefit of trying to bump HDL levels even though early studies of niacin by itself showed a pronounced effect in reducing...

American Family Physician

https://www.aafp.org/afp/2015/0115/afp20150115p132a.pdf

POEMs

...or stroke likelihood. The problem, if you want to call it that, is the effect of statins- studies conducted in the current statin era do not show an added benefit of trying to bump HDL levels even though early studies of niacin by itself showed a pronounced effect in reducing...

American Family Physician

https://www.aafp.org/afp/2015/0115/afp20150115p134.pdf

POEMs

...or stroke likelihood. The problem, if you want to call it that, is the effect of statins- studies conducted in the current statin era do not show an added benefit of trying to bump HDL levels even though early studies of niacin by itself showed a pronounced effect in reducing...

American Family Physician

https://www.aafp.org/afp/2015/0115/afp20150115p133.pdf

Poems

...Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms Clinical Question In patients with evidence of insulin resis- tance and a recent stroke or transient isch- emic attack (TIA), does pioglitazone (Actos) improve outcomes? Bottom Line In patients with a recent...

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815p317.pdf

Poems

...Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms Clinical Question In patients with evidence of insulin resis- tance and a recent stroke or transient isch- emic attack (TIA), does pioglitazone (Actos) improve outcomes? Bottom Line In patients with a recent...

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815p317a.pdf

Poems

...Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms Clinical Question In patients with evidence of insulin resis- tance and a recent stroke or transient isch- emic attack (TIA), does pioglitazone (Actos) improve outcomes? Bottom Line In patients with a recent...

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815p319.pdf

Poems

...Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms Clinical Question In patients with evidence of insulin resis- tance and a recent stroke or transient isch- emic attack (TIA), does pioglitazone (Actos) improve outcomes? Bottom Line In patients with a recent...

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815p318.pdf

Poems

...Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI Clinical Question Which oral contraceptive combinations have the highest risk of cardiovascular effects? Bottom Line Although there is risk with any current oral contraceptive combination,...

American Family Physician

https://www.aafp.org/afp/2016/1015/afp20161015p663a.pdf

Poems

...Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI Clinical Question Which oral contraceptive combinations have the highest risk of cardiovascular effects? Bottom Line Although there is risk with any current oral contraceptive combination,...

American Family Physician

https://www.aafp.org/afp/2016/1015/afp20161015p664.pdf

Poems

...Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI Clinical Question Which oral contraceptive combinations have the highest risk of cardiovascular effects? Bottom Line Although there is risk with any current oral contraceptive combination,...

American Family Physician

https://www.aafp.org/afp/2016/1015/afp20161015p665.pdf

Poems

...between groups in the composite outcome of cardiovascular death, myocardial infarction, stroke, acute coronary syndrome, hospitalization for heart failure, or transient ischemic attack (17.0% for the CPAP group, 15.4% for the usual care group; P = .34). There was no significant...

American Family Physician

https://www.aafp.org/afp/2017/0115/afp20170115p122.pdf

Poems

...between groups in the composite outcome of cardiovascular death, myocardial infarction, stroke, acute coronary syndrome, hospitalization for heart failure, or transient ischemic attack (17.0% for the CPAP group, 15.4% for the usual care group; P = .34). There was no significant...

American Family Physician

https://www.aafp.org/afp/2017/0115/afp20170115p123.pdf

Poems

...between groups in the composite outcome of cardiovascular death, myocardial infarction, stroke, acute coronary syndrome, hospitalization for heart failure, or transient ischemic attack (17.0% for the CPAP group, 15.4% for the usual care group; P = .34). There was no significant...

American Family Physician

https://www.aafp.org/afp/2017/0115/afp20170115p122a.pdf

Poems

...between groups in the composite outcome of cardiovascular death, myocardial infarction, stroke, acute coronary syndrome, hospitalization for heart failure, or transient ischemic attack (17.0% for the CPAP group, 15.4% for the usual care group; P = .34). There was no significant...

American Family Physician

https://www.aafp.org/afp/2017/0115/afp20170115p123a.pdf

Poems

...= 1.15; 95% CI, 1.00 to 1.32). These results are somewhat at variance with a meta-analysis published last year that found a reduced risk of stroke and albuminuria with treatment (JAMA. 2015;313(6):603-615). Study design: Meta-analysis (randomized controlled trials) Funding...

