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hypertension

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Newer Intranasal Migraine Medications - American Family Physician

Jan 1, 2000 - Two new intranasal migraine medications, sumatriptan and dihydroergotamine mesylate, may offer specific advantages for patients who are seeking alternatives to various oral or parenteral migraine abortive therapies. Placebo-controlled clinical studies demonstrate that both intranasal ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p180.html

Why Can't This Patient Take Insulin? - Curbside Consultation - American Family Physician

Jan 1, 2000 - One of the prevailing challenges for physicians is dealing with noncompliant patients—those patients who seem unable or unwilling to comply with their treatment plan. When faced with such a patient, the physician's first impulse is frequently one of anger and frustration. The reasons ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2000/0101/p226.html

Comments on Type 2 Diabetes Screening and Treatment - Letters to the Editor - American ...

Jan 1, 2000 - ...are at significantly increased risk for coronary heart disease, stroke and peripheral vascular disease, and greater risk of dyslipidemia, hypertension and obesity. Along with the American Diabetes Association, we believe that screening for type 2 diabetes in asymptomatic, high-risk...

American Family Physician : Letter

https://www.aafp.org/afp/2000/0101/p48.html

Tips From Other Journals - American Family Physician

Jan 1, 2000 - ...Walking to Work Decreases Risk of Hypertension in Men Am Fam Physician. 2000 Jan 1;61(1):221. Physical activity has been shown to reduce the risk for cardiovascular disease, possibly in part by decreasing blood pressure. The level of physical activity needed to reduce blood pressure...

American Family Physician : Tip

https://www.aafp.org/afp/2000/0101/p221a.html

Tips From Other Journals - American Family Physician

Jan 1, 2000 - ...Home / Journals / afp / Vol. 61/No. 1(January 1, 2000) / Walking to Work Decreases Risk of Hypertension in Men

American Family Physician : Tip

https://www.aafp.org/afp/2000/0101/p221.html

Oral Pharmacologic Management of Type 2 Diabetes - American Family Physician

Dec 1, 1999 - Epidemiologic and interventional studies have led to lower treatment targets for type 2 diabetes (formerly known as non-insulin-dependent diabetes), including a glycosylated hemoglobin level of 7 percent or less and a before-meal blood glucose level of 80 to 120 mg per dL (4.4 to 6.7 ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2613.html

Marijuana: Medical Implications - American Family Physician

Dec 1, 1999 - Over 50 percent of people will use marijuana sometime in their life. While intoxication lasts two to three hours, the active ingredient in marijuana, delta-9-tetrahydro-cannabinol, can accumulate in fatty tissues, including the brain and testes. Adverse effects from marijuana use ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2583.html

Painter's Knee? - Photo Quiz - American Family Physician

Dec 1, 1999 - 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/1999/1201/p2623.html

Tips From Other Journals - American Family Physician

Dec 1, 1999 - ...Prostacyclin Therapy for Pulmonary Hypertension Am Fam Physician. 1999 Dec 1;60(9):2653. Pulmonary artery hypertension may be primary with an unknown cause or secondary to other conditions, including lung disease, sarcoidosis, collagen vascular disease, congenital heart disease,...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1201/p2653.html

Tips From Other Journals - American Family Physician

Dec 1, 1999 - ...age at surgery was 42.3 years. Careful documentation of a past history of hypertension was noted in only 42 percent of patients, while 82 percent of patients actually presented with symptoms of hypertension. Other common symptoms of pheochromocytoma included headache, palpitations...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1201/p2667a.html

Tips From Other Journals - American Family Physician

Dec 1, 1999 - ...15 percent of the steroid group but in only 4 percent of the placebo group. There were no significant differences in rates of infection, hypertension or psychiatric disorders. Seven deaths in the placebo group and six deaths in the steroid group were attributed to COPD. The authors...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1201/p2654.html

Tips From Other Journals - American Family Physician

Dec 1, 1999 - ...and nonevent groups. Other significant independent risk factors for atherosclerotic vascular disease included age, diabetes, male sex and hypertension. ACLA IgM was a significant independent risk factor for any event at 55 or more years of age. The authors conclude that ACLAs IgG...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1201/p2684.html

