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stroke

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afp20180501p562.pdf

...Health; Council on Epidemiology and Prevention; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology. Omega-3 polyunsaturated fatty acid (fish oil) supplementation and the prevention of clinical cardiovas- cular...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p562.pdf

afp20180501p594.pdf

...34. National Institute of Neurological Disorders and Stroke. Peripheral neu- ropathy fact sheet. What causes peripheral neuropathy? https://www. ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/ Peripheral-Neuropathy-Fact-Sheet#3208_4. Accessed April 18, 2017. 35....

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p594.pdf

afp20180515p642.pdf

...repeated in a variety of environments. Although they may differ based on the child, common reinforcers include praise, a smile, a hug, a stroke of the hair, or a gentle pat on the head or shoulder. Parents may also be encouraged to use more tangible reinforcers such as snacks, or...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p642.pdf

afp20180515p649.pdf

...keeping is critical because patients and supporters may not be able to provide a detailed medical history. Some conditions, such as demen- tia, may be more difficult to diagnose in the future without this baseline information. Systematically comparing cur- rent with past function is...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p649.pdf

afp20180515p658.pdf

...RCTs recom- mended against aspirin use in the average-risk population because of the risk of gastrointestinal bleeding and hem- orrhagic stroke.28 Individuals 50 to 59 years of age with a 10-year cardiovascular event risk of at least 10% who are willing to take aspirin for at least...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p658.pdf

afp20180601p706.pdf

...Commentary Depression affects about one-third of stroke survivors, according to the American Stroke Association. Emergence of depression following cerebrovascular disease is thought to be caused by an interplay of the psychological reaction to new functional deficits and acute brain...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p706.pdf

afp20180601p721.pdf

...22. Hu D, Huang J, Wang Y, Zhang D, Qu Y. Fruits and vegetables consump- tion and risk of stroke: a meta-analysis of prospective cohort studies. Stroke. 2014; 45(6): 1613-1619. 23. World Cancer Research Fund; American Institute for Cancer Research. Food, nutrition, physical...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p721.pdf

afp20180701p54.pdf

...with the use of statins, regardless of the initial LDL level. For the combined outcome of car- diovascular death, myocardial infarction, and stroke, the relative risk reduction was 25% for those with an initial LDL level of at least 190 mg per dL. There were favorable trends (not...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p54.pdf

afp20180701p54a.pdf

...with the use of statins, regardless of the initial LDL level. For the combined outcome of car- diovascular death, myocardial infarction, and stroke, the relative risk reduction was 25% for those with an initial LDL level of at least 190 mg per dL. There were favorable trends (not...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p54a.pdf

afp20180701p55.pdf

...with the use of statins, regardless of the initial LDL level. For the combined outcome of car- diovascular death, myocardial infarction, and stroke, the relative risk reduction was 25% for those with an initial LDL level of at least 190 mg per dL. There were favorable trends (not...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p55.pdf

afp20180701p56.pdf

...with the use of statins, regardless of the initial LDL level. For the combined outcome of car- diovascular death, myocardial infarction, and stroke, the relative risk reduction was 25% for those with an initial LDL level of at least 190 mg per dL. There were favorable trends (not...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p56.pdf

afp20180715p117.pdf

...tia in patients receiving combined estrogen/pro- gesterone therapy. Patients had an increased risk of coronary events, venous thromboembolism, breast cancer, gallbladder disease, and death from lung cancer. Patients who received estrogen-only therapy had an increased risk of stroke,...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p117.pdf

afp20180715p85.pdf

...cocaine-associated vasospasm and hypertension have been associated with acute aortic dissection, in addition to ischemic and hem- orrhagic stroke.30 BEHAVIORAL THERAPY A 2016 Cochrane review concluded that compared with usual treatment (typically group counseling or case man-...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p85.pdf

afp20180715p93.pdf

...not prescribe niacin, either alone or in com- bination with a statin, to prevent cardiovascular mortality, nonfatal myocardial infarction, stroke, or the need for revascularization. Lipid treatment for primary prevention not effective in older adults25 Do not initiate a statin...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p93.pdf