American Family Physician

https://www.aafp.org/afp/2016/0701/afp20160701p59a.pdf

Poems

...= 1.15; 95% CI, 1.00 to 1.32). These results are somewhat at variance with a meta-analysis published last year that found a reduced risk of stroke and albuminuria with treatment (JAMA. 2015;313(6):603-615). Study design: Meta-analysis (randomized controlled trials) Funding...

American Family Physician

https://www.aafp.org/afp/2016/0701/afp20160701p59.pdf

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...are at high risk of bleeding and/or stroke. It is worth pulling the article to review Figure 3, which can be used to guide point-of-care decision-making. (Level of Evidence: 2b) Reference: Shah SV, Gage BF. Cost-effectiveness of dabigatran for stroke prophylaxis in atrial...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot1.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...mmol/L (20 mg/dL). The annual rate of major vascular events (cardiovascular death, nonfatal myocardial infarction, revascularization, or stroke) was 4.5% in the intensive therapy group and 5.3% in the less intense therapy group (number needed to treat [NNT] = 200 per year). Of the...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot4.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2012 - ...< .001; NNT = 100). There were significant reductions in death due to myocardial infarction, and nonsignificant reductions in deaths due to stroke and non-CVD causes. Incident cancers and rhabdomyolosis were not significantly increased in statin groups. There was a slight increase...

American Family Physician : Tip

https://www.aafp.org/afp/2012/1101/ot5.html

Poems & Tips From Other Journals - American Family Physician

Nov 1, 2006 - ...events, death from coronary disease, or nonfatal myocardial infarction. Among women taking raloxifene there was a trend toward more strokes (0.95 versus 0.86 percent per year;P = .07) and a greater risk of venous thromboembolism (0.39 versus 0.27 percent per year;P = .02; number...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1101/p1598a.html

Poems & Tips From Other Journals - American Family Physician

Oct 15, 2006 - ...the investigators evaluated the relationship between average diastolic blood pressure and the primary outcome of all-cause death, nonfatal stroke, and nonfatal myocardial infarction. The patients in this study were treated and monitored for a median of 2.7 years, and mortality and...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1015/p1407.html

Poems & Tips From Other Journals - American Family Physician

Sep 1, 2006 - ...therapy following the onset of acute coronary syndrome (ACS) reduce the short-term risk of death, recurrent myocardial infarction (MI), or stroke? Setting: Various (meta-analysis) Study Design: Meta-analysis (randomized controlled trials) Synopsis: During the initial period...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0901/p824a.html

Poems & Tips From Other Journals - American Family Physician

Sep 1, 2006 - ...Clinical Question: Which is more effective for complex regional pain syndrome following stroke: prednisolone or piroxicam (Feldene)? Setting: Outpatient (specialty) Study Design: Randomized controlled trial (double-blinded) Allocation: Concealed Synopsis: Complex regional pain...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0901/p832a.html

Poems & Tips From Other Journals - American Family Physician

Oct 1, 2006 - ...the two groups in the risk of invasive or noninvasive breast cancer, uterine cancer, other invasive cancers, ischemic heart disease events, stroke, osteoporotic fractures, or all-cause mortality. Thromboembolic events and cataracts occurred significantly less often in the raloxifene...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1001/p1196.html

Poems & Tips From Other Journals - American Family Physician

Sep 1, 2006 - ...of deaths caused by cardiovascular effects also was decreased (NNT for two years = 720; CI, 507 to 1,370). Myocardial infarction risk and stroke risk were similarly decreased. These NNTs are high because of the relatively small benefit (12 to 14 percent reduction) and because the...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0901/p832.html

Poems & Tips From Other Journals - American Family Physician

Jun 1, 2006 - ...infarctions, fatal and nonfatal strokes, all cardiovascular deaths, or mortality from any cause. Bottom Line: The overall effectiveness of statin therapy on the most important outcomes (i.e., decreasing mortality, heart attacks, and strokes) is not different among the three major...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0601/p2033.html

Poems & Tips From Other Journals - American Family Physician

May 15, 2006 - ...= 0.88; 95% confidence interval [CI], 0.70 to 0.97; number needed to treat [NNT] = 316; 95% CI, 180 to 3,805) and a 17 percent reduction in stroke (OR = 0.83; 95% CI, 0.70 to 0.97; NNT = 457; 95% CI, 259 to 2,597). There was no significant benefit of aspirin in reducing the risk of...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0515/p1813.html

