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hypertension

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afp20090315p489.pdf

...protection,27 and con- tributes to prevention of hypertension42 and diabetes. Exercise is valuable in managing chronic diseases such as hypertension, diabetes, coronary artery disease, dys- lipidemia, depression, osteopenia, and osteoporosis.43-47 Fall PreventiOn Reducing...

American Family Physician

https://www.aafp.org/afp/2009/0315/afp20090315p489.pdf

afp20090515p863.pdf

...Difficult-to-Control or Resistant Hypertension ANTHONY J. VIERA, MD, MPH, and ALAN L. HINDERLITER, MD University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina M ore than 65 million U.S. adults have hypertension, about 40 million of whom do not...

American Family Physician

https://www.aafp.org/afp/2009/0515/afp20090515p863.pdf

afp20090515p875.pdf

...Effect on disease markers Hypertension (atherosclerosis) Diabetes (retinopathy) Gastroesophageal reflux disease (endoscopic esophagitis) Effect on risk factors for disease Blood pressure A1C Cholesterol Determining strength of Recommendations sORt A sORt C sORt B...

American Family Physician

https://www.aafp.org/afp/2009/0515/afp20090515p875.pdf

afp20090701p57.pdf

...reflect the patient’s degree of metabolic control, the type of therapy she is receiving, and the presence of other risk factors (e.g., hypertension). ACOG recom- mends that women with gestational diabetes who are on insulin or who have poor glucose control have the same antenatal...

American Family Physician

https://www.aafp.org/afp/2009/0701/afp20090701p57.pdf

afp20090701p67.pdf

...porating patient preferences may be criti- cal to making an appropriate decision. For example, you may offer a 60-year-old man with hypertension the option of taking daily aspirin to lower his risk of myocardial infarc- tion, but advise him that this medication will increase his...

American Family Physician

https://www.aafp.org/afp/2009/0701/afp20090701p67.pdf

afp20090715p157.pdf

...15. Paolisso G, Barbagallo M. Hypertension, diabetes mellitus, and insulin resistance: the role of intracellular magnesium. Am J Hypertens. 1997; 10(3):346-355. 16. Barbagallo M, Dominguez LJ, Galioto A, et al. Role of magnesium in insulin action, diabetes and cardio-metabolic...

American Family Physician

https://www.aafp.org/afp/2009/0715/afp20090715p157.pdf

afp20090801p273.pdf

...Radiologic Evaluation of Suspected Renovascular Hypertension ROBERT P. HARTMAN, MD, and AKIRA KAWASHIMA, MD, PhD Department of Radiology, Mayo Clinic, Rochester, Minnesota T he prevention and management of hypertension are major public health challenges for the United States....

American Family Physician

https://www.aafp.org/afp/2009/0801/afp20090801p273.pdf

afp20091015p841.pdf

...myocar- dial infarction, angina, stroke, heart failure). There was a 62 percent higher risk of cardio- vascular events in patients with hypertension whose 25-hydroxyvitamin D level was less than 15 ng per mL (38 nmol per L), compared with those whose level was 15 ng per mL or...

American Family Physician

https://www.aafp.org/afp/2009/1015/afp20091015p841.pdf

afp20100101p55.pdf

...the chronic diseases that occur in older adults, including heart disease, stroke, diabe- tes mellitus, lung disease, Alzheimer disease, hypertension, and cancer. Lack of physical activity, combined with poor dietary habits, has also contributed to increased obesity in this...

American Family Physician

https://www.aafp.org/afp/2010/0101/afp20100101p55.pdf

afp20100401p863.pdf

...random blood glucose level, or oral glucose tolerance testing. Although there are conflicting guidelines, most agree that patients with hypertension or hyperlipidemia should be screened for diabetes. Diabetes risk calculators have a high negative predictive value and help define...

American Family Physician

https://www.aafp.org/afp/2010/0401/afp20100401p863.pdf

afp20100415p975.pdf

...the driver to a specialist, if necessary. For many conditions, including some types of heart disease and hypertension controlled by medication, medical certification should be for less than 24 months. Limited certifica- tion is also appropriate for a medical condi- tion that does...

