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hypertension

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afp20180715p93.pdf

...When should treatment be initiated in older patients with hypertension, and what are reasonable goals?A10 Try to remember 60-150-140: In patients older than 60 years, consider treatment if the systolic blood pressure is 150 mm Hg or higher, or 140 mm Hg or higher in patients with...

American Family Physician

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

afp20180801od2.pdf

...Historical factors such as prior coronary artery disease or myocardial infarction, diabetes mel- litus, cerebrovascular disease, hypertension, hyperlipidemia, and male sex, as well as symp- toms such as diaphoresis, dyspnea, and exer- tional or radiating pain, have LR+’s of less...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801od2.pdf

afp20180801p143.pdf

...competing demands that exacer- bate FI.3 Obesity is associated with FI, especially in women and in persons with diabetes mellitus, hypertension, dyslipidemia, or depression.4-10 Adults with very low food security have a higher 10-year risk of cardiovascular events than those with...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p143.pdf

afp20180801p154.pdf

...sin-converting enzyme inhibitors and angiotensin receptor blockers should be used preferentially in patients with diabetes who have hypertension and microalbuminuria (urinary albumin- to-creatinine ratio greater than 30 mg per g).27 Acute Issues of Type 1 Diabetes HYPOGLYCEMIA...

American Family Physician

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

afp20180801p164.pdf

...disease is an overlap syndrome of SLE, myositis, and scleroderma. Patients classically present with the Raynaud phenomenon, pulmonary hypertension, arthritis, and myositis. BEST PRACTICES IN RHEUMATOLOGY Recommendations from the Choosing Wisely Campaign Recommendation...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p164.pdf

afp20180801p187.pdf

...diabetes, a high-risk ethnicity or race, history of cardiovas- cular disease, hypertension, a high-density lipoprotein level of less than 35 mg per dL (0.91 mmol per L) or a triglyceride level greater than 250 mg per dL (2.8 mmol per L), physical inactivity, polycystic ovary...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p187.pdf

afp20180815p240.pdf

...are no known specific conditions or risk factors associated with poste- rior epistaxis.3,6 It is unclear whether seasonal changes or hypertension has a direct role.4,6,11 Physical Examination The physical examination should begin with assessment of vital signs, mental status, and...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p240.pdf

afp20180815p251.pdf

...hair and blue eyes presented for his annual physical exam- ination. His medical history was significant for type 2 diabetes mellitus, hypertension, hyperlip- idemia, and primary hypothyroidism. The physical examination revealed multi- ple nevi on his back and a nontender,...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p251.pdf

afp20180815p253.pdf

...Case Study Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque. Mrs....

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p253.pdf

afp20180815p256.pdf

...respira- tory symptoms, nausea, emesis, vision changes or scotoma, photophobia or phonophobia, or gait changes, and has no history of hypertension. She has slight neck stiffness that she attributed to vigorous exercise that morning. She had taken 800 mg of ibuprofen, which helped...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p256.pdf

afp20180901p276.pdf

...Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease Dustin K. Smith, DO, FAAFP; Paul Seales, MD; and Sajeewane Seales, MD, MPH Naval Hospital Jacksonville Family Medicine Resi- dency Program, Jacksonville, Florida Author disclosure: No relevant...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p276.pdf

afp20180915od1.pdf

...risk of CVD events are usually treated with a combination of diet and exercise mod- ifications, lipid-lowering medications, aspirin, hypertension management, and interventions to encourage tobacco cessation. Other relevant USPSTF recommendations The USPSTF has made...

American Family Physician

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

afp20180915p341.pdf

...cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with fewer than one adverse cardiovascular event per 1 million patients exposed.1 Eletriptan is a...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p341.pdf

afp20180915p342.pdf

...cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with fewer than one adverse cardiovascular event per 1 million patients exposed.1 Eletriptan is a...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p342.pdf

afp20180915p354.pdf

...Systemic disease Malignant hypertension, sys- temic lupus erythematosus, scleroderma, liver disease, vasculitides, hypersplenism Trapping, fragmentation Extravascular or intravascular Disease-specific testing Disease-specific treatment Trauma Endovascular devices,...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p354.pdf