Obstructive Sleep Apnea - American Family Physician

Nov 15, 1999 - Obstructive sleep apnea is a significant medical problem affecting up to 4 percent of middle-aged adults. The most common complaints are loud snoring, disrupted sleep and excessive daytime sleepiness. Patients with apnea suffer from fragmented sleep and may develop cardiovascular ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2279.html

Preventing Stroke in Patients with Transient Ischemic Attacks - American Family Physician

Nov 15, 1999 - Stroke is the third most common overall cause of death and the leading cause of adult disability in the United States. New therapeutic interventions instituted in the period immediately after a stroke have revolutionized the approach to ischemic cerebrovascular disease. Recognition of a...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2329.html

Coming Face-to-Face with Social Phobia - Editorials - American Family Physician

Nov 15, 1999 - ...A physician's first reaction might be something like this: Social phobia? Let's get real here. Hypertension, yes. Diabetes, yes. Depression, okay. But social phobia? Why in the world should I care about social phobia? There are a number of reasons why family physicians should care....

American Family Physician : Editorials

https://www.aafp.org/afp/1999/1115/p2244.html

Diary from a Week in Practice - Nov 15, 1999 - American Family Physician

Nov 15, 1999 - ...years earlier had shown mild inflammation at the ileocecal junction, and she was assured that all was well. Her medical history included hypertension and a hysterectomy performed seven years previously, and her only medications were a beta blocker, oral estrogen and a calcium...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/1115/p2267.html

Conference Highlights - Nov 15, 1999 - American Family Physician

Nov 15, 1999 - ...primary prevention among those with risk factors for cardiovascular disease, including family history of cardiovascular disease, smoking, hypertension, obesity and lipid abnormalities (such as high cholesterol levels), and as secondary prevention in those with a history of heart...

American Family Physician : Conference Highlights

https://www.aafp.org/afp/1999/1115/p2359.html

Tips From Other Journals - American Family Physician

Nov 15, 1999 - ...Orlistat is indicated for use in patients with a body mass index of at least 30 kg per m2 or 27 kg per m2 in patients with hypertension, diabetes or dyslipidemia. Two large placebo-controlled trials evaluated the effect of orlistat in a dosage of 120 mg three times daily or placebo...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1115/p2403.html

Tips From Other Journals - American Family Physician

Nov 15, 1999 - ...for a median of 5.1 years. The mean age of participants was 64 years, and 90 percent were white. More than 50 percent of participants had hypertension, and 25 percent had diabetes. The mean HDL cholesterol level at entry was 32 mg per dL (0.8 mmol per L), and the mean LDL...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1115/p2417.html

Tips From Other Journals - American Family Physician

Nov 15, 1999 - ...or more below the mean. Exclusion criteria included a history of erosive upper gastrointestinal disease, abnormal renal function, hypertension or myocardial infarction in the previous six months. Other exclusion criteria were the use of fluoride or bisphosphonates at any time in the...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1115/p2428.html

Exercise-Related Syncope in the Young Athlete: Reassurance, Restriction or Referral? - ...

Nov 1, 1999 - A common event in young adults, syncope is usually benign and only rarely requires more than simple reassurance. However, exercise-related syncope always requires investigation because it may be the only symptom that precedes a sudden cardiac death. Syncope that occurs during exercise ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2001.html

Update on Oral Contraceptive Pills - American Family Physician

Nov 1, 1999 - Oral contraceptive pills are widely used and are generally safe and effective for many women. The World Health Organization has developed a risk classification system to help physicians advise patients about the safety of oral contraceptive pills. The choice of pill formulation is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2073.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

The Costs of Helping Patients with Type 1 Diabetes Achieve Tight Control - Editorials -...