American Family Physician

https://www.aafp.org/afp/2010/0415/afp20100415p975.pdf

afp20100415p989.pdf

...Pathophysiology The pathophysiology of venous ulcers is not entirely clear. Venous incompetence and associated venous hypertension are thought to be the primary mechanisms for ulcer formation. Factors that may lead to venous incompetence include immobility; ineffec- tive pumping...

American Family Physician

https://www.aafp.org/afp/2010/0415/afp20100415p989.pdf

afp20100501p1139.pdf

...Hypertension, tachycardia, tachypnea, hyperthermia (up to 114.8° F [46° C]) Diaphoresis, mottled skin, agitation, decreased bowel sounds, muscular rigidity, hyporeflexia Neuroleptic malignant syndrome Ingestion of antipsychotic medications Hypertension, tachycardia,...

American Family Physician

https://www.aafp.org/afp/2010/0501/afp20100501p1139.pdf

afp20100515p1250.pdf

...Nephrectomy Glomerular toxicity; tubular dysfunction; renal insufficiency; hypertension Bladder Cyclophosphamide; ifosfamide Pelvic (including bladder); lumbar- sacral spine Spinal surgery; cystectomy Hemorrhagic cystitis; bladder fibrosis; dysfunctional voiding;...

American Family Physician

https://www.aafp.org/afp/2010/0515/afp20100515p1250.pdf

afp20100601p1351.pdf

...hypertension, ascites, hemorrhage, and hepatocellular carcinoma.1,3 Factors associated with disease progression to cirrhosis include male sex, developing HCV infec- tion when older than 40 years, HIV or HBV coinfection, immunosuppression, and daily alcohol consumption of at least 50...

American Family Physician

https://www.aafp.org/afp/2010/0601/afp20100601p1351.pdf

afp20100601p1361.pdf

...syndrome 5 Hypertension, moon-shaped face, striae, proximal muscle weakness, truncal obesity, thin skin, easy bruising Overnight dexamethasone suppression test, serum and 24-hour urinary cortisol levels, serum corticotropin level Pheochromocytoma 3 to 10 Hypertension,...

American Family Physician

https://www.aafp.org/afp/2010/0601/afp20100601p1361.pdf

afp20100615p1440.pdf

...Arrhythmias, dizziness, headache, hypertension, insomnia, nervousness, tremor, urinary retention Intranasal cromolyn Cromolyn (Nasalcrom) B Two years Inhibits histamine release; results typically noted in one week, but may take two to four weeks for full effect epistaxis,...

American Family Physician

https://www.aafp.org/afp/2010/0615/afp20100615p1440.pdf

afp20100615p1449.pdf

...Roughly two thirds of U.S. adults are overweight or obese. Obesity increases the risk of hypertension, type 2 diabe- tes mellitus, hyperlipidemia, heart disease, pulmonary disease, hepatobiliary disease, cancer, and a number of psy- chosocial complications. Physicians often feel...

American Family Physician

https://www.aafp.org/afp/2010/0615/afp20100615p1449.pdf

afp20100615p1462.pdf

...In addition to anemia, patients may present with abdominal pain, altered mental status, renal disease, and hypertension Microcytic anemia may be concurrent with iron deficiency; peripheral smear may show basophilic stippling; hemolysis may be present Late childhood and...

American Family Physician

https://www.aafp.org/afp/2010/0615/afp20100615p1462.pdf

afp20100701p53.pdf

...demonstrated that doxazosin (Cardura) increased the risk of heart failure compared with a thia- zide diuretic in the treatment of hypertension.10 The demonstration that a marker is independently associated with risk does not mean that treatments that modify levels of the marker...

American Family Physician

https://www.aafp.org/afp/2010/0701/afp20100701p53.pdf

afp20100915p621.pdf

...dysphoric disorder. Oral contraceptive pills may be used safely in women with a range of medical conditions, including well-controlled hypertension, uncomplicated diabetes mellitus, depression, and uncomplicated valvular heart disease. However, women older than 35 years who smoke...

American Family Physician

https://www.aafp.org/afp/2010/0915/afp20100915p621.pdf

afp20110201p271.pdf

...that has not responded to adequate doses of simple analgesics. Triptans should be avoided in patients with vascular disease, uncontrolled hypertension, or hemiplegic migraine. Intravenous antiemetics, with or without intravenous dihydroergotamine, are effective therapies in an...