afp20180915p368.pdf

...in life. Mater- nal benefits include decreased risk of breast cancer, ovarian cancer, cardiometabolic disease (type 2 diabetes mellitus, hypertension, and cardiovascular disease), and postpartum depression. Table 1 lists the benefits of breastfeeding.2-5 EVIDENCE SUMMARY The...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p368.pdf

afp20180915p375.pdf

...Case Study A 55-year-old man presents for an annual visit. He has no history of hypertension, cardiovascular disease (CVD), or diabetes mellitus; has never smoked; and has no family history of CVD. His lipid panel results from one year ago were normal, and he has no current symptoms...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p375.pdf

afp20181015od2.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od2.pdf

afp20181015od4.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od4.pdf

afp20181015od5.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od5.pdf

afp20181015p476.pdf

...321 million at the time) compared with the 10 other countries (combined population of 318 million). They focused on drugs prescribed for hypertension, pain, hyperlipidemia, diabetes mellitus, gastrointestinal issues, and depression, and found that per capita expenditures in these...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p476.pdf

afp20181015p486.pdf

...problem, along with the worldwide epi- demics of obesity and physical inactivity. The combined prevalence of elevated blood pressure and hypertension in children is around 6%, or 3% for each.1,2 The combined prevalence increases by nearly five times, to around 30%, in adolescents...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p486.pdf

afp20181101p590.pdf

...Comorbidities such as hypertension, hyperlipidemia, nephropathy, and retinopathy should be assessed in children and adolescents with type 2 diabetes. C 6, 11, 22 A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p590.pdf

afp20181101p595.pdf

...Obstetric: visual disturbance (scotomata), proteinuria, hypertension Nonobstetric or obstetrically aggravated: tension or migraine headache, meningitis, sinusitis (viral, allergic, bacterial), sub- arachnoid hemorrhage, brain tumor Obstetric: preeclampsia HELLP = hemolysis,...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p595.pdf

afp20181101p607.pdf

...pain, and it progressed in an ascending fashion. The patient had a history of atrial fibrillation, chronic obstructive pulmonary disease, hypertension, hyperlipidemia, and mod- erate osteoarthritis. Physical examination revealed tender, non- blanching, nonpruritic purpura on the...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p607.pdf

afp20181115p577.pdf

...Hypertension 14 26.3 30.2 Asthma 14 20.1 14.9 History of infectious disease 14 14.3 21 Arthritis or rheumatism 14 12.9 15 Heart conditions 14 10.4 9.8 Diabetes mellitus or high blood glucose levels 14 7.2 9 Information from references 13 through 15. 580...

American Family Physician

https://www.aafp.org/afp/2018/1115/afp20181115p577.pdf

afp20181201p645.pdf

...Rare, indolent, or incompletely studied: breast or uterine cancer, cardiovas- cular and cerebrovascular disease, hypertension, liver dysfunction Increased acne/oily skin, amen- orrhea risk, clitoral size, facial and body hair, fat redistribution, muscle mass, strength, vaginal...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p645.pdf

afp20181201p661.pdf

...Prednisone 40 to 60 mg by mouth daily Hypertension, fluid retention, weight gain, hypernatremia, elevated blood glucose, osteoporosis, mood disorder, increased risk of infection, narrow angle glaucoma None Blood pressure, electrolyte panel, blood glucose level, mental status,...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p661.pdf

afp20181215od1.pdf

...2. Grøndal N, Søgaard R, Lindholt JS. Baseline prevalence of abdominal aortic aneurysm, peripheral arterial disease and hypertension in men aged 65-74 years from a population screening study (VIVA trial). Br J Surg. 2015; 102(8): 902-906. 3. Sigvant B, Lundin F, Wahlberg E. The...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215od1.pdf

afp20181215p729.pdf

...33% of men ≥ 20 years have hypertension and/or take antihy- pertensive medication† 32% of men ≥ 18 years have had five or more alcoholic drinks in one day at least once in the past year* 18% of men ≥ 18 years currently smoke cigarettes* 12% of men < 65 years do not have...

American Family Physician

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

afp20181215p751.pdf

...with NVAF. His CHA2DS2-VASc score is 2 (one point each for hypertension and age). He takes a nonsteroidal anti-inflammatory drug daily for osteoarthritis; therefore, his HAS-BLED score is 3 (one point each for hypertension, age, and nonsteroidal anti-inflammatory drug use)....

