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hypertension

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afp20191101p540.pdf

...Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for Hypertension Jeffrey C. Leggit, MD, CAQSM, Uniformed Services University of the Health Sciences, Bethesda, Maryland Author disclosure: No relevant financial affiliations. Clinical Question...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p540.pdf

afp20191101p541.pdf

...Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for Hypertension Jeffrey C. Leggit, MD, CAQSM, Uniformed Services University of the Health Sciences, Bethesda, Maryland Author disclosure: No relevant financial affiliations. Clinical Question...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p541.pdf

afp20191101p544.pdf

...and petrochemicals. Gulf War veterans, who were also exposed to asbestos and chemical- biologic agents, have a higher incidence of hypertension, musculoskeletal complaints, PTSD, and periodontal disease compared with nondeployed veterans.37 Airborne hazards have been associated with...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p544.pdf

afp20191101p575.pdf

...diabetes mellitus, arthritis, hypertension, and chronic pain. These studies were generally small and mostly compared telehealth with face-to-face consultations. A total of 35 studies with moderate strength of evidence found that telehealth improves access in terms of time to...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p575.pdf

afp20191115p646.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p646.pdf

afp20191115p646a.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p646a.pdf

afp20191115p648.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p648.pdf

afp20191115p649.pdf

...Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG Preeclampsia, a disorder of pregnancy associated with new-onset hypertension, occurs in up to 8% of pregnancies globally, with an incidence that increased by 25% from 1987 to 2004 in the United States....

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p649.pdf

afp20191201p687.pdf

...Hypertension Hypoalbuminemia Hyponatremia Mechanical ventilation Nephrotoxic drug use Rhabdomyolysis Sepsis Information from references 3-6. Downloaded from the American Family Physician website at www.aafp.org/afp. Copyright © 2019 American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2019/1201/afp20191201p687.pdf

afp20191215p742.pdf

...Case Scenario Mr. G is an 83-year-old man who lives alone with some assistance from family members. He has well-controlled hypertension, hyperlipidemia, and arthritis. His maxi- mum low-density lipoprotein (LDL) cholesterol level is around 135 mg per dL (3.50 mmol per L). He uses a...

American Family Physician

https://www.aafp.org/afp/2019/1215/afp20191215p742.pdf

afp20191215p759.pdf

...Patient information: A handout on this topic is available at https:// family doctor.org/condition/cirrhosis-and-portal- hypertension. Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and...

American Family Physician

https://www.aafp.org/afp/2019/1215/afp20191215p759.pdf

afp20191215p782.pdf

...Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice Bulletin In pregnancy, chronic hypertension is defined as hypertension diagnosed before 20 weeks’ gestation. Up to 1.5% of pregnant women have chronic hypertension, which can result in harm to the...

American Family Physician

https://www.aafp.org/afp/2019/1215/afp20191215p782.pdf

afp20200101p16.pdf

...and health prob- lems such as atrial fibrillation, congestive heart failure, coronary artery disease, depression, diabetes mellitus, hypertension, and stroke.3 CPAP is the current first-line therapy; however, up to two-thirds of patients do not adhere to treatment.4 Positional...

American Family Physician

https://www.aafp.org/afp/2020/0101/afp20200101p16.pdf

afp20200101p34.pdf

...Annual blood pressure screening, lifestyle modification, and treatment of obesity, hypertension, and tobacco use Annual depression screening Age-appropriate immu- nizations per the Centers for Disease Control and Prevention schedule, including annual influ- enza vaccine;...

American Family Physician

https://www.aafp.org/afp/2020/0101/afp20200101p34.pdf

afp20200101p49.pdf

...Clonidine Autonomic symptoms, such as rhinorrhea, diarrhea, sweating, tachycardia, hypertension Hydroxyzine Insomnia, anxiety Nonsteroidal anti-inflammatory drugs (e.g., ibuprofen) Myalgia Note: Avoid prescribing benzodiazepines for opioid withdrawal because they can...