Poems & Tips From Other Journals - American Family Physician

Apr 1, 2006 - ...After Stroke: 2 Percent Rate of Annual MI and Death Am Fam Physician. 2006 Apr 1;73(7):1259-1260. Clinical Question: What is the likelihood of serious nonstroke health outcomes following transient ischemic attacks or strokes? Setting: Inpatient (any location) with outpatient...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0401/p1259.html

Poems & Tips From Other Journals - American Family Physician

Apr 1, 2006 - ...event (i.e., cardiovascular death, nonfatal or silent acute myocardial infarction, revascularization, confirmed angina, or nonfatal stroke) was lower in the intensive treatment group (0.38 versus 0.80 per 100 patient-years of follow-up;P = .008). Put another way, this means...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0401/p1256.html

Poems & Tips From Other Journals - American Family Physician

Feb 15, 2006 - ...events was lower with statins (NNT = 42; 95% CI, 36 to 49), as were the rates of revascularizations (NNT = 56; 95% CI, 47 to 68) and strokes (NNT = 162; 95% CI, 118 to 259). Additionally, statins were beneficial regardless of age or sex, although the magnitude of benefit was greater...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0215/p690.html

Poems & Tips From Other Journals - American Family Physician

Dec 15, 2005 - ...was used (2.2 versus 4.1 percent; number needed to treat [NNT] = 56; 95% confidence interval [CI], 47 to 79). The risk of ischemic stroke also is lower with the combination (NNT = 221; 95% CI, 163 to 518). Major bleeding episodes were more common in the combination group (1.5 versus...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1215/p2529.html

Poems & Tips From Other Journals - American Family Physician

Jan 1, 2006 - ...pretreatment with clopidogrel significantly reduced the composite outcome of cardiovascular death, recurrent myocardial infarction, or stroke at 30 days of monitoring (number needed to treat = 22; 95% confidence interval, 14 to 54). Bleeding complications occurred at a similar rate...

American Family Physician : Tip

https://www.aafp.org/afp/2006/0101/p139a.html

Poems & Tips From Other Journals - American Family Physician

Aug 15, 2005 - ...PEG Tubes Worsen Quality of Life in Patients Who Have Had a Stroke Am Fam Physician. 2005 Aug 15;72(4):683-684. Clinical Question: Do percutaneous endoscopic gastrostomy (PEG) tubes improve outcomes in stroke patients who have dysphagia? Setting: Inpatient (any location) with...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0815/p683a.html

Poems & Tips From Other Journals - American Family Physician

Nov 15, 2005 - ...that vitamin E did not significantly reduce the risk of major cardiovascular events, including myocardial infarction, ischemic stroke, or hemorrhagic stroke. Although vitamin E slightly reduced the risk of cardiovascular death (number needed to treat for 10.1 years = 586; 95%...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1115/p2087.html

Poems & Tips From Other Journals - American Family Physician

Aug 1, 2005 - ...Aspirin Prevents Stroke, but Not Cardiovascular Disease, in Women Am Fam Physician. 2005 Aug 1;72(3):502-504. Clinical Question: Does aspirin prevent cardiovascular disease in women? Setting: Population-based Study Design: Randomized controlled trial (double-blinded) Allocation:...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0801/p502.html

Poems & Tips From Other Journals - American Family Physician

Aug 15, 2005 - ...Synopsis: Results of retrospective studies suggest that warfarin may be more effective than aspirin at preventing stroke in patients with intracranial arterial stenosis. However, these studies may be biased by poor ascertainment of outcomes and limited follow-up; that is, if...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0815/p680.html

Poems & Tips From Other Journals - American Family Physician

Jun 1, 2005 - ...Ximelagatran to Prevent Stroke in Nonvalvular Atrial Fibrillation Am Fam Physician. 2005 Jun 1;71(11):2178-2180. Clinical Question: Is ximelagatran effective for stroke prevention in patients with non-valvular atrial fibrillation? Setting: Outpatient (any) Study Design: Randomized...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0601/p2178a.html

Poems & Tips From Other Journals - American Family Physician

Jun 1, 2005 - ...Early Supported Discharge Effective for Patients with Stroke Am Fam Physician. 2005 Jun 1;71(11):2173. Clinical Question: Do patients with stroke benefit from early supported discharge services? Setting: Various (meta-analysis) Study Design: Meta-analysis (randomized controlled...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0601/p2173.html