American Family Physician

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

afp20190101p14.pdf

...mishap in the cognitively impaired, as well as potential drug- drug and disease-drug interactions (e.g., agitation, open-angle glaucoma, hypertension, other cardio- vascular conditions) in this aging population. The practice recommendations in this activity are available at http://...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p14.pdf

afp20190101p17.pdf

...Dry mouth, hypertension, insomnia, mydriasis, nausea, nervousness, seizures Do not use within 14 days of MAOI $30 COPD = chronic obstructive pulmonary disease; ER = extended release; MAOI = monoamine oxidase inhibitor. *-Estimated retail price of one month’s treatment...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p17.pdf

afp20190101p44.pdf

...for a follow-up visit and for medication refills after she had been laid off from her job. She has a history of type 2 diabetes mellitus, hypertension, and breast cancer. She was worried that she would not be able to afford access to health care after losing her employer-based...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p44.pdf

afp20190101p47.pdf

...lesions on his elbows and knees that had been present 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...

American Family Physician

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

afp20190101p53.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p53.pdf

afp20190101p53a.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p53a.pdf

afp20190101p54.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p54.pdf

afp20190101p55.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p55.pdf

afp20190115p109.pdf

...Heart failure, atrial fibrillation, pulmonary hypertension, dilated cardiomyopathy Echocardiography Musculoskeletal Infectious Epidural abscess Back pain and local tenderness, fever, late neurologic compromise MRI with contrast media, then CT-guided biopsy...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p109.pdf

afp20190115p123.pdf

...in the past six months. She does not have a history of smoking, chest pain, or shortness of breath. She has never been diagnosed with hypertension or hypercho- lesterolemia, but her brother and father have both. Downloaded from the American Family Physician website at...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p123.pdf

afp20190115p74.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

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

afp20190115p76.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

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

afp20190115p77.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

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

afp20190115p78.pdf

...cyclists with an average age of 66 years, 15% had ventricular tachycardia compared with only 3% of golfers matched for age, weight, hypertension, and cardiac conditions requiring medication (P = .05).17 Pacemaker insertion is the definitive treatment for symptomatic bradycardia....

American Family Physician

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

afp20190201p179.pdf

...Risk Factors Risk factors for renal cell carcinoma include hypertension, tobacco use, obesity, and acquired cystic kidney disease in the setting of end-stage renal disease.1,3,6 Occupational exposure to trichloroethylene can lead to the develop- ment of renal cell carcinoma and...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p179.pdf

afp20190215p237.pdf

...Gomis R, Hanefeld M, Karasik A, Laakso M; STOP-NIDDM Trial Research Group. Acarbose treatment and the risk of cardiovascular disease and hypertension in patients with impaired glucose tolerance: the STOP-NIDDM trial. JAMA. 2003; 290(4): 486-494. 21. Holman RR, Coleman RL, Chan...

American Family Physician

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

afp20190301od1.pdf

...Among secondary maternal outcomes, there was little to no difference in incidence of gestational hypertension, preeclampsia, or preterm birth despite a high level of het- erogeneity between the included trials. Women who received met- formin did not have significantly different...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301od1.pdf

afp20190301p295.pdf

...was assessed in four studies (n = 457), as was relapse (n = 478). Adverse effects that were studied included hyperglycemia (n = 345), hypertension (n = 311), and other (n = 503), which included gastrointestinal bleeding, symptomatic gastrointestinal reflux, symptoms of congestive...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301p295.pdf

afp20190315od1.pdf

...hypertension, age ≥ 75 years, diabetes mellitus, prior stroke or transient ischemic attack or thromboembolism [doubled]) (developed by Gage and colleagues, Washington University School of Medicine) or its updated version, CHA2DS2-VASc (congestive heart failure, hypertension, age ≥...

American Family Physician

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

afp20190315p354.pdf

...variation in stroke risk, ranging from 0.4% to 9.3% per year, which persisted across any single CHA2DS2-VASc (congestive heart failure; hypertension; age 75 years or older [doubled]; diabetes mellitus; prior stroke, transient ischemic attack, or thromboembolism [doubled]; vascular...