afp20180801p154-s1.pdf

...What problems can type 1 diabetes cause? People with type 1 diabetes have a higher risk of heart disease, stroke, kidney failure, high blood pressure, blindness, nerve damage, and gum disease. These things happen two to four times more often in people with diabetes than in people...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p154-s1.pdf

afp20180801p154.pdf

...glycemic control reduces the risk of cardiovascular disease by 42% and severe cardiovascular events (nonfatal myo- cardial infarction, stroke, or death from cardiovascular disease) by 57% over 11 years among patients with type 1 diabetes.3 Long-term follow-up of the Diabetes Control...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p154.pdf

afp20180815p214.pdf

...a quick screening tool in the outpatient setting12 (Table 333). If the Mini-Cog screening is positive, further clinical assessment for demen- tia is warranted.33 SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References Older adults planning...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p214.pdf

afp20180815p248a.pdf

...including the Cochrane Library, to identify ran- domized and nonrandomized controlled trials in English that enrolled adults without demen- tia. They also searched reference lists of previous studies and included a previous report that eval- uated interventions to prevent cognitive...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p248a.pdf

afp20180815p249.pdf

...including the Cochrane Library, to identify ran- domized and nonrandomized controlled trials in English that enrolled adults without demen- tia. They also searched reference lists of previous studies and included a previous report that eval- uated interventions to prevent cognitive...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p249.pdf

afp20180815p250.pdf

...including the Cochrane Library, to identify ran- domized and nonrandomized controlled trials in English that enrolled adults without demen- tia. They also searched reference lists of previous studies and included a previous report that eval- uated interventions to prevent cognitive...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p250.pdf

afp20180901p275.pdf

...and 9,484 patients. Participants were being treated for hypertension and had a documented cardiovascular history of myocar- dial infarction, stroke, ischemic heart disease, peripheral vascular disease, or angina. The inter- vention was a lower BP target (135/85 mm Hg or less) vs....

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p275.pdf

afp20180915od1.pdf

...Angiography and revascu- larization are associated with harms, including bleeding, contrast-induced nephropathy, cardiac arrhythmia, stroke, myocardial infarction, cor- onary artery dissection, allergic reaction to the contrast agent, and death. Current Practice. Although many...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915od1.pdf

afp20181001od1.pdf

...Harm End Points: Stroke, thromboembolic event (deep venous thrombosis plus pulmonary embolism) or pulmo- nary embolism Narrative: In 2012, the Danish Osteoporosis Prevention Study published a study in the British Medical Journal that compared hormone therapy with placebo and...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001od1.pdf

afp20181001p413.pdf

...of chronic hepatitis C, persons who achieve SVR have a lower incidence of diabetes mellitus, glomerulonephritis, non-Hodgkin lym- phoma, stroke, and other conditions.15 It is not clear whether the high cost of direct- acting antivirals is offset by long-term savings related to...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p413.pdf

afp20181015p496.pdf

...from 19% to 47% in the early recovery period; a study of 80 consecutive adults under- going inpatient rehabilitation after a first ischemic stroke found that 23 had evidence of urinary retention on admission, but only four still did by the time of discharge.23 OTHER CAUSES The...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p496.pdf

afp20181015p508.pdf

...is a 19-item screening tool that can be used in older patients. It retains its validity when used in patients with demen- tia, unlike the Geriatric Depression Scale. The Cornell Scale for Depression in Dementia has a sensitivity of 93% and specificity of 97%.38 The PHQ-2 can be...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p508.pdf

afp20181201p630.pdf

...event (cardiac death, nonfatal myocardial infarction, revasculariza- tion procedure, hospitalization for acute coro- nary syndrome, or stroke),2 to no effect on any outcome.3 Although the two latest niacin trials did not show a benefit for niacin, it has been suggested that...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p630.pdf

afp20181201p631.pdf

...event (cardiac death, nonfatal myocardial infarction, revasculariza- tion procedure, hospitalization for acute coro- nary syndrome, or stroke),2 to no effect on any outcome.3 Although the two latest niacin trials did not show a benefit for niacin, it has been suggested that...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p631.pdf