American Family Physician

https://www.aafp.org/afp/2020/0101/afp20200101p49.pdf

afp20200115p115.pdf

...the live workshop and corresponding activities to help improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. And meet all your Performance Improvement and KSA requirements. STEP 1: Assess your practice (course prep)....

American Family Physician

https://www.aafp.org/afp/2020/0115/afp20200115p115.pdf

afp20200115p123.pdf

...on high-quality evidence, oral anticoag- ulants should be prescribed for women with AF and a CHA2DS2-VASc (congestive heart failure; hypertension; age of at least 75 years [doubled]; diabetes mellitus; previous stroke, transient ischemic attack, or thromboembolism [dou- bled];...

American Family Physician

https://www.aafp.org/afp/2020/0115/afp20200115p123.pdf

afp20200115p89.pdf

...Both studies randomized patients to acyclovir with or without a 21-day taper of corticosteroids. The studies excluded patients with hypertension, dia- betes, or cancer. After randomization, patients had a median age of 61. The first trial randomized 208 patients to receive acyclovir...

American Family Physician

https://www.aafp.org/afp/2020/0115/afp20200115p89.pdf

afp20200201p147.pdf

...Blood pressure (hypertension) Insufficient evidence to assess the balance of benefits and harms of screening asymptomatic adolescents to prevent car- diovascular disease in childhood or adulthood Grade I; 2013 Screen those ≥ 18 years; obtain measurements outside of the...

American Family Physician

https://www.aafp.org/afp/2020/0201/afp20200201p147.pdf

afp20200201p159.pdf

...There may be classic signs of venous hypertension, including edema, hemo- siderin staining, and lipo- dermatosclerosis. Workup should include assessment of arterial status with the ankle-brachial index (ABI) and palpation of pulses to rule out mixed arterial and venous disease and...

American Family Physician

https://www.aafp.org/afp/2020/0201/afp20200201p159.pdf

afp20200215p197.pdf

...conditions, immunocompro- mised state, and concurrent use of nonsteroidal anti-inflammatory drugs. Hyperglycemia, fluid retention, hypertension, delirium, psychosis, insomnia, osteonecrosis, and gastrointestinal bleeding may consequently be underestimated. The potential harmful...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p197.pdf

afp20200215p248.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p248.pdf

afp20200215p249.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p249.pdf

afp20200215p250.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p250.pdf

afp20200301p272.pdf

...and the prevalence is expected to double by 2030. Modifiable risk factors for dementia include diabetes mellitus, midlife obesity and hypertension, smoking, and physical inactivity. Vitamins and minerals have recognized roles in normal functioning and development, so it has been...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p272.pdf

afp20200301p273.pdf

...and the prevalence is expected to double by 2030. Modifiable risk factors for dementia include diabetes mellitus, midlife obesity and hypertension, smoking, and physical inactivity. Vitamins and minerals have recognized roles in normal functioning and development, so it has been...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p273.pdf

afp20200301p305.pdf

...blisters on his trunk, bilateral upper and lower extremities, face, and groin. The rash appeared two months prior. He had a history of hypertension and diabetes mellitus. Physical examination revealed extensive, nearly confluent, pink-red plaques associated with tense and flaccid...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p305.pdf

afp20200301p309.pdf

...diabetes, an A1C of 6.5% to 8.5%, and high cardiovascular risk (e.g., established cardiovascular disease, multiple risk factors including hypertension, smoking, hyperlipidemia, age greater than 69 years, evidence of microvascular compli­ cations). Eligible patients randomly received...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p309.pdf

afp20200301p309a.pdf

...diabetes, an A1C of 6.5% to 8.5%, and high cardiovascular risk (e.g., established cardiovascular disease, multiple risk factors including hypertension, smoking, hyperlipidemia, age greater than 69 years, evidence of microvascular compli­ cations). Eligible patients randomly received...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p309a.pdf

afp20200301p310.pdf

...diabetes, an A1C of 6.5% to 8.5%, and high cardiovascular risk (e.g., established cardiovascular disease, multiple risk factors including hypertension, smoking, hyperlipidemia, age greater than 69 years, evidence of microvascular compli­ cations). Eligible patients randomly received...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p310.pdf

afp20200315p341.pdf

...Cardiovascular disease is the leading cause of death worldwide, and hypertension is a modifi- able risk factor for cardiovascular disease.1 Risk increases with incremental increases in blood pressure, even within the normal range.2 More than 70% of adults treated for primary...