American Family Physician

https://www.aafp.org/afp/2011/0201/afp20110201p271.pdf

afp20110615p1443.pdf

...cell counts less than 200 per mm3 (0.20 × 109 per L); those with viral loads greater than 4,000 copies per mL; and those with diabetes, hypertension, or co-occurring hepatitis C should be screened every six months. C 5, 39 A = consistent, good-quality patient-oriented...

American Family Physician

https://www.aafp.org/afp/2011/0615/afp20110615p1443.pdf

afp20110901p551.pdf

...CHD risk > 20 percent. ‡-Initiation of drug therapy is an option on the basis of available clinical trial results. §-Cigarette smoking; hypertension (systolic blood pressure ≥ 140 mm Hg or on antihypertensive therapy); low HDL cholesterol (< 40 mg per dL [1.04 mmol per L]); family...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p551.pdf

afp20111001od1.pdf

...a pharmacist-based intervention involving 200 patients with hypertension and hyperlip- idemia (mean age = 78 years; mean number of medications per patient = 9).3 Pharma- cists provided patient education, performed follow-up to assess and support medication adherence, and dispensed...

American Family Physician

https://www.aafp.org/afp/2011/1001/afp20111001od1.pdf

afp20111115p1138.pdf

...treated for end-stage renal disease in 2007.6 The increases are partly explained by the increasing prevalence of diabetes mellitus and hypertension, the leading risk factors for CKD. Aware- ness of CKD among patients has modestly increased in recent years, but remains low. According...

American Family Physician

https://www.aafp.org/afp/2011/1115/afp20111115p1138.pdf

afp20111201p1234.pdf

...More children are developing kidney stones, which is attributed to the corresponding rise in diabetes, obesity, and hypertension in this population.2,3 Because increasing age is a risk factor for kidney stones, adolescents are more likely to form stones than younger children. The...

American Family Physician

https://www.aafp.org/afp/2011/1201/afp20111201p1234.pdf

afp20120215p373.pdf

...Hypertension, impaired glucose tolerance Elevated 24-hour urine free cortisol level Hyperprolactinemia Rare to present with isolated hirsutism Galactorrhea, amenorrhea, infertility Elevated prolactin level Thyroid dysfunction Rare to present with isolated hirsutism...

American Family Physician

https://www.aafp.org/afp/2012/0215/afp20120215p373.pdf

afp20120801p225.pdf

...from researchers in the Univer- sity of California-San Francisco Department of Family and Community Medicine, low-income patients with hypertension who had access to the services of a trained health coach, including frequent telephone contact, had an average decrease in systolic...

American Family Physician

https://www.aafp.org/afp/2012/0801/afp20120801p225.pdf

afp20120915p521.pdf

...risk factors associated with ischemic disease, such as cigarette smoking, obesity, diabetes mellitus, dyslipid- emia, and hypertension, as well as personal or family history of hypercoagulability disorders, stroke, or TIA. Symptoms of TIA occur suddenly and include a neuro- logic...

American Family Physician

https://www.aafp.org/afp/2012/0915/afp20120915p521.pdf

afp20130301p337.pdf

...retained fluid in the stomach.30,40 Signs of cerebral edema that require immediate evaluation include head­ ache, persistent vomiting, hypertension, bradycardia, and lethargy and other neurologic changes. Other complications of DKA include hypokalemia, hypoglycemia, acute renal...

American Family Physician

https://www.aafp.org/afp/2013/0301/afp20130301p337.pdf

afp20130415p556.pdf

...CHADS2 score, which assigns one point each for conges- tive heart failure, hypertension, age 75 years and older, and diabetes mellitus, and two points for prior ischemic stroke or transient ischemic attack.1 For persons with a CHADS2 score of 2 or higher, the ACCP guidelines rec-...

American Family Physician

https://www.aafp.org/afp/2013/0415/afp20130415p556.pdf

afp20130515p682.pdf

...Patients with headache and fever, papilledema, or severe hypertension (systolic pressure greater than 180 mm Hg or diastolic pressure greater than 120 mm Hg) require evaluation for CNS infection and increased intracranial pres- sure. Patients also should be evaluated to determine if...