Nov 1, 1999 - ...and secondary interventions to prevent or ameliorate these complications, and screening for and managing comorbid conditions (e.g., hypertension and hyperlipidemia). Reasonable targets for tight control have been defined as a mean blood glucose level of 155 mg per dL (8.6 mmol per...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/1101/p1914.html

Tips From Other Journals - American Family Physician

Nov 1, 1999 - ...and acute myocardial infarction. These events are rare in this age group. Risk factors for these adverse events include smoking and hypertension. In the cases of acute myocardial infarction, 80 percent of the women smoked. In women who smoke, the risks and benefits of combined oral...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1101/p2120.html

Tips From Other Journals - American Family Physician

Nov 1, 1999 - ...significant overall benefit occurring in patients taking warfarin. Independent risk factors for stroke include increasing age, history of hypertension, diabetes and previous transient ischemic attack. Patients younger than 65 years of age with atrial fibrillation but no risk factors...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1101/p2130.html

Diagnosis and Treatment of Endometriosis - American Family Physician

Oct 15, 1999 - Endometriosis is a progressive disease affecting 5 to 10 percent of women. It can cause dyspareunia, dysmenorrhea, low back pain and infertility. A definitive diagnosis can be made only by means of laparoscopy. Medical treatment designed to interfere with ovulation generally provides ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1753.html

Conference Highlights - Oct 15, 1999 - American Family Physician

Oct 15, 1999 - ...Study Shows Link Between Snoring and Hypertension in Pregnancy (American Lung Association/American Thoracic Society 1999 International Conference) Partial upper airway obstruction may be responsible for an increase in blood pressure during the night in patients who have preeclampsia...

American Family Physician : Conference Highlights

https://www.aafp.org/afp/1999/1015/p1791.html

AHA and ACC Issue Scientific Statement on Preventive Cardiology for Women - Special ...

Oct 15, 1999 - ...Women with significant risk factors for diabetes should have glucose testing before taking oral contraceptives. If a women develops hypertension while using oral contraceptives, she should be advised to stop taking them. Beta blockers should be started within hours of...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1999/1015/p1846.html

Tips From Other Journals - American Family Physician

Oct 15, 1999 - ...Eligible patients included those with portal hypertension and grade 3 (3 to 6 mm) or grade 4 (greater than 6 mm) varices diagnosed by endoscopy. None of the patients had a prior history of variceal bleeding. After application of exclusion criteria, patients were randomly assigned at...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1015/p1817a.html

The Home Visit - American Family Physician

Oct 1, 1999 - With the advent of effective home health programs, an increasing proportion of medical care is being delivered in patients' homes. Since the time before World War II, direct physician involvement in home health care has been minimal. However, patient preferences and key changes in the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1481.html

Management of the Hyperosmolar Hyperglycemic Syndrome - American Family Physician

Oct 1, 1999 - Hyperglycemic hyperosmolarity is part of a clinical spectrum of severe hyperglycemic disorders ranging from pure hyperglycemic hyperosmolarity without ketosis to diabetic ketoacidosis, with significant overlap in the middle. From 50 to 75 percent of hospitalizable patients who have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1468.html

Tips From Other Journals - American Family Physician

Oct 1, 1999 - ...cause of morbidity and mortality in the United States, despite the fact that it is a preventable condition. Known risk factors include hypertension, myocardial infarction (MI), atrial fibrillation, diabetes mellitus, hyperlipidemia, carotid artery disease and lifestyle choices....

American Family Physician : Tip

https://www.aafp.org/afp/1999/1001/p1505.html

Tips From Other Journals - American Family Physician

Oct 1, 1999 - ...to affect the eyes and the skin. The risk of posterior subcapsular cataracts is increased, and a small but significant risk for ocular hypertension and open-angle glaucoma is associated with regular use of high-dose corticosteroids. There is also evidence of a dose-response effect...

American Family Physician : Tip

https://www.aafp.org/afp/1999/1001/p1508.html

Angiotensin II Receptor Antagonists in the Treatment of Hypertension - American Family ...

Sep 15, 1999 - The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-VI) includes recommendations for the assessment of overall cardiovascular risk and the need for active antihypertensive drug therapy. Once the decision to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1185.html

Newer Pharmacologic Alternatives for Erectile Dysfunction - American Family Physician

Sep 15, 1999 - With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1159.html

Outpatient Detoxification of the Addicted or Alcoholic Patient - American Family Physician

Sep 15, 1999 - Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1175.html

Atopic Dermatitis: A Review of Diagnosis and Treatment - American Family Physician

Sep 15, 1999 - Atopic dermatitis is a common, potentially debilitating condition that can compromise quality of life. Its most frequent symptom is pruritus. Attempts to relieve the itch by scratching simply worsen the rash, creating a vicious circle. Treatment should be directed at limiting itching, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1191.html

Evaluation of Asymptomatic Microscopic Hematuria in Adults - American Family Physician

Sep 15, 1999 - In patients without significant urologic symptoms, microscopic hematuria is occasionally detected on routine urinalysis. At present, routine screening of all adults for microscopic hematuria with dipstick testing is not recommended because of the intermittent occurrence of this finding ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1143.html

Antihypertensive Treatment and CHD in the Elderly - Letters to the Editor - American ...

