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stroke

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afp20210415p507.pdf

...Atherosclerotic CVA/transient ischemic attack PAD (claudication or abdominal aortic aneurysm) Does not include asymptomatic incidental finding of potential atherosclerosis (e.g., coronary artery calcium) Does patient have higher- risk CVD? (Sidebar 1) Recommend regular...

American Family Physician

https://www.aafp.org/afp/2021/0415/afp20210415p507.pdf

afp20210501p547.pdf

...diversion, with the most common reasons being cardiac arrest (57.9%), cardiac symptoms (18.4%), obstetric emergencies (18.0%), and possible stroke (16.4%).7,22 The decision to divert an aircraft is made by the pilot in con- junction with flight dispatch and recommendations from the...

American Family Physician

https://www.aafp.org/afp/2021/0501/afp20210501p547.pdf

afp20210515p580.pdf

...the annual risk of stroke for the patient in the case scenario was incor- rectly listed as 8% instead of 3.2%. The sentence should have read: Mr. H has a 3.2% annual risk of stroke, with less than one-half of that being a risk of a disabling or fatal stroke.1,2,9,12 The online...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p580.pdf

afp20210515p581.pdf

...the annual risk of stroke for the patient in the case scenario was incor- rectly listed as 8% instead of 3.2%. The sentence should have read: Mr. H has a 3.2% annual risk of stroke, with less than one-half of that being a risk of a disabling or fatal stroke.1,2,9,12 The online...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p581.pdf

afp20210515p584.pdf

...the hospi- tal or clinic have led many patients to defer or avoid necessary medical care, with severe con- sequences, including death from strokes, heart attacks, and other acute illnesses.3 However, there may be a silver lining to deferring certain types of routine care.4 For many...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p584.pdf

afp20210515p590.pdf

...for patients in isolation. Studies of patients with heart failure or stroke have shown that telere- habilitation is not inferior to traditional physi- cal therapy.37,38 However, unsupervised exercise and competitive athletics should be avoided during the initial outpatient phase of...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p590.pdf

afp20210515p623.pdf

...last visit were within normal limits. He says that he feels well and has no neuro- logic complaints or any other symptoms. His father had a stroke at 68 years of age and was told it was caused by a blocked artery in his neck. The patient asks whether he should be screened for the...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p623.pdf

afp20210515p630.pdf

...stroke, the number needed to treat (NNT) was 67 over 29 months. The cost is $8 per month in Canada and $65 per month in the United States. There was increased noncardiovascular mortal- ity, but no clear pattern with regard to cause of death. (Level of Evidence = 1b) Synopsis...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p630.pdf

afp20210515p630a.pdf

...stroke, the number needed to treat (NNT) was 67 over 29 months. The cost is $8 per month in Canada and $65 per month in the United States. There was increased noncardiovascular mortal- ity, but no clear pattern with regard to cause of death. (Level of Evidence = 1b) Synopsis...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p630a.pdf

afp20210515p631.pdf

...stroke, the number needed to treat (NNT) was 67 over 29 months. The cost is $8 per month in Canada and $65 per month in the United States. There was increased noncardiovascular mortal- ity, but no clear pattern with regard to cause of death. (Level of Evidence = 1b) Synopsis...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p631.pdf

afp20210601p646.pdf

...the DaTscan can differentiate drug-induced Parkinson-like syndromes from actual Parkinson disease. For atypical presentations that mimic stroke or depression, the finding of diminished dopamine transport can redirect the differential diagnosis and treatment back to Parkinson...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p646.pdf

afp20210601p647.pdf

...the DaTscan can differentiate drug-induced Parkinson-like syndromes from actual Parkinson disease. For atypical presentations that mimic stroke or depression, the finding of diminished dopamine transport can redirect the differential diagnosis and treatment back to Parkinson...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p647.pdf

afp20210601p663.pdf

...May indicate stroke, increased likeli- hood of vestibular schwannoma, or intracranial hyper- or hypotension; consider prompt imaging* and neuro- logic evaluation Vascular Detectable bruits over the ear canal or periauricular area, orbits, carotids (neck), or chest May suggest...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p663.pdf

afp20210601p695.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p695.pdf

afp20210601p695a.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p695a.pdf

afp20210601p697.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p697.pdf

afp20210615p757.pdf

...discourse should occur in a language and at a health literacy level that patients understand. Using relative numbers (e.g., 50% reduction in stroke, as in this patient’s case) is confusing to patients and does not help them understand actual risks and benefits. The use of absolute...