American Family Physician

https://www.aafp.org/afp/2013/0515/afp20130515p682.pdf

afp20130601p751.pdf

...that practices that received redesign support, embedded care managers, and a revised payment plan achieved significant improvements in hypertension con- trol and breast cancer screenings, and reduced emergency department visits compared with practices that received only yearly...

American Family Physician

https://www.aafp.org/afp/2013/0601/afp20130601p751.pdf

afp20130601p781.pdf

...Striae, buffalo hump, central obesity, hypertension Cushing syndrome Tanner staging abnormal Turner syndrome, constitutional delay of puberty, rare causes Laboratory testing (refer to local reference values) Complete blood count and metabolic panel abnormalities Chronic...

American Family Physician

https://www.aafp.org/afp/2013/0601/afp20130601p781.pdf

afp20130615od1.pdf

...Summary of Recommendation and Evidence Population: General adult population with- out a known diagnosis of hypertension, diabetes mellitus, hyperlipidemia, or cardio- vascular disease (CVD). Recommendation: Although the correla- tion among healthful diet, physical activity, and...

American Family Physician

https://www.aafp.org/afp/2013/0615/afp20130615od1.pdf

afp20130701p21.pdf

...Pharmacotherapy for Mild Hypertension JANELLE GUIRGUIS-BLAKE, MD University of Washington, Tacoma, Washington Clinical Question Does treating mild hypertension improve health outcomes? Evidence-Based Answer Pharmacologic treatment of mild hypertension for up to five years does...

American Family Physician

https://www.aafp.org/afp/2013/0701/afp20130701p21.pdf

afp20130715p102.pdf

...a systemic cause, such as CHF (especially right-sided), pulmonary hypertension, chronic renal or hepatic dis- ease (causing hypoalbuminemia), protein-losing enter- opathies, or severe malnutrition.1,4,5 Edema can be an adverse effect of certain medications (Table 31-5). The...

American Family Physician

https://www.aafp.org/afp/2013/0715/afp20130715p102.pdf

afp20130801p164.pdf

...Avoid NSAIDs in individuals with hypertension or heart failure or chronic kidney disease of all causes, including diabetes.18* National Kidney Foundation KDQI Don’t screen for renal artery stenosis in patients without resistant hypertension and with normal renal function, even...

American Family Physician

https://www.aafp.org/afp/2013/0801/afp20130801p164.pdf

afp20131015od4.pdf

...Clinical Question Is chlorthalidone safer or more effective than hydrochlorothiazide (HCTZ) in older adults with hypertension? Bottom Line In this retrospective analysis, chlorthalidone and HCTZ produced the same clinical out- comes in older adults. In general, chlortha- lidone...

American Family Physician

https://www.aafp.org/afp/2013/1015/afp20131015od4.pdf

afp20131015p543.pdf

...Children and adults who have chronic pulmonary, cardiovascular (except isolated hypertension), renal, hepatic, neurologic/neuromuscular, hematologic, or metabolic disorders Children and adults who have immunosuppression (including immunosuppression caused by medications or by...

American Family Physician

https://www.aafp.org/afp/2013/1015/afp20131015p543.pdf

afp20131115p655.pdf

...(paradoxical), hypertension, hypokalemia, QT-interval prolongation, seizures Levalbuterol (Xopenex HFA) Two puffs every four to six hours as needed $55 per inhaler Anaphylaxis, arrhythmias, bronchospasm (paradoxical), hypersensitivity reaction, hypertension, hypokalemia,...

American Family Physician

https://www.aafp.org/afp/2013/1115/afp20131115p655.pdf

afp20131201od1.pdf

...severities of COPD. There were also no treatment group differences in the need for mechani- cal ventilation, quality-of-life assessments, hypertension or hyperglycemia worsening, infection rates, gastrointestinal bleeding, or all-cause mortality. Study design: Randomized...

American Family Physician

https://www.aafp.org/afp/2013/1201/afp20131201od1.pdf

afp20131201p739.pdf

...Systolic Hypertension Clinical Question Does treatment with vitamin D lower blood pressure in older patients with isolated systolic hypertension and low vitamin D levels? Bottom Line Vitamin D supplementation in patients with isolated sys- tolic hypertension and low levels...