Sep 15, 1999 - ...the greater benefits of blood pressure reduction in patients with diabetes, citing both the Hypertension Optimal Treatment (HOT) trial2 and the European Trial on Systolic Hypertension Study in the Elderly (Syst-Eur).3 Both of these studies used dihydropyridine calcium channel...

American Family Physician : Letter

https://www.aafp.org/afp/1999/0915/p1102.html

Tips From Other Journals - American Family Physician

Sep 15, 1999 - ...whether screening should be performed in all first-degree relatives or only in a target group. The precise role of risk factors such as hypertension, smoking, evidence of arteriosclerotic disease and peripheral arterial aneurysms as screening indications is also unclear. Salo and...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0915/p1234.html

HELLP Syndrome: Recognition and Perinatal Management - American Family Physician

Sep 1, 1999 - HELLP, a syndrome characterized by hemolysis, elevated liver enzyme levels and a low platelet count, is an obstetric complication that is frequently misdiagnosed at initial presentation. Many investigators consider the syndrome to be a variant of preeclampsia, but it may be a separate ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p829.html

Depression Without Sadness: Alternative Presentations of Depression in Late Life - ...

Sep 1, 1999 - Older adults often deny feeling sad while exhibiting other characteristics of depression. Elderly patients with depression who do not present with sadness often have unexplained somatic complaints and exhibit a sense of hopelessness. Anxiety and anhedonia (a general loss of ability to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p820.html

Antioxidant Vitamins and the Prevention of Coronary Heart Disease - American Family ...

Sep 1, 1999 - Clinical use of antioxidant vitamin supplementation may help to prevent coronary heart disease (CHD). Epidemiologic studies find lower CHD morbidity and mortality in persons who consume larger quantities of antioxidants in foods or supplements. Clinical trials indicate that ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p895.html

Medical Advice for Commercial Air Travelers - American Family Physician

Sep 1, 1999 - Family physicians are often asked to advise patients who are preparing to travel. The Air Carrier Access Act of 1986 has enabled more passengers with medical disabilities to choose air travel. All domestic U.S. airlines are required to carry basic (but often limited) medical equipment, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p801.html

Clinical Briefs - Sep 1, 1999 - American Family Physician

Sep 1, 1999 - ...by the pregnancy. The three leading causes of pregnancy-related death, according to the report, were hemorrhage, pregnancy-induced hypertension and embolism. Black women are at greater risk than white women for dying from all pregnancy-related complications. The report notes that...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/0901/p1023.html

Diary from a Week in Practice - Sep 1, 1999 - American Family Physician

Sep 1, 1999 - ...A patient visited CAG for follow-up of obesity, hypertension and obstructive sleep apnea. Three months earlier, sleep studies had shown severe sleep apnea, which explained the patient's chronic fatigue. One month after starting treatment with continuous partial airway pressure...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/0901/p796.html

Tips From Other Journals - American Family Physician

Sep 1, 1999 - ...Committee on Detection, Evaluation and Treatment of Hypertension recommended that diuretics or beta blockers be considered as the preferred initial drug therapy for the management of patients with uncomplicated hypertension. Currently, however, the number of prescriptions written...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0901/p984.html

Tips From Other Journals - American Family Physician

Sep 1, 1999 - ...can also improve nighttime arterial oxygen saturation levels. The latter may assist in reducing the incidence and severity of pulmonary hypertension. The authors conclude that ipratropium treatment at bedtime can improve the quality of sleep in patients with COPD as well as their...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0901/p940.html

Tips From Other Journals - American Family Physician

Sep 1, 1999 - ...major psychiatric disorders, spinal cord injuries, recent myocardial infarction, recent stroke, peptic ulcer disease, hypotension or hypertension. All patients had a history and physical examination as well as blood tests. After a four-week period in which no treatment was given,...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0901/p964.html