American Family Physician

https://www.aafp.org/afp/2020/0315/afp20200315p341.pdf

afp20200315p370.pdf

...who lives alone at home. She has a body mass index of 20 kg per m2 and describes her health as good. However, she takes medications for hypertension and has mild chronic obstructive pulmo- nary disease attributed to a long-term half-a-pack-per-day smoking habit. She has received...

American Family Physician

https://www.aafp.org/afp/2020/0315/afp20200315p370.pdf

afp20200315p378.pdf

...GBS disease include tachycardia, tachy- pnea, and lethargy, which can lead to severe cardiorespi- ratory failure, persistent pulmonary hypertension of the newborn, and perinatal encephalopathy. Late-onset GBS disease presents most often as bacteremia without a focus, with a...

American Family Physician

https://www.aafp.org/afp/2020/0315/afp20200315p378.pdf

afp20200401p419.pdf

...headache prophylaxis may be helpful in treating comorbid conditions (e.g., amitriptyline for depression or chronic pain, propranolol for hypertension). Guidelines stress that behavioral and physical therapies should be integrated with pharmaco- logic treatment of frequent...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p419.pdf

afp20200401p434.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p434.pdf

afp20200401p434a.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p434a.pdf

afp20200401p435a.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p435a.pdf

afp20200415p460.pdf

...Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants Is a single office-based blood pressure measurement reliable to assess hypertension? Do not rely on a single blood pressure measure- ment. The first blood pressure reading taken during an office...

American Family Physician

https://www.aafp.org/afp/2020/0415/afp20200415p460.pdf

afp20200501p530.pdf

...include high fever, headache, myalgias, arthralgias, and nausea.17 Fever lasts about three days and ends with rigors, tachycardia, and hypertension, followed by profuse sweating and defervescence. Symp- toms dissipate for about seven days, and then the cycle repeats.18 Uncommon...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p530.pdf

afp20200501p551.pdf

...Hypertension Infertility Late menopause Nulliparity Obesity Personal or family history of endometrial neoplasia Polycystic ovary syndrome Tamoxifen use Thyroid disease Unopposed estrogen therapy Information from references 8-10. SORT: KEY...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p551.pdf

afp20200501p557.pdf

...bleeding, hypertension, or psychiatric disorders. The evi- dence was insufficient to compare different corticoste- roids with respect to dyspnea, clinical failure, and death. Evidence was insufficient to compare different routes of administration and duration of corticosteroid use....

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p557.pdf

afp20200501p567.pdf

...The patient also had muscle aches, mild abdominal discom- fort, and a recent sore throat. His medical history included diabetes mellitus, hypertension, and cirrhosis due to non- alcoholic steatohepatitis. His long-term medications were insulin degludec (Tresiba), semaglutide, and...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p567.pdf

afp20200615od1.pdf

...factor for Alzheimer disease in white and Asian populations.10 Other risk factors include cardiovascular risk factors (e.g., diabetes, hypertension, or hypercholesterolemia), depression, physical frailty, low education level, and low social support level.10-13 Several dietary and...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615od1.pdf

afp20200615p748.pdf

...States.1 Approximately 9% of people 65 years and older have this condition, and it occurs more often in women.2 Risk factors include hypertension, dia- betes mellitus, ischemic heart disease, and older age. Each year atrial fibrillation causes more than 750,000 hospital...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615p748.pdf

afp20200615p753.pdf

...lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pres- sure is well controlled by an angiotensin recep- tor blocker, and she takes no other medications. She...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615p753.pdf