afp20181201p682.pdf

...and between 10% and 55% had experienced a previous stroke. After perform- ing a random effects meta-analysis, the authors found that patients randomized to receive direct oral anticoagulants were less likely to experience a stroke or systemic embo- lism (hazard ratio [HR] = 0.78;...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p682.pdf

afp20181201p682a.pdf

...and between 10% and 55% had experienced a previous stroke. After perform- ing a random effects meta-analysis, the authors found that patients randomized to receive direct oral anticoagulants were less likely to experience a stroke or systemic embo- lism (hazard ratio [HR] = 0.78;...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p682a.pdf

afp20181201p683.pdf

...and between 10% and 55% had experienced a previous stroke. After perform- ing a random effects meta-analysis, the authors found that patients randomized to receive direct oral anticoagulants were less likely to experience a stroke or systemic embo- lism (hazard ratio [HR] = 0.78;...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p683.pdf

afp20181201p683a.pdf

...and between 10% and 55% had experienced a previous stroke. After perform- ing a random effects meta-analysis, the authors found that patients randomized to receive direct oral anticoagulants were less likely to experience a stroke or systemic embo- lism (hazard ratio [HR] = 0.78;...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p683a.pdf

afp20181215p719.pdf

...misuse. However, it has been applied to other health issues such as reducing stroke risk28 (Table 43,15,27,28). To facilitate collaboration, the physician obtains the patient’s permis- sion before providing information. By granting permis- sion, patients maintain control, implicitly...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215p719.pdf

afp20181215p729.pdf

...tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/ estimate/) can be used to determine the 10-year risk of car- diovascular events or stroke in men 40 to 79 years of age. Obesity. Height and weight measurements should be obtained at every visit to calculate BMI.18 An abdominal...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215p729.pdf

afp20181215p751.pdf

...(NVAF), what is the best way to determine if the benefits of stroke reduction exceed the harms of bleeding from anticoagulants? Evidence Summary In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%.1 However, they also significantly increase the...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215p751.pdf

afp20190101od1.pdf

...review included 25 randomized controlled trials involving 16,037 patients with the following conditions: sepsis, critical illness, stroke, trauma, myocardial infarction, and cardiac arrest. Oxygen saturation was reported as fraction of inspired oxygen (FiO2), arterial partial...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101od1.pdf

afp20190101p10.pdf

...for primary pre- vention of heart attack, angina, revascularization, or death from any cause. However, there were increases in the risk of stroke (number needed to harm [NNH] = 165), blood clot in a leg or lung (NNH = 118), and blood clot in a lung (NNH = 242) in patients receiving...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p10.pdf

afp20190101p47.pdf

...for about five years. The patient’s history included tobacco use, newly diag- nosed hypertension, and a recent transient ischemic attack. Before the transient ischemic attack, he was not seeing a physician regularly. Physical examination revealed nontender, red-yellow papules...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p47.pdf

afp20190115od1.pdf

...heart disease] or Pooled Cohort Equations [which estimate 10-year risk of myocardial infarction, death from coronary heart disease, or stroke]) may improve calibration (agreement between observed and predicted outcomes), discrimination (ability to distinguish between people who...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115od1.pdf

afp20190115p101.pdf

...Stroke Traumatic brain injury Other medical or neurologic condition Common primary care referral questions/expectations Document functional limitations (e.g., driving, independent living) Establish baseline cognitive functioning Establish or confirm diagnosis...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p101.pdf

afp20190115p74.pdf

...The sentence should have read: Vitamin K antagonists are the first-line option, with high-quality data indicating that they have a lower stroke risk and all-cause mortality vs. pla- cebo. The online version of the article has been corrected. ■

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p74.pdf

afp20190115p76.pdf

...The sentence should have read: Vitamin K antagonists are the first-line option, with high-quality data indicating that they have a lower stroke risk and all-cause mortality vs. pla- cebo. The online version of the article has been corrected. ■