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

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

American Family Physician : Article

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

Current Trends in Cervical Ripening and Labor Induction - American Family Physician

Aug 1, 1999 - ...Pregnancy-induced hypertension or preeclampsia Chorioamnionitis Severe intrauterine fetal growth retardation Significant maternal medical problems, such as diabetes mellitus with pregnancy at term *—No labor within four hours after membranes have ruptured. Information...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p477.html

Tips From Other Journals - American Family Physician

Aug 1, 1999 - ...age of the study population was 77.9 years, and 66.1 percent of the group were women. At baseline, 54.6 percent had been diagnosed with hypertension. Diabetes was present at baseline in 19.3 percent, coronary heart disease in 10.3 percent, atrial fibrillation in 2.8 percent and...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0801/p618.html

Tips From Other Journals - American Family Physician

Aug 1, 1999 - ...depression. Patients presenting with T-wave inversion or ST-segment depression had a higher prevalence of hypercholesterolemia and hypertension, and were more likely to have a longer history of coronary artery disease. The data also showed that early death (within the first few days...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0801/p621.html

Tips From Other Journals - American Family Physician

Aug 1, 1999 - ...approximately 80 percent of the physicians surveyed reported using an ACE inhibitor in patients with microalbuminuria or albuminuria and hypertension. However, this figure dropped to about 55 percent when diabetic patients with abnormal urinary albumin excretion had normal blood...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0801/p641a.html

A Rational Approach to the Treatment of Hypertension in Special Populations - American ...

Jul 1, 1999 - Hypertension in blacks is usually characterized by low renin, expanded volume and sensitivity to salt. Diuretics are the preferred initial therapy, but response to calcium channel antagonists is also good. The blood pressure response to monotherapy with beta blockers or ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p156.html

Common Causes of Vision Loss in Elderly Patients - American Family Physician

Jul 1, 1999 - Vision loss among the elderly is a major health care problem. Approximately one person in three has some form of vision-reducing eye disease by the age of 65. The most common causes of vision loss among the elderly are age-related macular degeneration, glaucoma, cataract and diabetic ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p99.html

Vasectomy Techniques - American Family Physician

Jul 1, 1999 - Vasectomy can be performed by means of various techniques, although each vasectomy technique requires isolation and division of the vas and operative management of the vasal ends. Removal of at least 15 mm of vas is recommended, although division of the vas without removal of a segment ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p137.html

Responses to Questions About the Specialty of Family Practice as a Career - American ...

Jul 1, 1999 - This article provides answers to many of the questions medical students ask about the specialty of family practice. It is the fourth update of a previous article and was developed in response to feedback from medical students at the 1997 National Congress of Student Members held by the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p167.html

National Stroke Association Develops a Consensus Statement on Prevention of Stroke - ...

Jul 1, 1999 - ...On the basis of the literature review, the Stroke Prevention Advisory Board identified six important risk factors for stroke: hypertension, myocardial infarction, atrial fibrillation, diabetes mellitus, lipid levels and asymptomatic carotid artery stenosis. The advisory board also...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1999/0701/p314.html

Family Practice International - Jul 01, 1999 - American Family Physician

Jul 1, 1999 - ...is wasting and myopathy of the limbs plus thinning and increased fragility of the skin. Associated conditions include diabetes mellitus, hypertension, dyslipidemia and osteoporosis. In noniatrogenic cases, diagnostic testing is used first to establish the diagnosis by demonstrating...

American Family Physician : Family Practice International

https://www.aafp.org/afp/1999/0701/p298.html

Diary from a Week in Practice - Jul 01, 1999 - American Family Physician

Jul 1, 1999 - ...and our willingness to listen. Today JRH was near the end of a visit with a middle-aged woman who had come in for evaluation of hypertension, when she mentioned in passing that her toe would sometimes get stuck in the flexed position and wouldn't return to neutral unless she bent...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/0701/p93.html

Tips From Other Journals - American Family Physician

Jul 1, 1999 - ...of Drugs Used to Treat Chronic Hypertension This is a corrected version of the Tip that appeared in print. Am Fam Physician. 1999 Jul 1;60(1):286-288. Physicians today have a variety of drugs from which to choose when treating a patient with hypertension. These medications must...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0701/p286a.html