afp20200615p755.pdf

...She had a history of hypertension, type 2 dia- betes mellitus, mild nonproliferative diabetic retinopathy, bilateral glaucoma for which she had surgery three months earlier, and asthma. She was a former smoker. Her family history was positive for lupus erythematosus and rheumatoid...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615p755.pdf

afp20200701p30.pdf

...Hypertension Rigors Tachycardia Tachypnea Temperature increase ≥ 1°C (1.8°F) Transfusion-associated circulatory overload Bilateral pulmonary inter- stitial infiltrates Supportive care; diuresis; dialysis; placement of patient into sitting positionChills...

American Family Physician

https://www.aafp.org/afp/2020/0701/afp20200701p30.pdf

afp20200701p58.pdf

...dizziness, irritability, headache, brady- cardia, hypotension, and abdominal pain. Grad- ual dose lowering is important to avoid rebound hypertension. School-Based Support Because ADHD affects school performance, sup- portive services are essential to student achieve- ment. Most...

American Family Physician

https://www.aafp.org/afp/2020/0701/afp20200701p58.pdf

afp20200715p115.pdf

...failure in patients with type 2 diabetes who have or are at high risk of CVD (men older than 55 years or women older than 60 years with hypertension, hyper- lipidemia, smoking, or statin use). There were fewer hospitalizations for heart failure in patients taking dapagliflozin...

American Family Physician

https://www.aafp.org/afp/2020/0715/afp20200715p115.pdf

afp20200801p136.pdf

...Original Article: Managing Hypertension Using Combination Therapy Issue Date: March 15, 2020 Available at: https://www.aafp.org/afp/2020/0315/ p341.html To the Editor: American Family Physician (AFP) is an excellent source of evidence-based updates and review articles, so...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p136.pdf

afp20200801p147.pdf

...well studied. Treatment with danazol is no longer recommended because of the risk of hep- atotoxicity, thromboembolism, and intracranial hypertension. The results of this review, although based on small and mostly underpowered studies without data amenable to pooling, are...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p147.pdf

afp20200801p148.pdf

...well studied. Treatment with danazol is no longer recommended because of the risk of hep- atotoxicity, thromboembolism, and intracranial hypertension. The results of this review, although based on small and mostly underpowered studies without data amenable to pooling, are...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p148.pdf

afp20200801p158.pdf

...Maternal preeclampsia/gestational hypertension Maternal type 1 diabetes mellitus Suspected fetal growth restriction Intrapartum Presence of meconium Presence of tachysystole Signs/symptoms of intrauterine infection Unexplained vaginal bleeding Use of oxytocin...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p158.pdf

afp20200801p181.pdf

...dis- ease, and cancer.3,4 Conversely, overreplacement can result in impaired glucose tolerance, insulin resistance, obesity, and hypertension.5 Glucocorticoid replacement therapy in pri- mary adrenal insufficiency requires continuous monitoring and adjustment. In the absence of...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p181.pdf

afp20200815p229.pdf

...• Joint involvement and abdominal pain are more com- mon in children, whereas adults are more likely to have lower-extremity edema and hypertension.9 • The characteristic rash may start as erythematous papules that develop into crops of petechiae and palpable pur- pura.2,9,16 The...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p229.pdf

afp20200815p234.pdf

...for increased risk of suicidality in children, adoles- cents, and young adults, with other concerns for increased risk of seizure, hypertension, mania, visual problems, and unusual thoughts and behaviors.39 Varenicline is not indi- cated in children 16 years and younger; therefore,...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p234.pdf

afp20200815p243.pdf

...and nystatin for pharyngitis and thrush but discontinued these medications when the rash began. The medical history was significant for hypertension, atrial fibrillation, and coronary artery disease. The patient reported subjective fevers, odynophagia, and otalgia. Physical...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p243.pdf

afp20200815p247.pdf

...for a median of 5.3 years in France but only 2.0 years in South Korea. The mean age of participants was 67 years, 67% were men, 64% had hypertension, and their baseline LDL level was 135 mg per dL (3.50 mmol per L) with approximately one-half already taking a statin. Groups were...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p247.pdf