American Family Physician

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

afp20190315p357.pdf

...do without listening to what the patient thinks or is willing to do. Typical one-year medication adherence rates for conditions such as hypertension are 50% to 60%.3 Because the rate of adherence to a treatment plan is more than two times higher if the physician is a good com-...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p357.pdf

afp20190315p362.pdf

...Analysis of data from the National Health and Nutrition Examination Survey demonstrated that the most significant PAD risk factors are hypertension, diabetes mellitus, chronic kidney disease, hyperlipidemia, and smoking. The odds of having PAD increase with each additional risk...

American Family Physician

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

afp20190315p383.pdf

...every day and teaches yoga four times a week for two to three hours per session. She has a body mass index of 24 kg per m2. She has hypertension, which is controlled with chlor- thalidone, and hypothyroidism, which is treated with levothyroxine. Her most recent thyroid levels were...

American Family Physician

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

afp20190315p392.pdf

...sedation (13%), dizziness (19%), bra- dycardia (24%), and hypotension (30%).1 Abrupt discontinuation of lofexidine can cause rebound hypertension, as well as diarrhea, chills, and hyper- hidrosis. It is recommended that patients discon- tinue use gradually. Effectiveness...

American Family Physician

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

afp20190401p435.pdf

...Type 2 diabetes mellitus, hypertension, gallbladder disease, or thyroid disease 1.3 to 3 Information from references 18 and 20. 438 American Family Physician www.aafp.org/afp Volume 99, Number 7 ◆ April 1, 2019 ABNORMAL UTERINE BLEEDING bleeding).5 Other causative...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p435.pdf

afp20190415od1.pdf

...No hypertension, dys- lipidemia, or abnormal blood glucose levels Individualize the decision to provide or refer to behavioral counseling Individualize the decision to provide or refer to behavioral counseling Provide or refer to intensive behavioral counseling...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415od1.pdf

afp20190415p519.pdf

...is not recommended for patients at low risk (less than 5% per year; score of 4 or less on the CHA2DS2-VASc [congestive heart failure; hypertension; age 75 years or older (doubled); diabetes mel- litus; stroke, transient ischemic attack, thromboembolism (doubled); vascular disease;...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415p519.pdf

afp20190501p543.pdf

...Vaginitis, Coronary Artery Disease, Hypertension in Children, COPD, Alzheimer Disease What are key tips on diagnosing and treating vaginitis? Office-based or laboratory testing should be used with the history and physical examination find- ings to make the diagnosis. Do not...

American Family Physician

https://www.aafp.org/afp/2019/0501/afp20190501p543.pdf

afp20190501p558.pdf

...to 40 mg per day. Beta blockers should be tapered and discontinued several days before clonidine withdrawal to reduce the risk of rebound hypertension. Spironolactone dosages should be limited to 25 mg daily when coadministered with potassium supplements. Avoid prescribing opioid...

American Family Physician

https://www.aafp.org/afp/2019/0501/afp20190501p558.pdf

afp20190515od3.pdf

...is ordinarily a red flag, but in this case the predic- tors were relatively unambiguous (e.g., body mass index, number of medications for hypertension) and the chart review was done in parallel by two investigators using clear prespecified defi- nitions for each variable. The...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515od3.pdf

afp20190515od4.pdf

...is ordinarily a red flag, but in this case the predic- tors were relatively unambiguous (e.g., body mass index, number of medications for hypertension) and the chart review was done in parallel by two investigators using clear prespecified defi- nitions for each variable. The...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515od4.pdf

afp20190515od5.pdf

...is ordinarily a red flag, but in this case the predic- tors were relatively unambiguous (e.g., body mass index, number of medications for hypertension) and the chart review was done in parallel by two investigators using clear prespecified defi- nitions for each variable. The...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515od5.pdf

afp20190515p602.pdf

...The USPSTF recommends that primary care professionals individualize the decision to offer or refer adults without obesity who do not have hypertension, dyslipidemia, abnormal blood glucose levels, or diabetes mellitus to behavioral counseling to pro- mote a healthful diet and...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515p602.pdf

afp20190601p716.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

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

afp20190601p717.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

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

afp20190601p717a.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

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

afp20190601p718.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

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

afp20190615p737.pdf

...in life. Maternal benefits include decreased risk of breast cancer, ovarian cancer, cardiometabolic disease (type 2 diabetes melli- tus, hypertension, and cardiovascular disease), and postpartum depression. https://www.aafp.org/afp/2018/0915/p368.html Tip for Using AFP at the...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p737.pdf