American Family Physician

https://www.aafp.org/afp/2021/0615/afp20210615p757.pdf

afp20210700p14.pdf

...headaches off and on. She attempted to see a specialist for her headaches but was unsuccessful. A few days later, she had an acute stroke. Mary’s experience and the subsequent out- comes are a result of an imbalance in our health care system that is, in many respects, a direct...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p14.pdf

afp20210700p49.pdf

...20. Pervane Vural S, Nakipoglu Yuzer GF, Sezgin Ozcan D, et al. Effects of mirror therapy in stroke patients with com- plex regional pain syndrome type 1: a randomized con- trolled study. Arch Phys Med Rehabil. 2016; 97(4): 575-581. 21. Connolly SB, Prager JP, Harden RN. A...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p49.pdf

afp20210700p63.pdf

...NSAIDs increase the risk of cardiovascular events, including myocardial infarction, stroke, and death, by about 30%.29,30 Even short-term NSAID use is cautioned in patients with a high baseline risk of cardiovascular disease; however, selecting an NSAID associated with a lower car-...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p63.pdf

afp20210700p91.pdf

...serotonin reuptake inhibitors (SSRIs) and risperidone (Risperdal) are moderately effec- tive at decreasing agitation in all types of demen- tia. (Strength of Recommendation [SOR]: A, based on meta-analysis.) Olanzapine (Zyprexa) and risperidone reduce dementia-related agita- tion...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p91.pdf

afp20210800p141.pdf

...Stimulant Hypertension, tachycardia, anosmia, rhinorrhea, bloody nose, paranoia, stroke, seizures DMT Businessman’s special, Dimitri, DMT Smoked, injected Hallucinogenic Intense visual hallucinations, depersonal- ization, auditory distortions, hypertension, increased heart...

American Family Physician

https://www.aafp.org/afp/2021/0800/afp20210800p141.pdf

afp20210800p179.pdf

...15-11). Bradycardia-tachycardia syndrome occurs in approximately 50% of patients with sinus node dysfunction and increases the risk of stroke and death.5,12 Symptoms manifest as end-organ hypoperfusion, including palpita- tions, decreased physical activity tolerance, easy...

American Family Physician

https://www.aafp.org/afp/2021/0800/afp20210800p179.pdf

afp20210800p206.pdf

...SGLT2 inhibitors were more effective at reducing hospital admission, and GLP-1 recep- tor agonists were more likely to reduce nonfatal stroke. The absolute benefit of treatment varied based on underlying cardiac risk; for example, two to five fewer deaths per 1,000 patients over...

American Family Physician

https://www.aafp.org/afp/2021/0800/afp20210800p206.pdf

afp20210800p206a.pdf

...SGLT2 inhibitors were more effective at reducing hospital admission, and GLP-1 recep- tor agonists were more likely to reduce nonfatal stroke. The absolute benefit of treatment varied based on underlying cardiac risk; for example, two to five fewer deaths per 1,000 patients over...

American Family Physician

https://www.aafp.org/afp/2021/0800/afp20210800p206a.pdf

afp20210800p208.pdf

...SGLT2 inhibitors were more effective at reducing hospital admission, and GLP-1 recep- tor agonists were more likely to reduce nonfatal stroke. The absolute benefit of treatment varied based on underlying cardiac risk; for example, two to five fewer deaths per 1,000 patients over...