American Family Physician

https://www.aafp.org/afp/2013/1201/afp20131201p739.pdf

afp20131201p739a.pdf

...Systolic Hypertension Clinical Question Does treatment with vitamin D lower blood pressure in older patients with isolated systolic hypertension and low vitamin D levels? Bottom Line Vitamin D supplementation in patients with isolated sys- tolic hypertension and low levels...

American Family Physician

https://www.aafp.org/afp/2013/1201/afp20131201p739a.pdf

afp20131215p841.pdf

...3 Generalized muscular pain in back, abdomen, and chest; diaphoresis remote from envenomation site; abnormal vital signs, such as hypertension (systolic blood pressure > 140 mm Hg or diastolic blood pressure > 90 mm Hg) and tachycardia (pulse > 100 beats per minute); nausea and...

American Family Physician

https://www.aafp.org/afp/2013/1215/afp20131215p841.pdf

afp20140201p224.pdf

...in both groups were white and evenly split by sex. Approximately 12% of patients self-reported coronary heart disease, 59% had hypertension (although only 13.5% were treated with medication), 32% smoked, and only 4% had diabetes mel- litus. Screening identified 7.6% of patients with...

American Family Physician

https://www.aafp.org/afp/2014/0201/afp20140201p224.pdf

afp20140201p225.pdf

...in both groups were white and evenly split by sex. Approximately 12% of patients self-reported coronary heart disease, 59% had hypertension (although only 13.5% were treated with medication), 32% smoked, and only 4% had diabetes mel- litus. Screening identified 7.6% of patients with...

American Family Physician

https://www.aafp.org/afp/2014/0201/afp20140201p225.pdf

afp20140201p226.pdf

...in both groups were white and evenly split by sex. Approximately 12% of patients self-reported coronary heart disease, 59% had hypertension (although only 13.5% were treated with medication), 32% smoked, and only 4% had diabetes mel- litus. Screening identified 7.6% of patients with...

American Family Physician

https://www.aafp.org/afp/2014/0201/afp20140201p226.pdf

afp20140215p262.pdf

...physi- cians handled 84.5% of visits for chronic obstructive pul- monary disease; 77.9% of visits for hyperlipidemia; 68.9% of visits for hypertension; 66.8% of visits for osteoporosis; and 63.6% of visits for chronic kidney disease. Of the 14 chronic conditions for which data were...

American Family Physician

https://www.aafp.org/afp/2014/0215/afp20140215p262.pdf

afp20140401p574.pdf

...on Prevention, Evaluation, and Treatment of Hypertension Clinical Question What are the best methods to prevent, detect, evaluate, and treat hypertension? Bottom Line See the Synopsis section for a summary of the updated hypertension treatment recom- mendations from the Eighth...

American Family Physician

https://www.aafp.org/afp/2014/0401/afp20140401p574.pdf

afp20140401p574a.pdf

...on Prevention, Evaluation, and Treatment of Hypertension Clinical Question What are the best methods to prevent, detect, evaluate, and treat hypertension? Bottom Line See the Synopsis section for a summary of the updated hypertension treatment recom- mendations from the Eighth...

American Family Physician

https://www.aafp.org/afp/2014/0401/afp20140401p574a.pdf

afp20140401p576.pdf

...on Prevention, Evaluation, and Treatment of Hypertension Clinical Question What are the best methods to prevent, detect, evaluate, and treat hypertension? Bottom Line See the Synopsis section for a summary of the updated hypertension treatment recom- mendations from the Eighth...

American Family Physician

https://www.aafp.org/afp/2014/0401/afp20140401p576.pdf

afp20140815od2.pdf

...the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or stroke. Celecoxib (Celebrex) does not increase the risk of hypertension or stroke....

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od2.pdf

afp20141015p569.pdf

October 15, 2014 Putting Prevention into Practice

American Family Physician

https://www.aafp.org/afp/2014/1015/afp20141015p569.pdf

afp20150301od1.pdf

March 1, 2015 USPSTF

American Family Physician

https://www.aafp.org/afp/2015/0301/afp20150301od1.pdf

afp20150315od2.pdf

March 15, 2015 USPSTF

American Family Physician

https://www.aafp.org/afp/2015/0315/afp20150315od2.pdf

afp20150501p600.pdf

Date xx, xxxx Editorials

American Family Physician

https://www.aafp.org/afp/2015/0501/afp20150501p600.pdf

afp20150501p602.pdf

...study, compared with moth- ers who breastfed according to national guidelines, those who never breastfed were 29% more likely to develop hypertension, even after adjustment for lifestyle factors and family history.16 These differences in blood pressure persisted well into...