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p76.pdf

afp20190115p77.pdf

...The sentence should have read: Vitamin K antagonists are the first-line option, with high-quality data indicating that they have a lower stroke risk and all-cause mortality vs. pla- cebo. The online version of the article has been corrected. ■

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p77.pdf

afp20190115p78.pdf

...should be considered to prevent embolic stroke when atrial fibrillation is present, depending on the individual’s risk score (a risk calculator is available at https:// www.mdcalc.com/cha2ds2-vasc-score- atrial-fibrillation-stroke-risk) and bleeding risk. Fitness-Related...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p78.pdf

afp20190201p188.pdf

...Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA Clinical Question Does adding clopidogrel (Plavix) to aspirin fol- lowing a transient ischemic attack (TIA) or minor stroke safely improve outcomes? Bottom Line This study provides support for...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p188.pdf

afp20190201p188a.pdf

...Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA Clinical Question Does adding clopidogrel (Plavix) to aspirin fol- lowing a transient ischemic attack (TIA) or minor stroke safely improve outcomes? Bottom Line This study provides support for...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p188a.pdf

afp20190201p189.pdf

...Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA Clinical Question Does adding clopidogrel (Plavix) to aspirin fol- lowing a transient ischemic attack (TIA) or minor stroke safely improve outcomes? Bottom Line This study provides support for...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p189.pdf

afp20190201p191.pdf

...Additionally, magnetic resonance imaging with and without contrast media was obtained during a prior emergency department visit as part of a stroke workup. It showed chronic microvascular ischemic disease with no evidence of a mass. Question Based on the patient’s history and...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p191.pdf

afp20190215p237.pdf

...and islet cell dysfunction. Our patients with diabetes depend on us to help reduce their long-term risk of myocardial infarction, stroke, amputa- tion, dialysis, and premature mortality. Several recent large randomized controlled trials have significantly improved our knowledge...

American Family Physician

https://www.aafp.org/afp/2019/0215/afp20190215p237.pdf

afp20190215p248.pdf

...identified rare serious adverse events associ- ated with SMT including cauda equina syndrome, lumbar disk herniation, fractures, hematoma, stroke, vertebrobas- ilar accident, cerebrovascular accident, and death.23,24 In children, serious adverse events resulting in hospitaliza-...

American Family Physician

https://www.aafp.org/afp/2019/0215/afp20190215p248.pdf

afp20190315od1.pdf

...is a major risk factor for ischemic stroke, increasing risk of stroke by as much as 5-fold. Approximately 20% of patients who have a stroke associated with atrial fibrillation are first diagnosed with atrial fibrillation at the time of stroke or shortly thereafter. DETECTION...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315od1.pdf

afp20190315p354.pdf

...and with more comorbid conditions have led to an increase in the prevalence of atrial fibrilla- tion (AF), a condition associated with stroke and heart failure.1,2 AF is often asymptomatic. Oral anticoagulants are an accepted therapy for selected patients with AF. These factors have...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p354.pdf

afp20190315p362.pdf

...large cohort study found the most significant risk factors for development of CLI were diabetes, renal failure, heart fail- ure, and prior stroke.17 Annual mortality rates of patients with CLI are approximately 25%.18 ACUTE LIMB ISCHEMIA Acute limb ischemia is a medical...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p362.pdf

afp20190315p383.pdf

...with ECG on clinical outcomes. The USPSTF found adequate evidence that treatment with anticoagulant therapy reduces the incidence of stroke in patients with symptomatic atrial fibrillation. The USPSTF found ade- quate evidence that screening for atrial fibrillation with ECG is...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p383.pdf

afp20190315p392.pdf

...it has not been studied in these groups. It should not be used in patients with severe coronary insufficiency, recent myocardial infarction, stroke, renal failure, or significant bradycardia. Central nervous system depression is a serious risk, especially if lofexidine is taken in...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p392.pdf

afp20190401p420.pdf

...in!-which I begged him to take down, considering there had been burglaries nearby. He continued to drive to church despite experiencing mini-strokes. I called him every night during those years. He’d say things like, I’m standing at the kitchen counter, but my legs won’t support me....