Poems & Tips From Other Journals - American Family Physician

May 1, 2005 - ...Clinical Decision Rules and Stroke Risk in Atrial Fibrillation Am Fam Physician. 2005 May 1;71(9):1776-1778. Clinical Question: Which patients with atrial fibrillation would benefit from anticoagulation? Setting: Various (meta-analysis) Study Design: Decision rule (validation)...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0501/p1776.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2005 - ...Does Lipid Lowering Decrease Stroke Risk? Am Fam Physician. 2005 Apr 15;71(8):1595-1596. Clinical Question: In patients with or without heart disease, does lipid lowering decrease stroke risk? Setting: Outpatient (any) Study Design: Meta-analysis (randomized controlled trials)...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0415/p1595a.html

Poems & Tips From Other Journals - American Family Physician

Jul 1, 2005 - ...had a history of myocardial infarction (MI); 2 percent had a history of stroke; 7 percent, angina; and 2 percent, heart failure. After 2.8 to 3.1 years of follow-up, the likelihood of cardiovascular death, MI, stroke, or heart failure was 1.0 percent in the placebo group, 2.3...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0701/p158.html

Poems & Tips From Other Journals - American Family Physician

Feb 15, 2005 - ...with ST-segment elevation myocardial infarction (MI). Aspirin or clopidogrel is recommended for patients with initial transient ischemic attack (TIA)/ischemic stroke, chronic stable angina, or peripheral arterial disease (because aspirin is less expensive, clopidogrel should be...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0215/p775.html

Poems & Tips From Other Journals - American Family Physician

Apr 1, 2005 - ...perforation, gastric outlet obstruction, and hemodynamically important GI bleeding. Thromboembolic events included myocardial infarction and stroke, but not deep venous thrombosis or pulmonary embolism. The investigators who judged whether adverse events met the definitions used in...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0401/p1399.html

Poems & Tips From Other Journals - American Family Physician

Mar 15, 2005 - ...In the placebo-controlled trials, atenolol had no effect on all-cause mortality, cardiovascular mortality, myocardial infarction, or stroke. In the studies using other drugs, one study—the Losartan Intervention For Endpoint (LIFE) reduction in hypertension study—included as many...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0315/p1177.html

Poems & Tips From Other Journals - American Family Physician

Mar 15, 2005 - ...study does not show a clear benefit of amlodipine over placebo in reducing the risk of other patient-oriented outcomes, including MI, stroke, all-cause hospitalization, or death. Therefore, the investigators simply may be measuring the effects of amlodipine as an antianginal...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0315/p1182a.html

Poems & Tips From Other Journals - American Family Physician

Feb 15, 2005 - ...After one year, the likelihood of stroke or death at 30 days or ipsilateral stroke or neurologic death from 31 days to one year was not significantly different (5.5 versus 8.4 percent). The authors added myocardial infarction to the original combined end point and, in that way, were...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0215/p781.html

Poems & Tips From Other Journals - American Family Physician

Mar 1, 2005 - ...left ventricular internal, end-diastolic diameter). Exclusion criteria included acute myocardial infarction, acute coronary syndrome, recent stroke, recent cardiac surgery or angioplasty, valvular heart disease, or hypotension or uncontrolled hypertension. The primary outcome was a...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0301/p972a.html

Poems & Tips From Other Journals - American Family Physician

Jan 15, 2005 - ...levels. The main outcome, determined by intention to treat, was a composite of first acute coronary event, coronary revascularization, or stroke. The study ended two years early because the predetermined threshold for the primary outcome was reached. By the time the study was...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0115/p347a.html

Poems & Tips From Other Journals - American Family Physician

Jan 1, 2005 - ...difference was seen between the treatment groups for the composite end point of cardiovascular death, recurrent acute coronary syndrome, and stroke during the first four months. However, from four months through the end of the study the composite end point was significantly reduced:...

American Family Physician : Tip

https://www.aafp.org/afp/2005/0101/p153.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2004 - ...Ximelagatran and Risk of Stroke in Atrial Fibrillation Am Fam Physician. 2004 Apr 15;69(8):1991-1992. Clinical Question: Is ximelagatran as effective as warfarin in preventing stroke in patients with nonvalvular atrial fibrillation? Setting: Other Study Design: Randomized...

