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hypertension

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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

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

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

afp20130701p20.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/afp20130701p20.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

afp20130801p201.pdf

...women between 60 and 80 years of age (n = 7,447) who had type 2 diabetes mellitus or who had three or more of the following risk factors: hypertension, smoking, low-density lipoprotein cholesterol level greater than 160 mg per dL (4.1 mmol per L), high-density lipoprotein...

American Family Physician

https://www.aafp.org/afp/2013/0801/afp20130801p201.pdf

afp20130815p231.pdf

...daytime sleepiness, cognitive impairment, occupational accidents, and motor vehicle crashes. Evi- dence suggests that OSA also causes hypertension.31,32 Treatment with continuous positive airway pressure (CPAP) decreases blood pressure in patients with OSA,33 especially those with...

American Family Physician

https://www.aafp.org/afp/2013/0815/afp20130815p231.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

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

afp20140201p224a.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/afp20140201p224a.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

afp20140401p578.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/afp20140401p578.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

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

afp20160615p1032.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/afp20160615p1032.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

afp20160715p168.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/afp20160715p168.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

afp20170601p733a.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/afp20170601p733a.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

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

afp20180201od1.pdf

...➤ Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension Edwin Choi, MD; Grace Pak, BA; and Jeffrey Burket, MD Details for This Review Study Population: Nonpregnant adults with hyperten- sion who have been treated for at least one year with a beta...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201od1.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

afp20180315p376.pdf

...(e.g., smok- ing cessation, increased physical activity, weight control, healthy diet) and management of comorbid conditions such as hypertension and diabetes mellitus can reduce overall and CVD-related mortality.3,4 LIFESTYLE MODIFICATION Engaging in 30 to 60 minutes of...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p376.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

afp20180715p80.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/2018/0715/afp20180715p80.pdf

afp20180715p85.pdf

...the risk of potentiating coronary spasm.32 Calcium channel blockers reduce hypertension and coronary vasospasm, but may not decrease tachycardia.33 Left untreated, cocaine-associated vasospasm and hypertension have been associated with acute aortic dissection, in addition to...

American Family Physician

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

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

afp20180901p275.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/afp20180901p275.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

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