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p420.pdf

afp20190401p421.pdf

...Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD John W. Lax, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland Racheal Wood, DNP, ACCNS-AG, Fort Belvoir Community Hospital, Fort...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p421.pdf

afp20190401p422.pdf

...Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD John W. Lax, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland Racheal Wood, DNP, ACCNS-AG, Fort Belvoir Community Hospital, Fort...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p422.pdf

afp20190401p459.pdf

...intention-to-treat analysis, after five years the rate of events (a composite of myo- cardial infarction, stroke, cardiovascular death, unstable angina, or transient ischemic attack) was similar between the treatment groups (4.3% vs. 4.5%, respectively). The overall death rate was...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p459.pdf

afp20190401p459a.pdf

...intention-to-treat analysis, after five years the rate of events (a composite of myo- cardial infarction, stroke, cardiovascular death, unstable angina, or transient ischemic attack) was similar between the treatment groups (4.3% vs. 4.5%, respectively). The overall death rate was...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p459a.pdf

afp20190401p460.pdf

...intention-to-treat analysis, after five years the rate of events (a composite of myo- cardial infarction, stroke, cardiovascular death, unstable angina, or transient ischemic attack) was similar between the treatment groups (4.3% vs. 4.5%, respectively). The overall death rate was...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p460.pdf

afp20190415p478.pdf

...Magnetic resonance imaging without contrast media is the preferred imaging test to exclude other intracranial abnormalities, such as stroke, subdural hematoma, normal-pressure hydro- cephalus, or a treatable mass. https://www.aafp.org/afp/2018/0315/p398.html Does unrestricted...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415p478.pdf

afp20190415p482.pdf

...ranging from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening heat stroke.1,2 The latter two conditions typically manifest with an ele- vated core body temperature.3 Athletes, military personnel, and outdoor...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415p482.pdf

afp20190415p505.pdf

...Adverse effects: nausea, dizziness, and hypotension are common; stroke and death reported after use for lactation inhibition Caffeine avoidance14,20 Caffeine is often cited as a causative factor in breast pain Effectiveness: RCTs do not show clear evidence of pain reduction...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415p505.pdf

afp20190501p589.pdf

...evidence from nonrandom- ized studies recommends estimating the 10-year ASCVD risk of a first fatal or nonfatal myocardial infarction or stroke by using the race and sex- specific pooled cohort equations. Patients should then be categorized as low (less than 5%), border- line (5% to...

American Family Physician

https://www.aafp.org/afp/2019/0501/afp20190501p589.pdf

afp20190515p606.pdf

...Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk, Ovarian Cancer Which is the better oral pain reliever for children with postoperative pain: ibuprofen or morphine? A carefully designed and adequately powered study found no difference in pain...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515p606.pdf

afp20190601p670.pdf

...Administering aspirin during a heart attack or stroke can be lifesaving. The benefits of daily low-dose (81 mg) aspirin therapy to prevent recurrent cardiovascular disease (CVD) events are also well established.1 Aspirin’s routine use for primary prevention, however, has been the...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p670.pdf

afp20190601p699.pdf

...STROKE Stroke is the leading cause of serious long-term disabil- ity, and most stroke survivors return home.44 These care recipients often require significant assistance with activi- ties of daily living and instrumental activities of daily liv- ing.44 A review of caregiver...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p699.pdf

afp20190601p716.pdf

...two or more of the following major events: acute coronary syndrome in the past 12 months, previous myocardial infarction, previous ischemic stroke, or symp- tomatic peripheral artery disease. A patient is also very high risk if he or she has one of those major ASCVD events and...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p716.pdf

afp20190601p717.pdf

...two or more of the following major events: acute coronary syndrome in the past 12 months, previous myocardial infarction, previous ischemic stroke, or symp- tomatic peripheral artery disease. A patient is also very high risk if he or she has one of those major ASCVD events and...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p717.pdf