Tips From Other Journals - American Family Physician

Jul 1, 1999 - ...Neither tachycardia nor hypertension were predictive of ectopic pregnancy. Other findings that were not predictive of ectopic pregnancy included the presence of an adnexal mass, a history of ectopic pregnancy, a history of pelvic inflammatory disease, the amount of vaginal bleeding...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0701/p277.html

Tips From Other Journals - American Family Physician

Jul 1, 1999 - ...resulting in a relative risk reduction of 27 percent (4 to 44 percent; P = 0.02). The results held up when controlled for age, sex, hypertension, smoking, diabetes, ejection fraction, history of cerebrovascular event and baseline lipid values. The divergence of the treatment arms...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0701/p266a.html

Tips From Other Journals - American Family Physician

Jul 1, 1999 - ...Home / Journals / afp / Vol. 60/No. 1(July 1, 1999) / Comparison of Drugs Used to Treat Chronic Hypertension

American Family Physician : Tip

https://www.aafp.org/afp/1999/0701/p286.html

Tips From Other Journals - American Family Physician

Jul 1, 1999 - ...found in the size of the posterior wall and the septum. Even after adjusting for age, alcohol consumption, body mass index and systolic hypertension, HRT remained a statistically significant variable. There was a nonsignificant trend for more regular exercise among the women who...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0701/p293a.html

Angiotensin-II Receptor Antagonists: Their Place in Therapy - American Family Physician

Jun 1, 1999 - Angiotensin-II receptor antagonists (or blockers) are a newer class of antihypertensive agents. These drugs are selective for angiotensin II (type 1 receptor); unlike angiotensin-converting enzyme inhibitors, they do not inhibit bradykinin metabolism or enhance prostaglandin synthesis. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3140.html

Endometrial Cancer - American Family Physician

Jun 1, 1999 - Endometrial cancer is the fourth most common cancer in women, accounting for approximately 6,000 deaths per year in the United States. It is more common in women who are older, white, affluent obese and of low parity. Hypertension and diabetes mellitus are also predisposing factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3069.html

Case Studies in International Medicine - American Family Physician

Jun 1, 1999 - Family physicians in the United States are increasingly called on to manage the complex clinical problems of newly arrived immigrants and refugees. Case studies and discussions are provided in this article to update physicians on the diagnosis and management of potentially unfamiliar ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3040.html

Conference Highlights - Jun 1, 1999 - American Family Physician

Jun 1, 1999 - ...admission to a coronary care unit, 14.5 percent of the women and 7.2 percent of the men died. Overall, the women had higher rates of hypertension (58.2 percent versus 35.8 percent) and diabetes mellitus (21.2 percent versus 13.0 percent) but lower prevalence of smoking (21.2 percent...

American Family Physician : Conference Highlights

https://www.aafp.org/afp/1999/0601/p3157.html

Treatment Guidelines for Heart Failure Stress Multidrug Approach - Special Medical ...

Jun 1, 1999 - ...Measures to decrease the risk of new cardiac injury—cessation of smoking; weight reduction in obese patients; control of hypertension, hyperlipidemia and diabetes; and discontinuation of alcohol use. Measures to maintain fluid balance—restriction of daily intake of salt to 3 g or...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1999/0601/p3265.html

Tips From Other Journals - American Family Physician

Jun 1, 1999 - ...Hypertension? Am Fam Physician. 1999 Jun 1;59(11):3202. The leading cause of death among patients with diabetes is cardiovascular disease. Many diabetic patients also have hypertension. Calcium channel blockers have been shown to be effective for treating both hypertension and...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0601/p3202.html

Tips From Other Journals - American Family Physician

Jun 1, 1999 - ...It is estimated that 3 million Americans will have chronic renal failure by the year 2008. Diabetes and hypertension account for two thirds of persons with chronic renal failure. Other high-risk patients include those with chronic glomerulonephritis or a family history of renal...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0601/p3207.html

Tips From Other Journals - American Family Physician

Jun 1, 1999 - ...recent acute myocardial infarction, decompensated congestive heart failure, hemodynamically significant valvular disease, uncontrolled hypertension, renal insufficiency or significant pulmonary, orthopedic or neurologic limitations. One half of the patients underwent a 14-month...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0601/p3243a.html