American Family Physician

https://www.aafp.org/afp/2015/0501/afp20150501p602.pdf

afp20150515p678.pdf

...Help Family Physicians Improve Chronic Disease Management Caring for patients with chronic conditions such as dia- betes mellitus, hypertension, and hyperlipidemia can be time-intensive. New research conducted by the Depart- ment of Family and Community Medicine at the Uni- versity...

American Family Physician

https://www.aafp.org/afp/2015/0515/afp20150515p678.pdf

afp20151001p556.pdf

...extra benefits and reduced cost sharing to patients who have diabetes, chronic obstructive pulmo- nary disease, congestive heart failure, hypertension, cor- onary artery disease, or mood disorders. Patients with a history of stroke also will be included in the test model. According...

American Family Physician

https://www.aafp.org/afp/2015/1001/afp20151001p556.pdf

afp20160501p738.pdf

...Hypertension Metabolic syndrome Obesity Tobacco use BRCA MUTATION RISK FACTORS Family history of breast cancer: Bilateral Diagnosed before 50 years of age Diagnosed in multiple family members In one or more male family members With a family history of...

American Family Physician

https://www.aafp.org/afp/2016/0501/afp20160501p738.pdf

afp20160615p1032a.pdf

...Clinical Question Does intensive lowering of blood pressure (BP) improve the lives of patients with hypertension? Bottom Line Patients with hypertension who are treated intensively are less likely to have major cardiovascular (CV) events, stroke, or progression of albuminuria or...

American Family Physician

https://www.aafp.org/afp/2016/0615/afp20160615p1032a.pdf

afp20160615p1036.pdf

...Clinical Question Does intensive lowering of blood pressure (BP) improve the lives of patients with hypertension? Bottom Line Patients with hypertension who are treated intensively are less likely to have major cardiovascular (CV) events, stroke, or progression of albuminuria or...

American Family Physician

https://www.aafp.org/afp/2016/0615/afp20160615p1036.pdf

afp20160615p1037.pdf

...Clinical Question Does intensive lowering of blood pressure (BP) improve the lives of patients with hypertension? Bottom Line Patients with hypertension who are treated intensively are less likely to have major cardiovascular (CV) events, stroke, or progression of albuminuria or...

American Family Physician

https://www.aafp.org/afp/2016/0615/afp20160615p1037.pdf

afp20160715p161.pdf

July 15, 2016: STEPS

American Family Physician

https://www.aafp.org/afp/2016/0715/afp20160715p161.pdf

afp20160715p168a.pdf

...at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabe- tes mellitus or hypertension were no more likely to change their diet or increase their physical activity. Fancy tests do not appear to be motivators for...

American Family Physician

https://www.aafp.org/afp/2016/0715/afp20160715p168a.pdf

afp20160901p355-s1.pdf

...• Heart disease, including heart failure • Stroke • Hypertension (not controlled with medicine) • Depression • Increased risk of motor vehicle crashes • Overall increased risk of death Where can I get more information? Your doctor American Sleep Apnea Association...

American Family Physician

https://www.aafp.org/afp/2016/0901/afp20160901p355-s1.pdf

afp20161101p687.pdf

Date xx, xxxx: Editorials

American Family Physician

https://www.aafp.org/afp/2016/1101/afp20161101p687.pdf

afp20170315p396.pdf

...were balanced at baseline with a mean age of 65 years and a mean duration of type 2 diabetes of 14 years; 61% were men. Most (93%) had hypertension, and 60% had documented ischemic heart disease. Patients were followed for a median of 2.1 years, and analysis was by intention to...

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315p396.pdf

afp20170401p422.pdf

...is a progressive condition often encoun- tered by family physicians; it is both a com- plication of commonly encountered disease (e.g., hypertension, diabetes mellitus)2 and an independent risk factor for cardiovascular disease.3 Patients with end-stage renal disease incur...