American Family Physician

https://www.aafp.org/afp/2021/0800/afp20210800p208.pdf

afp20210900od2.pdf

...free of known cardiovascular disease, demen- tia, and physical disability. The researchers randomized the participants (allocation was concealed) to receive a daily dosage of enteric- coated aspirin (100 mg; n = 9,525) or placebo (n = 9,589). The study was terminated after just...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900od2.pdf

afp20210900od3.pdf

...free of known cardiovascular disease, demen- tia, and physical disability. The researchers randomized the participants (allocation was concealed) to receive a daily dosage of enteric- coated aspirin (100 mg; n = 9,525) or placebo (n = 9,589). The study was terminated after just...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900od3.pdf

afp20210900od4.pdf

...free of known cardiovascular disease, demen- tia, and physical disability. The researchers randomized the participants (allocation was concealed) to receive a daily dosage of enteric- coated aspirin (100 mg; n = 9,525) or placebo (n = 9,589). The study was terminated after just...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900od4.pdf

afp20210900od5.pdf

...free of known cardiovascular disease, demen- tia, and physical disability. The researchers randomized the participants (allocation was concealed) to receive a daily dosage of enteric- coated aspirin (100 mg; n = 9,525) or placebo (n = 9,589). The study was terminated after just...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900od5.pdf

afp20210900p234.pdf

...globally are directly attributable to CVD, 85% of which are associated with heart disease and stroke. In the United States, heart disease is consistently the leading cause of death, and stroke is currently the fifth. The American Heart Association estimates that 45% of the U.S....

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p234.pdf

afp20210900p235.pdf

...globally are directly attributable to CVD, 85% of which are associated with heart disease and stroke. In the United States, heart disease is consistently the leading cause of death, and stroke is currently the fifth. The American Heart Association estimates that 45% of the U.S....

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p235.pdf

afp20210900p244.pdf

...Fever, Endocarditis, and Kawasaki Dis- ease Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Surgery and Anesthesia; Council on Epidemiology and Prevention. Diagnosis, treatment, and long-term...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p244.pdf

afp20210900p277.pdf

...Cardiac disease, including conduction abnormalities, dilated car- diomyopathy, apical aneurysm, or heart failure, may occur. The risk of stroke is also increased. TABLE 1 Key Elements for Chagas Disease, Cysticercosis, and Toxoplasmosis Disease Epidemiology and transmission...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p277.pdf

afp20210900p292.pdf

...of Care and Outcomes Research, Council on Epidemiology and Prevention, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Health, and Stroke Council. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p292.pdf

afp20210900p305.pdf

...CT scan outweigh the benefits in most cases of syncope, and it should not be ordered routinely in the absence of a head injury or signs of a stroke.10 However, a large meta-analysis found that up to two- thirds of patients presenting with syncope had a CT scan of the head.11 The...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p305.pdf

afp20210900p313.pdf

...00 a.m. My second patient has a cold and weak left upper limb, but the duplex ultrasound results are nega- tive. I wonder if they’ve had a stroke? Or maybe the problem is in the neck? Otherwise, the exam- ination is normal, and this has been going on for weeks. After a discussion...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p313.pdf

AGA Releases Position Statement on CT Colonography - Practice Guidelines - American ...

Aug 1, 2007 - Although computed tomographic (CT) colonography is considered investigational for colorectal screening, the American Gastroenterological Association (AGA) suggests that it could significantly influence patient care and how the field of gastroenterology is defined.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p447.html

AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke ...

Jan 15, 2015 - The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients is at a ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0115/p136.html

AHA and NHLBI Review Diagnosis and Management of the Metabolic Syndrome - Practice ...

Sep 15, 2006 - The American Heart Association (AHA) and the National Heart, Lung, and Blood Institute (NHLBI) have released joint recommendations on the management and diagnosis of the metabolic syndrome.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0915/p1039.html

AHA Publishes Guidelines on CVD Prevention in Women - Practice Guidelines - American ...