Treatment of Type 2 Diabetes Mellitus - American Family Physician

May 15, 1999 - Type 2 diabetes mellitus (formerly called non-insulin-dependent diabetes) causes abnormal carbohydrate, lipid and protein metabolism associated with insulin resistance and impaired insulin secretion. Insulin resistance is a major contributor to progression of the disease and to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2835.html

Stroke: Part II. Management of Acute Ischemic Stroke - American Family Physician

May 15, 1999 - Optimal treatment of the patient who has sustained an acute ischemic stroke requires rapid assessment and early intervention. The leisurely approach to acute stroke management sometimes taken in the past should be replaced by an approach that treats stroke as a true medical emergency. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2828.html

AHA Assesses the Impact of Genotyping on Diagnosis of Genetic Cardiac Disease - Special...

May 15, 1999 - ...increase in left ventricular wall thickness, including some trained athletes with ventricular hypertrophy, and in patients with systemic hypertension who are suspected of having hypertrophic cardiomyopathy. Long-QT Syndrome Long-QT syndrome is characterized by abnormal prolongation...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1999/0515/p2915.html

Stroke: Part I. A Clinical Update on Prevention - American Family Physician

May 1, 1999 - Clinical trials conducted during the past five years have yielded important results that have allowed us to refine our approach to stroke prevention. Treatment of isolated systolic hypertension prevents stroke and is generally well tolerated. New antiplatelet agents (clopidogrel and the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2475.html

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

May 1, 1999 - Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2487.html

Sleep Problems in the Elderly - American Family Physician

May 1, 1999 - Refreshing sleep requires both sufficient total sleep time as well as sleep that is in synchrony with the individual's circadian rhythm. Problems with sleep organization in elderly patients typically include difficulty falling asleep, less time spent in the deeper stages of sleep, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2551.html

Tips From Other Journals - American Family Physician

May 1, 1999 - ...with placebo plus diet. They also studied the effectiveness of orlistat in the reduction of risk factors, such as cardiovascular risk, hypertension and insulin resistance, in obese patients. The trial included adults whose body mass index was between 30 and 43 kg per m2 and who had...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0501/p2599.html

Preventing Stroke: Some Good Advice - American Family Physician

May 1, 1999 - ...High blood pressure (also called hypertension) Diabetes (also called high blood sugar) Tobacco use High cholesterol (high fat levels in the blood) A heart rhythm problem called atrial fibrillation A warning stroke called a transient ischemic attack (or TIA) If you have any of these...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/0501/p2485.html

Interventions to Reduce Cardiovascular Risk Factors in Children and Adolescents - ...

Apr 15, 1999 - Certain modifiable risk factors for cardiovascular disease have their beginnings in childhood. Cigarette smoking, hypertension, physical inactivity, obesity, hypercholesterolemia, hyperinsulinemia, homocysteinemia and poor nutrition in childhood and adolescence may all contribute to the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2211.html

Medical Treatments for Balding in Men - American Family Physician

Apr 15, 1999 - Two drugs are available for the treatment of balding in men. Minoxidil, a topical product, is available without a prescription in two strengths. Finasteride is a prescription drug taken orally once daily. Both agents are modestly effective in maintaining (and sometimes regrowing) hair ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2189.html

Postpartum Major Depression: Detection and Treatment - American Family Physician

Apr 15, 1999 - Postpartum major depression occurs in approximately one of 10 childbearing women and is considerably underdiagnosed. If left untreated, the disorder can have serious adverse effects on the mother and her relationship with significant others, and on the child's emotional and psychologic ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2247.html

Update on Parkinson's Disease - American Family Physician

Apr 15, 1999 - Parkinson's disease is a progressive degenerative disorder of the central nervous system. The hallmark physical signs are tremor, rigidity and bradykinesia. Idiopathic Parkinson's disease is caused by the progressive loss of dopaminergic neurons in the substantia nigra and nigrostriatal...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2155.html

Quantum Sufficit - Apr 15, 1999 - American Family Physician

Apr 15, 1999 - ...Clinic of Bonn in Germany determined that they do, at least when it comes to home monitoring of blood pressure. Thirty patients with hypertension were given home monitoring devices for blood pressure. They were instructed to measure their blood pressure once in the morning and once...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/1999/0415/p2088.html

Family Practice International - Apr 15, 1999 - American Family Physician

Apr 15, 1999 - ...performed under local anesthesia and therefore can be tolerated by many patients, but severe respiratory disease and severe, uncontrolled hypertension remain relative contraindications to surgery. The advantages and disadvantages of the proposed surgery should be discussed in detail...