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p422.pdf

afp20170401p423.pdf

...is a progressive condition often encoun- tered by family physicians; it is both a com- plication of commonly encountered disease (e.g., hypertension, diabetes mellitus)2 and an independent risk factor for cardiovascular disease.3 Patients with end-stage renal disease incur...

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p423.pdf

afp20170501p580.pdf

February 15, 2017: Point-of-Care Guides

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501p580.pdf

afp20170601p733.pdf

...pressure was the aver- age of three measurements. The participants had a mean age of 75 years, 62% were female, and approximately 63% had hypertension. The mean blood pressures were 129/67 mm Hg taken on a bare arm, 133/73 mm Hg on a fully sleeved arm, and 133/74 mm Hg on an arm...

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601p733.pdf

afp20170601p737.pdf

...pressure was the aver- age of three measurements. The participants had a mean age of 75 years, 62% were female, and approximately 63% had hypertension. The mean blood pressures were 129/67 mm Hg taken on a bare arm, 133/73 mm Hg on a fully sleeved arm, and 133/74 mm Hg on an arm...

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601p737.pdf

afp20171001p453-s1.pdf

...This is called primary hypertension. However, a few people may have something called secondary hypertension. This means that there is an underlying and possibly reversible cause of the high blood pressure. Some possible causes of secondary hypertension are: • Certain medicines •...

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001p453-s1.pdf

afp20171215p769.pdf

December 15, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1215/afp20171215p769.pdf

afp20171215p776.pdf

...with serum creatinine, urine albumin/creatinine ratio, and urinalysis for patients with risk factors, particularly diabetes mel- litus, hypertension, and a history of cardiovascular disease. The U.S. Preventive Services Task Force found insuf- ficient evidence to assess the balance...

American Family Physician

https://www.aafp.org/afp/2017/1215/afp20171215p776.pdf

afp20180101p29.pdf

...treatment burden. †-Coexisting chronic illnesses may include arthritis, cancer, congestive heart failure, depression, emphysema, falls, hypertension, incontinence, stage 3 or worse chronic kidney disease, myocardial infarction, and stroke. A total of at least 3 conditions is...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p29.pdf

afp20180115od1.pdf

...can have other hyper- tensive conditions along with preeclampsia, preeclampsia is defined as new-onset hypertension (or, in patients with existing hypertension, worsening hypertension) occurring after 20 weeks of gestation, combined with either new- onset proteinuria (excess protein...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115od1.pdf

afp20180115p102.pdf

...failure, hypertension, cardiomyopathy, neuropathic pain) and should prompt referral.57 Angiokeratomas are usually asymptomatic, so treatment is not required.53,55,56 How- ever, treatment is indicated if the patient is symptomatic or if the lesions bleed. Options include surgery,...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p102.pdf

afp20180115p124.pdf

...Nebivolol/Valsartan (Byvalson) for Hypertension Nathan H. Lamberton, PharmD, BCPS Medical College of Wisconsin School of Pharmacy, Milwaukee, Wisconsin Ardis M. Copenhaver, MS, PharmD University of Pittsburgh Medical Center St. Margaret, Pittsburgh, Pennsylvania...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p124.pdf

afp20180115p72.pdf

...Update: AAFP Opts to Not Endorse New AHA/ACC Hypertension Guideline The American Academy of Family Physicians (AAFP) has decided to not endorse the new hypertension guideline from the American Heart Association (AHA), the Amer- ican College of Cardiology (ACC), and nine other health...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p72.pdf

afp20180215p243.pdf

...Acute severe hypertension Marked blood pressure elevation (systolic > 210 mm Hg or diastolic > 120 mm Hg); may have confusion or irritability Benign intracra- nial hypertension (pseudotumor cerebri) Often abrupt onset; associated with nausea, vomiting, dizziness, blurred...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p243.pdf

afp20180215p254.pdf

...Hypertension51,52 Does not lower blood pressure or prevent hypertension Menopausal symptoms27,46,47 No therapeutic effect in Women’s Health Initiative study Nonspecific muscu- loskeletal pain53-55 Does not decrease symptoms Osteoarthritis56,57 No improvement in pain...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p254.pdf

afp20180301p339.pdf

...stage D, New York Heart Association class III heart failure due to coro- nary artery disease. He also had type 2 diabetes mellitus and hypertension. He was recently hospitalized for an exacerba- tion of heart failure, his third hospitalization in eight months. At the visit, he...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p339.pdf