Apr 1, 2007 - Guidelines presented by the American Heart Association (AHA) represent the most current clinical recommendations for the prevention of cardiovascular disease (CVD) in women 20 years and older.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0401/p1096.html

AHA Recommendations for the Management of Intracranial Aneurysms - Practice Guidelines ...

Jun 15, 2001 - The American Heart Association (AHA) has formulated recommendations for the management of unruptured intracranial aneurysms. The guidelines are intended to serve as a framework for the development of treatments and for future research.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0615/p2465.html

AHA Releases Guidelines for Hypertension Management in Adults with or at Risk of CAD - ...

Jul 15, 2008 - The American Heart Association (AHA) Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention have released guidelines on the management of hypertension in adults with or at risk of coronary artery disease (CAD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0715/p270.html

AHA Releases Statement on Exercise and Heart Failure - Practice Guidelines - American ...

Sep 1, 2003 - Although discomfort during exercise is a principal reason that patients with heart failure seek medical care, exercise training is safe and can benefit these patients, according to the American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0901/p969.html

AHA Updates Guidelines for Carotid Endarterectomy - Special Medical Reports - American ...

Nov 15, 1998 - ...endarterectomy in patients with symptomatic and asymptomatic carotid stenosis. Developed by the 16-member Special Writing Group of the Stroke Council, the guidelines cover the following topics: management of risk factors, such as hypertension, cigarette smoking, serum lipid levels,...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/1115/p1898.html

AHA/AAC/<FEFF>ASH Release Guideline on the Treatment of Hypertension and CAD

December 1, 2015 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1023.pdf

AHA/ACC/ASH Release Guideline on the Treatment of Hypertension and CAD - Practice ...

Dec 1, 2015 - The American Heart Association (AHA), American College of Cardiology (ACC), and American Society of Hypertension (ASH) have released a guideline on the management of hypertension in patients with coronary artery disease (CAD). It updates a previous AHA guideline to reflect newer data.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/1201/p1023.html

AHA/ACCF Statement on the Evaluation of Syncope - Practice Guidelines - American Family...

Jul 1, 2006 - The American Heart Association (AHA) and the American College of Cardiology Foundation (ACCF) recently released a scientific statement on the evaluation of syncope (i.e., transient loss of consciousness).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p179.html

AHA/ASA Guidelines on Prevention of Recurrent Stroke

...who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. In the United States, about one-fourth of the nearly 800,000 strokes that occur each year are recurrent events. The risk of stroke within 90 days of a TIA may be as high as...

American Family Physician

https://www.aafp.org/afp/2011/0415/afp20110415p993.pdf

AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...

Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0415/p993.html

AHA/ASA Publish Advisory on Oral Antithrombotics for Stroke Prevention in Nonvalvular ...

May 15, 2013 - New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0515/p732.html

AHA/ASA Release Guideline on Stroke Prevention in Women

March 1, 2015 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2015/0301/afp20150301p330.pdf

AHA/ASA Release Guideline on Stroke Prevention in Women - Practice Guidelines - ...

Mar 1, 2015 - The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0301/p330.html

Alcohol Misuse - Clinical Evidence Handbook - American Family Physician

Apr 15, 2009 - What are the effects of interventions in hazardous or harmful drinkers in the primary care and emergency department settings?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0415/p692.html

Alcohol-Related Problems: Recognition and Intervention - American Family Physician

Jan 15, 1999 - Early identification of alcohol-related problems is important because these problems are prevalent, pose serious health risks to patients and their families, and are amenable to intervention. Physicians may be able to help patients change their drinking behaviors. The most effective ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p361.html

Alcoholism in the Elderly - American Family Physician

Mar 15, 2000 - Alcohol abuse and alcoholism are common but underrecognized problems among older adults. One third of older alcoholic persons develop a problem with alcohol in later life, while the other two thirds grow older with the medical and psychosocial sequelae of early-onset alcoholism. The ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1710.html

Algorithms - American Family Physician

...Stroke and TIA Substance Abuse Thyroid and parathyroid disorders Tobacco Abuse and dependence Travel medicine Upper Respiratory Tract Infection Urinary tract infections/dysuria Vaginitis Attention Deficit/Hyperactivity Disorder Deep Venous Thrombosis and Pulmonary...