American Family Physician : Family Practice International

https://www.aafp.org/afp/1999/0415/p2355.html

Tips From Other Journals - American Family Physician

Apr 15, 1999 - ...event for stroke in premenopausal women, but the degree of association and the interplay between migraine and other factors, such as hypertension and use of oral contraceptives, has been unclear. The report of a large European study by Chang and colleagues clarifies the data and...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0415/p2332.html

Tips From Other Journals - American Family Physician

Apr 15, 1999 - ...cardiovascular or systemic disorder that predisposed to atrial fibrillation or flutter included rheumatic heart disease (17 patients), hypertension (12 patients), coronary artery disease (12 patients), dilated cardiomyopathy (five patients), hypertrophic cardiomyopathy (five...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0415/p2299.html

Tips From Other Journals - American Family Physician

Apr 15, 1999 - ...in the control group. Mean patient age was 66.5 years, and the groups were similar in incidence of current diseases such as diabetes and hypertension, history of smoking and amount of daily exercise. Age at menarche and menopause was also similar between groups, but women in the HPT...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0415/p2294.html

Tips From Other Journals - American Family Physician

Apr 15, 1999 - ...ill-defined spells, seizures, and subdural or intracerebral hemorrhage. Principal risk factors in this group included a history of hypertension and its treatment, and smoking. Thirty-two patients experienced confirmed ruptures during the 10-year follow-up. The two significant...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0415/p2311.html

Chronic Critical Limb Ischemia: Diagnosis, Treatment and Prognosis - American Family ...

Apr 1, 1999 - Chronic critical limb ischemia is manifested by pain at rest, nonhealing wounds and gangrene. Ischemic rest pain is typically described as a burning pain in the arch or distal foot that occurs while the patient is recumbent but is relieved when the patient returns to a position in which...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1899.html

Diagnosis and Management of Gout - American Family Physician

Apr 1, 1999 - Gout is a disease resulting from the deposition of urate crystals caused by the overproduction or underexcretion of uric acid. The disease is often, but not always, associated with elevated serum uric acid levels. Clinical manifestations include acute and chronic arthritis, tophi, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1799.html

Caring for Infants with Congenital Heart Disease and Their Families - American Family ...

Apr 1, 1999 - Congenital heart defects are classified into two broad categories: acyanotic and cyanotic lesions. The most common acyanotic lesions are ventricular septal defect, atrial septal defect, atrioventricular canal, pulmonary stenosis, patent ductus arteriosus, aortic stenosis and coarctation...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1857.html

Topical Therapies for Glaucoma: What Family Physicians Need to Know - American Family ...

Apr 1, 1999 - Medication classes historically used in the management of glaucoma include beta blockers, miotics, sympathomimetics and carbonic anhydrase inhibitors. Because topically applied medications are more site specific, they are preferred in the treatment of glaucoma. Compared with oral ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1871.html

Prevention of Relapse in Alcohol Dependence - Letters to the Editor - American Family ...

Apr 1, 1999 - ...and referral when necessary make addiction a primary care disease. Relapse prevention in alcoholism is similar to that in diabetes or hypertension. The physician must work within the therapeutic relationship, maintain a nonjudgmental attitude, communicate empathy and reinforce...

American Family Physician : Letter

https://www.aafp.org/afp/1999/0401/p1753.html

A Pelvic Mass - Photo Quiz - American Family Physician

Apr 1, 1999 - 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/1999/0401/p1919.html

Tips From Other Journals - American Family Physician

Apr 1, 1999 - ...Even though hypertension is one of the most common reasons for visits to a physician's office, many patients have poorly controlled hypertension. Data from the National Health and Nutrition Examination Survey found that only 24 percent of patients with hypertension had blood...

American Family Physician : Tip

https://www.aafp.org/afp/1999/0401/p1962.html

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