afp20180315p372.pdf

...Editorials ACC/AHA Hypertension Guideline: What Is New? What Do We Do? Michael LeFevre, MD, MSPH, University of Missouri School of Medicine, Columbia, Missouri See related Practice Guideline on page 413. Redefining a cutoff point above which the value of a phys- iologic...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p372.pdf

afp20180315p413.pdf

...shown that elevated blood pressure (BP) and hypertension are associated with an increased risk of cardiovascular disease (CVD), end-stage renal disease, subclinical atherosclerosis, and all- cause mortality. A person’s risk of hypertension is influenced by various genetic and...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p413.pdf

afp20180401p455.pdf

...resemble bronchiolitis obliterans with organizing pneu- monia, idiopathic pulmonary fibrosis, patient may also have pulmonary arterial hypertension Pleural effusion Exudative effusion with markedly low glucose level Pulmonary nodules Can be asymptomatic Skin Rheumatoid...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p455.pdf

afp20180401p478.pdf

...heart failure; hypertension; age 75 years or older; diabetes mellitus; previous stroke, transient ischemic attack, or throm- boembolism [doubled]) score. Abnormal findings on ECG and a lower glomerular filtration rate are also risk factors. Although it has not been shown to be...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p478.pdf

afp20180415p517.pdf

...The presentation of poststreptococcal glomerulonephritis ranges from asymptomatic microscopic hematu- ria to gross hematuria, edema, hypertension, proteinuria, and elevated serum creatinine levels. (Am Fam Physician. 2018;97(8):517-522. Copyright © 2018 American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p517.pdf

afp20180415p543.pdf

...(BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an updated search of the literature on the topic. Recommendations STRONG Oscillometric devices that have been validated for...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p543.pdf

afp20180501p559.pdf

...anesthesia consultation before admis- sion for labor if the patient has obstructive sleep apnea or poorly controlled diabetes mellitus or hypertension, or if a difficult airway is antici- pated. However, no specific ancillary preopera- tive tests are indicated. During the postpartum...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p559.pdf

afp20180501p562.pdf

...has no effect on major adverse cardiac events, all-cause mortality, sudden cardiac death, coronary artery revascularization, or hypertension.1 (Strength of Recommendation [SOR]: A, based on consistent, good-quality patient-oriented evidence.) Practice Pointers Omega-3 fatty...

American Family Physician

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

afp20180501p581.pdf

...Cardiovascular Disease and Hypertension The first group of POEMs focuses on cardiovascular dis- ease (CVD) and hypertension (Table 1),10-14 and two of these POEMs address the proper way to measure blood pressure, a part of the care of almost every patient. Although it may be...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p581.pdf

afp20180601p721.pdf

...The Dietary Approaches to Stop Hypertension (DASH) diet is promoted by the National Institutes of Health to treat hypertension. It has strong evidence for improving risk fac- tors for CVD and lowering blood pressure,11 and more lim- ited evidence for weight loss 12 and managing or...

American Family Physician

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

afp20180601p750.pdf

...3. Guérin L, Couturaud F, Parent F, et al. Prevalence of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Prevalence of CTEPH after pulmonary embolism. Thromb Haemost. 2014; 112(3): 598-605. 4. Raja AS, Greenberg JO, Qaseem A, et al. Evaluation of...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p750.pdf

afp20180701p23.pdf

...Harm End Points: Tachycardia, hypertension, pallor, tremor, nausea, vomiting, diarrhea, and acute urinary retention Narrative: Bronchiolitis is the most common lower respiratory tract infection in infants, with respiratory syncytial virus being the leading cause. Airway edema and...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p23.pdf

afp20180715p107.pdf

...on weight bearing. He had new petechiae on his right lower extremity. He had a history of tobacco use, long-term daily alcohol use, and hypertension. Physical examination revealed an open eschar over the left medial malleolus (Figure 1). There was no fluctuance, crepitus, or...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p107.pdf

afp20180715p78.pdf

...in high-deductible plans without an HSA were 7% less likely to be screened for breast cancer and 4% less likely to be screened for hypertension, and their rate of influenza vaccination was 8% lower. The study establishes that high- deductible plan enrollees without HSAs see family...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p78.pdf

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