American Family Physician : Tip

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

Poems & Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...Antidepressants Reduce Mortality After a Stroke Am Fam Physician. 2004 Feb 15;69(4):940-941. Clinical Question: Will treatment with an antidepressant reduce poststroke mortality? Setting: Outpatient (specialty) Study Design: Randomized controlled trial (double-blinded) Synopsis:...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p940.html

Poems & Tips From Other Journals - American Family Physician

Nov 15, 2003 - ...Role of Candesartan in the Treatment of Acute Stroke Am Fam Physician. 2003 Nov 15;68(10):2044-2048. Clinical Question: Does candesartan reduce the rate of stroke mortality and other complications in patients with acutely elevated blood pressure? Setting: Inpatient (any location)...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1115/p2044.html

Poems & Tips From Other Journals - American Family Physician

Dec 15, 2003 - ...in the treated group (24.6 versus 45.0 percent; number needed to treat [NNT] = 4.9). The outcome of cardiac deaths, nonfatal infarction, and stroke also decreased significantly (24.6 versus 47.8 percent; NNT = 4). Nausea and vomiting were more common in the coenzymeQ10 group,...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1215/p2439.html

Poems & Tips From Other Journals - American Family Physician

Oct 15, 2003 - ...mortality was seen among patients receiving beta-carotene (3.4 versus 3.1 percent; NNK = 334; P = .003). Beta-carotene had no effect on stroke events (2.3 percent for treated and control patients). The data were homogeneous across studies for these end points. More than 81,000...

American Family Physician : Tip

https://www.aafp.org/afp/2003/1015/p1613.html

POEMs Department Collection - American Family Physician

POEMs (Patient-Oriented Evidence that Matters) are summaries of research that is relevant to physicians and their patients and meet three criteria: address a question that primary care physicians face in day-to-day practice; measure outcomes important to physicians and patients, ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=111

POEMs Department Collection - American Family Physician

POEMs (Patient-Oriented Evidence that Matters) are summaries of research that is relevant to physicians and their patients and meet three criteria: address a question that primary care physicians face in day-to-day practice; measure outcomes important to physicians and patients, ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=111&page=0

Point-of-Care Guides

...*-Cardiovascular diseases include angina pectoris, myocardial infarction, heart failure, stroke, transient ischemic attack, and peripheral vascular disease. †-Also based on a conversation with Steinberg and Janssens. (E-mail, June 12, 2016). Adapted with permission from Kienhorst...

American Family Physician

https://www.aafp.org/afp/2016/0915/afp20160915p505.pdf

Point-of-Care Guides - American Family Physician

Sep 15, 2021 - This collection features AFP content from the Point-of-Care Guides collection on topics related to anticoagulation, cancer, cardiovascular issues, diabetes, gastrointestinal issues, infectious diseases, mortality risk, musculoskeletal issues, neurologic issues, obstetric issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=75

Point-of-Care Guides Department Collection - American Family Physician

These guides offer evidence-based tools to assist family physicians in improving their decision-making at the point of care.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=7

Point-of-Care Guides Department Collection - American Family Physician

These guides offer evidence-based tools to assist family physicians in improving their decision-making at the point of care.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=7&page=0

Polycystic Ovary Syndrome - American Family Physician

Sep 1, 2000 - ...If you have PCOS, you are more likely to get high blood pressure or diabetes. This means you have a greater risk for strokes and heart attacks. Because of irregular menstrual periods, women with PCOS are more likely to be infertile (unable to get pregnant). They may also have a...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2000/0901/p1090.html

Polycythemia Vera - American Family Physician

May 1, 2004 - ...Also, your hands and feet may become blue and tender. Sometimes a person with PV vera may have abnormal blood clots, which may lead to a stroke. This disease rarely occurs early in life. Most cases occur in people around 60 years of age. What causes PV? PV may begin with a bone...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/0501/p2146.html

Polycythemia Vera: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Jun 1, 2021 - Polycythemia vera is one of three stem-cell–derived myeloid malignancies commonly known as myeloproliferative neoplasms. It is characterized by erythrocytosis, often with associated leukocytosis and thrombocytosis. It has a significant negative impact on overall mortality and morbidity ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0601/p680.html