American Family Physician

https://www.aafp.org/afp/algorithms/viewAll.htm

Algorithms - American Family Physician

...Stroke and TIA Substance Abuse Thyroid and parathyroid disorders Tobacco Abuse and dependence Travel medicine Upper Respiratory Tract Infection Urinary tract infections/dysuria Vaginitis Attention Deficit/Hyperactivity Disorder Deep Venous Thrombosis and Pulmonary...

American Family Physician

https://www.aafp.org/afp/algorithms/viewAll.htm?cmpid=afped_ot_pub_afpj_van_alg

Alirocumab (Praluent) for Treatment of Hyperlipidemia - STEPS - American Family Physician

Aug 15, 2016 - Alirocumab is a novel lipid-lowering therapy that is highly effective at lowering LDL cholesterol when used in addition to statin therapy and diet. Its use should be limited to patients with either heterozygous familial hypercholesterolemia or clinical atherosclerotic cardiovascular ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0815/p310.html

Aliskiren Worsens Outcomes in High-Risk Patients with Diabetes - POEMs - American ...

Sep 1, 2013 - Aliskiren increases the likelihood of adverse cardiovascular outcomes in patients with diabetes and kidney or heart disease, and cannot be recommended.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0901/p333.html

Allergic Conjunctivitis - American Family Physician

Feb 15, 2011 - ...Previous: AAN Releases Guideline on Magnetic Resonance Imaging for Diagnosing Acute Ischemic Stroke Next: Hay Fever View the full table of contents >> Home / Journals / afp / Vol. 83/No. 4(February 15, 2011) / Allergic Conjunctivitis...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0215/p476.html

Alternative Therapies for Traditional Disease States: Menopause - American Family ...

Jul 1, 2002 - With growing concern about the use of hormone replacement therapy, some women are looking for alternative treatments for menopausal symptoms and preventing postmenopausal cardiovascular disease and osteoporosis. In observational trials, exercise has been associated with decreased ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p129.html

Alternative Therapies for Traditional Disease States: Menopause -- American Family ...

...coronary heart disease (CHD) or stroke, making CHD the leading cause of death in women in this category. Though HRT was once believed to reduce cardiac events, new evi- dence appears to contradict these earlier observational studies.34,35 Some discussion of alternative methods to...

American Family Physician

https://www.aafp.org/afp/2002/0701/afp20020701p129.pdf

Alternative Therapies: Part II. Congestive Heart Failure and Hypercholesterolemia - ...

Sep 15, 2000 - Natural supplements are widely used by the American public but, while claims of their therapeutic effects abound, medical research does not always support their effectiveness. Clinical trials using Q10 for the management of congestive heart failure have had conflicting results; hawthorn...

American Family Physician : Article

https://www.aafp.org/afp/2000/0915/p1325.html

Alvimopan (Entereg) for the Treatment of Postoperative Ileus - STEPS - American Family ...

Apr 15, 2011 - Use of alvimopan should be restricted to patients at a higher risk of postoperative ileus following abdominal surgeries, such as hospitalized patients undergoing bowel resection with primary anastomosis. It is an expensive option with limited indications; head-to-head studies with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0415/p978.html

Alzheimer Disease: Monotherapy Vs. Combination Therapy

April 1, 2017: FPIN Clinical Inq

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p452.pdf

Alzheimer Disease: Monotherapy vs. Combination Therapy - FPIN's Help Desk Answers - ...

Apr 1, 2017 - Combination treatment with memantine and donepezil results in a small improvement in cognitive function that is of uncertain clinical significance in patients with moderate to severe Alzheimer disease, but no improvement in patients with mild to moderate disease.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0401/p452.html

Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and ...