afp20190601p717a.pdf

...two or more of the following major events: acute coronary syndrome in the past 12 months, previous myocardial infarction, previous ischemic stroke, or symp- tomatic peripheral artery disease. A patient is also very high risk if he or she has one of those major ASCVD events and...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p717a.pdf

afp20190601p718.pdf

...two or more of the following major events: acute coronary syndrome in the past 12 months, previous myocardial infarction, previous ischemic stroke, or symp- tomatic peripheral artery disease. A patient is also very high risk if he or she has one of those major ASCVD events and...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p718.pdf

afp20190615p751.pdf

...but multiple studies have sought to clarify the optimal level of glycemic control to prevent macrovascular (e.g., myocardial infarction, stroke, death) and microvascular (e.g., retinopathy, DKD) complications of diabetes.13-15 The American Diabetes Association recommends a target...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p751.pdf

afp20190701p32.pdf

...multiple treatments and modalities.22 Other conditions associated with polypharmacy in younger patients include diabetes, heart dis- ease, stroke, and cancer.24 A population often overlooked with regard to polypharmacy is patients with mental health conditions.22,25 These...

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p32.pdf

afp20190701p49.pdf

...included total mortality (cardiovascular and noncardiovascular), cardiovascular morbidity (myocardial infarction, stroke), total hospital- izations, and withdrawal due to adverse drug effects. There was no difference in total mortality (seven studies; n = 8,260; relative risk [RR] =...

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p49.pdf

afp20190701p58.pdf

...is reduced with consistent physical activity. Physical activity improves function in patients with Parkinson disease, multiple sclero- sis, stroke, and other types of frailty. Cancer In addition to reductions in the risk of breast and colon cancers reported in 2008, studies have...

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p58.pdf

afp20190715p118.pdf

...risk. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke (excluding hemorrhagic stroke), vascular death, or transient ischemic attack. Transient ischemic attack was added after recruit- ment had begun, and the length of the trial was increased...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p118.pdf

afp20190715p118a.pdf

...risk. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke (excluding hemorrhagic stroke), vascular death, or transient ischemic attack. Transient ischemic attack was added after recruit- ment had begun, and the length of the trial was increased...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p118a.pdf

afp20190715p119.pdf

...risk. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke (excluding hemorrhagic stroke), vascular death, or transient ischemic attack. Transient ischemic attack was added after recruit- ment had begun, and the length of the trial was increased...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p119.pdf

afp20190715p120.pdf

...risk. The primary outcome was a composite of nonfatal myocardial infarction, nonfatal stroke (excluding hemorrhagic stroke), vascular death, or transient ischemic attack. Transient ischemic attack was added after recruit- ment had begun, and the length of the trial was increased...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p120.pdf

afp20190715p69.pdf

...in combination with aspirin to reduce the risk of major cardiovascular events (cardiovascu- lar [CV] death, myocardial infarction [MI] and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease. Before publication, the article was not updated to...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p69.pdf

afp20190715p70.pdf

...in combination with aspirin to reduce the risk of major cardiovascular events (cardiovascu- lar [CV] death, myocardial infarction [MI] and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease. Before publication, the article was not updated to...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p70.pdf

afp20190715p72.pdf

...in combination with aspirin to reduce the risk of major cardiovascular events (cardiovascu- lar [CV] death, myocardial infarction [MI] and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease. Before publication, the article was not updated to...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p72.pdf

afp20190715p73.pdf

...in combination with aspirin to reduce the risk of major cardiovascular events (cardiovascu- lar [CV] death, myocardial infarction [MI] and stroke) in patients with chronic coronary artery disease (CAD) or peripheral artery disease. Before publication, the article was not updated to...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p73.pdf

afp20190715p98.pdf

...symptoms are bilateral, fluctuating, or progressive. The evalu- ation should also include a neurologic review; history of diabetes mellitus, stroke, vasculitis, head or ear trauma, and use of ototoxic medications; and family his- tory of ear conditions and hearing loss.9-11...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p98.pdf

afp20190801p184.pdf

...Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure But Does Not Reduce Death, Myocardial Infarction, or Stroke Clinical Question Does dapagliflozin (Farxiga) improve cardiovas- cular outcomes in patients with type 2 diabetes mellitus and...