Polymyalgia Rheumatica and Giant Cell Arteritis - American Family Physician

Nov 1, 2006 - Polymyalgia rheumatica and giant cell arteritis are common, closely related vasculitic conditions that almost exclusively occur in patients older than 50 years. They may be manifestations of the same underlying disease and often coexist. Patients with polymyalgia rheumatica usually ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1547.html

Polymyalgia Rheumatica and Giant Cell Arteritis - American Family Physician

Nov 15, 2013 - ...GCA requires higher doses of steroids. This will help lower your risk of going blind, having a stroke, or other problems. Your doctor may start you on steroids even before he or she is sure you have GCA. Symptoms improve quickly over a few days, but sometimes, you may need to take...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2013/1115/p676-s1.html

Polymyalgia Rheumatica and Temporal Arteritis - American Family Physician

Aug 15, 2000 - Polymyalgia rheumatica and temporal arteritis are closely related inflammatory conditions that affect different cellular targets in genetically predisposed persons. Compared with temporal arteritis, polymyalgla rheumatica is much more common, affecting one in 200 persons older than 50 ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0815/p789.html

Polypharmacy: Evaluating Risks and Deprescribing - American Family Physician

Jul 1, 2019 - Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy. Patient-related factors include having multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0701/p32.html

Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ... Restricted content. Login required.

Jun 15, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2021/0615/p757.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ... Restricted content. Login required.

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...

Jan 1, 2020 - ...Next: Screening for Atrial Fibrillation to Initiate Stroke-Protective Therapy View the full table of contents >> Home / Journals / afp / Vol. 101/No. 1(January 1, 2020) / Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients with Acute Cough...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p5.html

Post-ICU Care in the Outpatient Setting - American Family Physician Restricted content. Login required.

May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...

American Family Physician : Article

https://www.aafp.org/afp/2021/0515/p590.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

Postmenopausal Hormone Replacement Therapy for the Primary Prevention of Chronic ...

Jan 15, 2003 - These are the current U.S. Preventive Services Task Force (USPSTF) recommendations for use of hormone replacement therapy (HRT) for the primary prevention of chronic conditions in postmenopausal women.

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

https://www.aafp.org/afp/2003/0115/p358.html

Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk,...

May 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0515/p606.html

Potential Interaction Between Soy Milk and Warfarin - Letters to the Editor - American ...

Oct 1, 2004 - ...The use of warfarin in the management of atrial fibrillation, coronary artery disease, congestive heart failure, and strokes has become widespread. Also, the use of complementary or alternative medicine in the United States has become increasingly popular. For these reasons, every...

American Family Physician : Letter

https://www.aafp.org/afp/2004/1001/p1231.html

Practical Considerations in the Early Treatment of Ischemic Stroke - American Family ...

Jan 1, 1998 - Successful treatment of patients with ischemic stroke depends on the ability to treat within three hours of onset, because tissue plasminogen activator has not yet been proved effective beyond this time frame. The two major causes of delay in treatment are failure, on the part of the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p73.html

Practice Guidelines

...College of Physicians (ACP) has released guidelines on VTE prophylaxis in hospitalized, nonsurgical patients, including those with acute stroke. Recommendations Patients should be assessed for the risk of thromboembolism and bleeding before the initiation of VTE prophylaxis. The...

American Family Physician

https://www.aafp.org/afp/2012/0615/afp20120615p1204.pdf

Practice Guidelines - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - The American Academy of Neurology (AAN) has released evidence-based recommendations for the use of serum prolactin tests in differentiating between epileptic and nonepileptic seizures.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0401/p1284.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - ...TCD provides valuable information in two situations: (1) screening children two to 16 years of age with sickle cell disease for risk of stroke, and (2) detecting and monitoring of vasospasms after subarachnoid hemorrhage. In other situations, TCD was found to provide important...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601a.html

Practice Guidelines - Jul 15, 2004 - American Family Physician

Jul 15, 2004 - ...Next: Recommendations for Exercise After Stroke View the full table of contents >> Home / Journals / afp / Vol. 70/No. 2(July 15, 2004) / Practice Guidelines: Practice Guidelines...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p399.html

Practice Guidelines - May 15, 2006 - American Family Physician

May 15, 2006 - A subcommittee of the American Academy of Neurology (AAN) reviewed articles on carotid endarterectomy to assess the effectiveness of the procedure in preventing stroke in patients with internal carotid artery stenosis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0515/p1847a.html

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