June 15, 2017

American Family Physician

https://www.aafp.org/afp/2017/0615/afp20170615p771.pdf

Ambulatory Devices for Chronic Gait Disorders in the Elderly - American Family Physician

Apr 15, 2003 - Gait disorders in the elderly are common and in most cases cannot be treated medically or surgically. Therefore, treatment often relies on ambulatory devices such as canes, crutches, and walkers. Before selecting a device, the patient should be evaluated to define whether one or both ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1717.html

American Cancer Society Releases Guidelines on Nutrition and Physical Activity for ...

Oct 15, 2002 - The American Cancer Society (ACS) has issued its 2002 update on guidelines for reducing the risk of cancer with healthy food choices and physical activity.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/1015/p1555.html

American Family Physician

...Aspirin therapy has a better protective effect against stroke in women and against myocardial infarction in men. C 30 Women with heart failure have an increased risk of mortality when using digoxin therapy. C 34, 35 A = consistent, good-quality patient-oriented evidence; B...

American Family Physician

https://www.aafp.org/afp/2009/1201/afp20091201p1254.pdf

American Family Physician

...Increased all-cause and cardiovascular mortality, including MI, sudden cardiac death, arrhythmia, exacerbation of CHF, and stroke exacerbation of asthma and CoPD Persons with heart disease, asthma, CoPD Children older adults Urban areas Areas downwind of power...

American Family Physician

https://www.aafp.org/afp/2010/0115/afp20100115p175.pdf

American Family Physician

...Stroke Men are more likely to have a stroke, but women are more likely to die from a stroke; women are generally older than men when they have a stroke Adapted from Bren L. Does sex make a difference? FDA Consum. 2005;39(4):10-15. Downloaded from the American Family Physician...

American Family Physician

https://www.aafp.org/afp/2009/1201/afp20091201p1254-ot1.pdf

American Family Physician

...Causes of sudden vision loss in older persons include giant cell arteritis, stroke or transient ischemic attacks, ophthalmic artery or central retinal vein occlusion, acute angle-closure glaucoma, retinal detachment, and vitre- ous hemorrhage. Sudden vision loss most often stems...

American Family Physician

https://www.aafp.org/afp/2009/0601/afp20090601p963.pdf

American Family Physician

...for pain treatment when comparing all NSAIDs.2 Aspirin is used for primary and secondary prevention of coronary artery disease, stroke, and some colorectal cancers. The two major isoforms of COX (COX-1 and COX-2) are inhibited by nonselective NSAIDs. COX-2 is also inhib- ited by...

American Family Physician

https://www.aafp.org/afp/2009/1215/afp20091215p1371.pdf

American Family Physician

...2 mg per dL reduction in LDL cholesterol, statin therapy has been shown to reduce major coronary events, coronary revascularization, and stroke by 1 percent.41 The AHA suggests that physicians consider advising patients to increase dietary intake of omega-3 fatty acids to improve...

American Family Physician

https://www.aafp.org/afp/2010/0201/afp20100201p289.pdf

American Family Physician

...Neurologic conditions (e.g., Alzheimer disease, multiple sclerosis, Parkinson disease, paraplegia, quadriplegia, stroke) Obesity Peyronie disease Psychological conditions (e.g., anxiety, depression, guilt, history of sexual abuse, marital or relationship problems, stress)...

American Family Physician

https://www.aafp.org/afp/2010/0201/afp20100201p305.pdf

American Family Physician

...Oral contraceptive Hirsutism X Increased total cholesterol and low- density lipoprotein cholesterol; thromboembolism, stroke, MI 0.15 mg desogestrel plus 30 mcg ethinyl estradiol per day $31 (brand) Finasteride (Propecia)§ 5-alpha-reductase inhibitor Hirsutism X...