afp20190615p740.pdf

...Case Scenario A 70-year-old man had been a heavy smoker until 10 years ago, when he quit after a myocardial infarction. He has hypertension, mild chronic obstructive pulmonary disease, and stable coronary artery disease. He walks half a mile daily without shortness of breath. At his...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p740.pdf

afp20190615p751.pdf

...testing, and diagnosis is confirmed by repeated elevation in urinary albumin excretion. Treatment includes management of hyperglycemia, hypertension, hyperlipidemia, and cessation of tobacco use. Multiple antihyperglycemic medications, including sodium-glucose cotrans- porter-2...

American Family Physician

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

afp20190701p12.pdf

...Migraine Headache, Hypertension in Children, CVD Risk, Acupuncture, Incarcerated Patients When should clinicians consider prescribing preventive therapy for migraine headache? Preventive therapy should be considered in patients having four or more headaches per month or at least...

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p12.pdf

afp20190701p39.pdf

...Striae, buffalo hump, central obesity, hypertension Cushing syndrome CAH = congenital adrenal hyperplasia; GnRH = gonadotropin-releasing hormone; PCOS = polycystic ovary syndrome. *-Absence of breast buds may not indicate nonfunctioning ovaries or future functionality....

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p39.pdf

afp20190715p118.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

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

afp20190715p119.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

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

afp20190715p120.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

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

afp20190715p121.pdf

...longer duration of breastfeeding is associated with improved mater- nal health. Benefits include a lower risk of diabe- tes mellitus, hypertension, myocardial infarction, ovarian cancer, and breast cancer. Although exclusive breastfeeding is recommended for the first six months of...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p121.pdf

afp20190715p76.pdf

...complete the live workshop and corresponding activities. Improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. STEP 1: Assess your practice (course prep). STEP 2: Attend three-day collaborative workshop. STEP 3:...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p76.pdf

afp20190801p168.pdf

...Hypertension Impaired glucose tolerance Moon facies Proximal muscle weakness Purple skin striae Hyperpro- lactinemia Rarely presents with isolated hirsutism Amenorrhea Galactorrhea Infertility Thyroid disorders Rarely present with isolated hirsutism...

American Family Physician

https://www.aafp.org/afp/2019/0801/afp20190801p168.pdf

afp20190815p213.pdf

...Although its recommendations are primarily based on expert opinion, the American Academy of Pediatrics rec- ommends screening for hypertension annually, vision and hearing problems approximately every two years, and dyslipidemia once between nine and 11 years of age; regular...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p213.pdf

afp20190815p239.pdf

...His medical history included diabetes melli- tus, hypertension, hyperlipidemia, and obstruc- tive sleep apnea. His medications included hydrochlorothiazide, metformin, glipizide (Glu- cotrol), minocycline (Minocin), and pravastatin (Pravachol). Six weeks before presentation, he had...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p239.pdf

afp20190815p242.pdf

...complete the live workshop and corresponding activities. Improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. STEP 1: Assess your practice (course prep). STEP 2: Attend three-day collaborative workshop. STEP 3:...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p242.pdf

afp20190901p278.pdf

...did not cause any sig- nificant harms. When progestogens were compared with placebo, there were no differences in pregnancy-induced hypertension, antepartum hemorrhage, stillbirth, low birth weight, or respiratory distress syndrome. No significant dif- ferences were found for...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p278.pdf

afp20190901p279.pdf

...did not cause any sig- nificant harms. When progestogens were compared with placebo, there were no differences in pregnancy-induced hypertension, antepartum hemorrhage, stillbirth, low birth weight, or respiratory distress syndrome. No significant dif- ferences were found for...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p279.pdf

afp20190901p298.pdf

...Venous ulcers are open skin lesions that occur in an area affected by venous hypertension.1 The prevalence of venous ulcers in the United States ranges from 1% to 3%.2,3 In the United States, 10% to 35% of adults have chronic venous insufficiency, and 4% of adults 65 years or older...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p298.pdf

afp20190901p306.pdf

...Case Scenario A 67-year-old woman came to my clinic with uncontrolled hypertension and stage 3 chronic kidney disease. She told me she had not taken her lisinopril because she read on the inter- net that taking lisinopril causes lung cancer. I searched online and found the...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p306.pdf

afp20190901p313.pdf

...three years of age. Patients may be asymptomatic or have the clas- sic presentation of edema, gross hematuria, fatigue, oligu- ria, and hypertension.12 Address correspondence to Nguyet-Cam Lam, MD, FAAFP, at Nguyet-Cam.Lam@ sluhn.org. Reprints are not available from the authors....