American Family Physician

https://www.aafp.org/afp/2019/0801/afp20190801p184.pdf

afp20190815p208.pdf

...Asthma, Back and Neck Pain, Pain During Labor, TIA, CBT for Anxiety Is intravenous magnesium sulfate effective for the treatment of acute asthma exacerbations? Patients presenting to the emergency depart- ment with an acute asthma exacerbation that has not responded to first-line...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p208.pdf

afp20190815p209.pdf

...Efficacy End Points: All-cause mortality, cardiovascular mortality, cardiovascular events, arrhythmia, stroke Harm End Points: Nausea, abdominal pain or discomfort, diarrhea, reflux, any gastrointestinal side effect, headache or worsening migraine, joint and muscle pain, skin...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p209.pdf

afp20190815p249.pdf

...Clopidogrel Plus Aspirin Prevents Second Ischemic Stroke Better Than Aspirin Alone Clinical Question Does clopidogrel (Plavix) add benefit to aspirin treatment in patients with acute minor ischemic stroke or transient ischemic attack? Bottom Line Combined treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p249.pdf

afp20190815p249a.pdf

...Clopidogrel Plus Aspirin Prevents Second Ischemic Stroke Better Than Aspirin Alone Clinical Question Does clopidogrel (Plavix) add benefit to aspirin treatment in patients with acute minor ischemic stroke or transient ischemic attack? Bottom Line Combined treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p249a.pdf

afp20190915p339.pdf

...because of stroke).40 Behavior therapies, such as assisted and timed toileting, are the primary treatment for func- tional incontinence.40 Indications for Referral Subspecialist referral should be considered for compli- cated UI to include associated pain, persistent hematuria...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p339.pdf

afp20190915p369.pdf

...Clinical Commentary The current fragmentation and failure of demen- tia care are a problem of framing. Even if dementia is diagnosed correctly,1 it is viewed indiscrimi- nately, as an additional problem on the list, such as hypertension or diabetes. Prescribing acetyl-...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p369.pdf

afp20190915p374.pdf

...of cancer diagnosis or the primary composite cardiovascular outcome (i.e., cardiovascular death, nonfatal myocardial infarction, or ischemic stroke). There was no dif- ference between groups regarding cardiovascular or all-cause mortality. There was a reduction in total myocardial...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p374.pdf

afp20190915p374a.pdf

...of cancer diagnosis or the primary composite cardiovascular outcome (i.e., cardiovascular death, nonfatal myocardial infarction, or ischemic stroke). There was no dif- ference between groups regarding cardiovascular or all-cause mortality. There was a reduction in total myocardial...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p374a.pdf

afp20190915p375.pdf

...of cancer diagnosis or the primary composite cardiovascular outcome (i.e., cardiovascular death, nonfatal myocardial infarction, or ischemic stroke). There was no dif- ference between groups regarding cardiovascular or all-cause mortality. There was a reduction in total myocardial...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p375.pdf

afp20190915p378.pdf

...Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation Dual antiplatelet therapy after stroke has not previously been shown to improve outcomes over a single agent. Based on a recent randomized controlled trial followed by a systematic review,...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p378.pdf

afp20191001p391.pdf

...Atherosclerosis, Hypertension, and Obesity in Young Committee of Council on Cardiovas- cular Disease in Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and Council on Lifestyle and Car- diometabolic Health. The agenda...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p391.pdf

afp20191001p392.pdf

...Atherosclerosis, Hypertension, and Obesity in Young Committee of Council on Cardiovas- cular Disease in Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and Council on Lifestyle and Car- diometabolic Health. The agenda...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p392.pdf

afp20191001p403.pdf

...Evidence-Based Answer Treatment of AFib with a factor Xa inhibi- tor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p403.pdf

afp20191001p405.pdf

...Evidence-Based Answer Treatment of AFib with a factor Xa inhibi- tor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p405.pdf

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