American Family Physician

https://www.aafp.org/afp/2009/0415/afp20090415p671.pdf

American Family Physician

...12. Rosamond W, Flegal K, Friday G, et al. Heart disease and stroke sta- tistics-2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee [published correction appears in Circulation. 2007;115(5):e172]. Circulation. 2007;...

American Family Physician

https://www.aafp.org/afp/2009/0501/afp20090501p778.pdf

American Family Physician

...Home modifications for patients with demen- tia should promote safety for the patient and peace-of-mind for the caregiver. The modi- fications listed in Table 2 allow patients with dementia to receive ongoing care in the least restrictive environment possible, and may be implemented...

American Family Physician

https://www.aafp.org/afp/2009/1101/afp20091101p963.pdf

American Family Physician

...population.26 Atrial fibrillation is associated with an increased risk of stroke, heart fail- ure, and all-cause mortality.26 Management principles focus on adequate anticoagulation (to prevent embolic stroke occurrence), ventricular rate control measures (to prevent symptomatic and...

American Family Physician

https://www.aafp.org/afp/2009/1115/afp20091115p1089.pdf

American Family Physician

...Estrogen Estradiol in various preparations MI, stroke, deep venous thrombosis, pulmonary embolism, and breast cancer in postmenopausal women Iron supplements, oral Ferrous sulfate, many vitamin supplements Overdose may be fatal in children Nonsteroidal anti- inflammatory...

American Family Physician

https://www.aafp.org/afp/2010/0201/afp20100201p298.pdf

American Family Physician

...a meta-analysis of 19 controlled trials, pioglitazone (actos) was associated with a reduc- tion in a composite end point of death, Mi, and stroke.19 the incidence of serious heart failure was increased by 40 percent, but there was no change in cardiovascular disease mortality rates....

American Family Physician

https://www.aafp.org/afp/2009/0101/afp20090101p29.pdf

American Family Physician

...Various versus placebo Heart attack or stroke over five years 16 Deep venous thrombosis Warfarin (Coumadin; target INR = 1.5 to 2.0) versus placebo for one year Venous thromboembolism over one year 22 Heart failure (New York Heart Association class I or II)...

American Family Physician

https://www.aafp.org/afp/2009/0415/afp20090415p668.pdf

American Family Physician

...pneumonia is an infection for which antibiotic therapy should be initiated. Risk factors for these conditions include a history of stroke, dementia, gastroesopha- geal reflux disease, and tube-feeding require- ments. Pathogens isolated from nursing home patients with severe...

American Family Physician

https://www.aafp.org/afp/2009/0601/afp20090601p976.pdf

American Family Physician

...5. Kagan A, Harris BR, Winkelstein W Jr, et al. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: demographic, physical, dietary and biochemical characteristics. J Chronic Dis. 1974;27(7):345-364. 6. Kushi LH, Lew...

American Family Physician

https://www.aafp.org/afp/2009/0815/afp20090815p345.pdf

American Family Physician

...41. Gill SS, Rochon PA, Herrmann N, et al. Atypical antipsychotic drugs and risk of ischaemic stroke. BMJ. 2005;330(7489):445. 42. Schneeweiss S, Setoguchi S, Brookhart A, Dormuth C, Wang PS. Risk of death associated with the use of conventional versus atypical antipsy- chotic...

American Family Physician

https://www.aafp.org/afp/2010/0301/afp20100301p617.pdf

American Heart Association Issues Guidelines on Imaging in Transient Ischemic Attacks ...

Apr 1, 1998 - ...in Transient Ischemic Attacks and Stroke SHARON SCOTT MOREY Am Fam Physician. 1998 Apr 1;57(7):1682-1686. The American Heart Association (AHA) has released practice guidelines on the use of diagnostic imaging in patients with transient ischemic attacks (TIAs) and acute stroke. The...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/0401/p1682.html

American Heart Association Releases Scientific Statement on Cardiovascular Disease in ...