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p313.pdf

afp20190915p369.pdf

...Case Scenario Sally is a 78-year-old retired teacher. She has hypertension and uses insulin to treat her diabe- tes mellitus. She lives independently with the help of a hired caregiver who visits three days per week to shop for groceries and cook. Her daughter lives nearby and...

American Family Physician

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

afp20191001p391.pdf

...2. Gidding SS, Champagne MA, de Ferrant SD, et al.; Ameri- can Heart Association 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...

American Family Physician

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

afp20191001p392.pdf

...2. Gidding SS, Champagne MA, de Ferrant SD, et al.; Ameri- can Heart Association 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...

American Family Physician

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

afp20191001p396.pdf

...among a set of high-risk conditions more sim- ilar to cancer or cirrhosis than hypertension or controlled asthma. Primary care for opioid use disorder, however, does not generally have care coordination, peer counseling, and other resources to further allow sustainable quality care....

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p396.pdf

afp20191001p403.pdf

...Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy Nicholas LeFevre, MD, and Ellisa Krumm, MD John Peter Smith Hospital Family Medicine Residency Program, Fort Worth, Texas Author disclosure: No relevant financial affiliations. Clinical...

American Family Physician

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

afp20191001p405.pdf

...Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy Nicholas LeFevre, MD, and Ellisa Krumm, MD John Peter Smith Hospital Family Medicine Residency Program, Fort Worth, Texas Author disclosure: No relevant financial affiliations. Clinical...

American Family Physician

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

afp20191001p416.pdf

...should be treated as a chronic condition with longitudinal, team-based, patient-centered care. Similar to type 2 diabetes mellitus or hypertension, opioid use disorder has genetic, environmental, and behavioral causes; the disorder responds best to long-term treat- ment with...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p416.pdf

afp20191001p426.pdf

...failure; hypertension; age 75 years or older; diabetes mellitus; prior stroke, transient ischemic attack, or thromboembolism [doubled]) tool (https:// www.mdcalc.com/chads2-score- atrial-fibrillation-stroke-risk) or CHA2DS2-VASc (con- gestive heart failure; hypertension; age 75...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p426.pdf

afp20191001p438.pdf

...sometimes forgetful. I manage pretty well with the help of my son, who visits me weekly, and my family doctor, who I see monthly for my hypertension, stomach reflux problems, prediabetes, and high cholesterol. I try to manage my forgetfulness with the help of a pill box so that I...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p438.pdf

afp20191015od1.pdf

...residential lead hazard control measures, or chelation therapy) to improve intermediate (e.g., blood lead levels or gestational hypertension) or health outcomes in pregnant women. As published by the USPSTF. This summary is one in a series excerpted from the Recommendation...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015od1.pdf

afp20191015p463.pdf

...diabetes mellitus, ankle-brachial index less than 0.9, 70% or greater carotid stenosis, at least one carotid plaque, poorly controlled hypertension, hypercholes- terolemia, smoking more than 15 cigarettes per day, or age at least 65 (men) or 70 (women) years. A higher percentage of...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p463.pdf

afp20191015p485.pdf

...Up to 10% of women have elevated blood pressure during pregnancy, including chronic hypertension, gestational hypertension, and preeclampsia. Women with hypertensive disorders of pregnancy should have a follow-up blood pres- sure check within seven days of delivery and be evaluated...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p485.pdf

afp20191015p505.pdf

...lar (excluding isolated hypertension), renal, hepatic, neurologic, hematologic, or metabolic disorders (e.g., asthma, diabetes mellitus) • Pregnant women • Residents of nursing homes or other long-term care facilities Editor’s Note: Recommendations on the use of LAIV from...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p505.pdf

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