Jun 1, 1998 - ...though nearly 50 percent of women die of heart disease or stroke. The scientific statement appears in the October 1997 issue of Circulation. The AHA states that cardiovascular disease, particularly coronary heart disease and stroke, remains the leading cause of death among women in...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/0601/p2873.html

American Heart Association Scientific Statement on the Primary Prevention of Ischemic ...

Aug 1, 2001 - The American Heart Association (AHA) has issued a scientific statement on the primary prevention of ischemic stroke. The scientific statement includes an overview of established and potential risk factors and recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0801/p513.html

Amiodarone for the Prevention of Sudden Cardiac Death - Cochrane for Clinicians - ...

Nov 1, 2016 - Although not a substitute for an implantable cardioverter-defibrillator (ICD), amiodarone is effective for the primary prevention of sudden cardiac death when compared with placebo (number needed to treat [NNT] = 47; 95% confidence interval [CI], 33 to 100), but it does not ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/1101/p692.html

Amlodipine/Atorvastatin for Preventing Heart Disease - Letters to the Editor - American...

Feb 1, 2007 - ...the risks of myocardial infarction, stroke, or death. 1 In ALLHAT, amlodipine was as efficacious as chlorthalidone (Hygroton) in reducing the risk of myocardial infarction, stroke, and death. Amlodipine was more efficacious in reducing strokes than was lisinopril (Zestril)....

American Family Physician : Letter

https://www.aafp.org/afp/2007/0201/p311.html

Amlodipine/Atorvastin (Caduet) for Preventing Heart Disease - STEPS - American Family ...

Mar 15, 2006 - Amlodipine/atorvastatin offers no added benefit in safety, tolerability, or effectiveness over amlodipine and atorvastatin taken separately. It has not been shown to improve mortality or morbidity in patients who have hypertension with or without dyslipidemia. The only potential ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0315/p1067.html

An Approach to Diagnosis and Initial Management of Systemic Vasculitis - American ...

Oct 1, 1999 - Systemic vasculitis occurs in a heterogeneous group of primary disorders or can be a manifestation of infection, an adverse drug reaction, malignancy or a connective tissue disease. A vasculitic process should be suspected in patients with unexplained ischemia or multiple organ ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1421.html

An Aspirin a Day Keeps the MI Away (For Some) - Editorials - American Family Physician

May 15, 2002 - ...and fatal myocardial infarctions (MIs) will be avoided, while two to four major gastrointestinal bleeding events and zero to two hemorrhagic strokes will be caused. Although this therapy has no net effect on all-cause mortality, the USPSTF strongly recommends that we discuss the...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0515/p2000.html

An Asymmetric Pupil - Photo Quiz - American Family Physician

Feb 1, 2019 - ...Additionally, magnetic resonance imaging with and without contrast media was obtained during a prior emergency department visit as part of a stroke workup. It showed chronic microvascular ischemic disease with no evidence of a mass. Enlarge Print FIGURE 1 FIGURE 1 Question Based...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0201/p191.html

An Osteopathic Approach to Neck Pain - Letters to the Editor - American Family Physician

Mar 1, 2021 - ...Next: Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA View the full table of contents >> Home / Journals / afp / Vol. 103/No. 5(March 1, 2021) / An Osteopathic Approach to Neck Pain...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0301/p262.html

An Unusual Case of Chest Pain - Photo Quiz - American Family Physician

Feb 15, 2004 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2004/0215/p919.html

Anemia and Mucocutaneous Telangiectasias - Photo Quiz - American Family Physician

Jan 15, 2014 - Photo Quiz presents readers with a clinical challenge based on a photgraph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/0115/p89.html

Angiotensin Blockade in Patients with Diabetic Nephropathy - FPIN's Clinical Inquiries ...

Aug 1, 2007 - When used to delay the progression of early nephropathy in patients with type 2 diabetes mellitus, angiotensin receptor blockers (ARBs) are not superior to angiotensin-converting enzyme (ACE) inhibitors.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0801/p423.html

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