afp20200815p248.pdf

...for a median of 5.3 years in France but only 2.0 years in South Korea. The mean age of participants was 67 years, 67% were men, 64% had hypertension, and their baseline LDL level was 135 mg per dL (3.50 mmol per L) with approximately one-half already taking a statin. Groups were...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p248.pdf

afp20200815p248a.pdf

...for a median of 5.3 years in France but only 2.0 years in South Korea. The mean age of participants was 67 years, 67% were men, 64% had hypertension, and their baseline LDL level was 135 mg per dL (3.50 mmol per L) with approximately one-half already taking a statin. Groups were...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p248a.pdf

afp20200901p278.pdf

...and acute kidney injury 5; potential long-term sequelae include renal scar- ring, recurrent infection, impaired renal func- tion, hypertension, end-stage renal disease, and preeclampsia.2,5 Prophylactic antibiotics are com- monly prescribed, but their use has questionable benefit...

American Family Physician

https://www.aafp.org/afp/2020/0901/afp20200901p278.pdf

afp20200901p307.pdf

...His medical history was significant for long- standing hypertension and hyperlipidemia and a recent diagnosis of a nonobstructing lung cancer. His additional medications included amlodipine (Norvasc) and atorvastatin (Lipitor). The patient was retired, drank one or two alcoholic...

American Family Physician

https://www.aafp.org/afp/2020/0901/afp20200901p307.pdf

afp20200915p330.pdf

...risk associated with the patient’s care is low.99214 - Office visit with a 55-year-old male established patient for management of stable hypertension and mild fatigue; on beta blocker/thiazide regimen • The number and complexity of problems addressed is one chronic illness with...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p330.pdf

afp20200915p335.pdf

...Case Scenario Mrs. H is a 76-year-old woman with hypertension and type 2 diabetes mellitus complicated by stable chronic kid- ney disease. Mrs. H also has a degenerative joint disease of the knees and walks with a cane. Her mobility and quality of life are significantly limited by...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p335.pdf

afp20200915p347.pdf

...trial to reduce cardiovascular events.26 The OmniHeart study, which evaluated macronutrient variations of the Dietary Approaches to Stop Hypertension (DASH) diet, demonstrated decreased triglyceride levels with higher intake of unsaturated fat and protein and lower intake of...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p347.pdf

afp20201001p389.pdf

...risk associated with the patient’s care is low.99214 - Office visit with a 55-year-old male established patient for management of stable hypertension and mild fatigue; on beta blocker/thiazide regimen • The number and complexity of problems addressed is one chronic illness with...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p389.pdf

afp20201001p398.pdf

...Manual readings were an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambu- latory or automated readings in patients with hypertension. https://www.aafp.org/afp/2019/1115/p646.html Tip for Using AFP at the Point of Care Are you looking for more POEMS? You can find...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p398.pdf

afp20201001p420.pdf

...Preeclampsia or pregnancy-induced hypertension* Preterm labor Restrictive lung disease Ruptured membranes Severe anemia Uncontrolled chronic medical conditions Hypertension Thyroid disease Type 1 diabetes mellitus Relative contraindications Extreme...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p420.pdf

afp20201015p478.pdf

...◦ Chronic kidney disease ◦ Chronic liver disease ◦ Chronic obstructive pulmonary disease ◦ Diabetes mellitus ◦ Hypercholesterolemia ◦ Hypertension ◦ Malignancy ◦ Obesity ◦ Obstructive sleep apnea • In pregnant women, COVID-19 may increase the risk of complications such as preterm...

American Family Physician

https://www.aafp.org/afp/2020/1015/afp20201015p478.pdf

afp20201015p505.pdf

...hepatic, neurologic, hematologic, or metabolic disor- ders other than uncomplicated hypertension ◦ Pregnant women ◦ Residents of long-term care facilities • Household contacts and caregivers of higher-risk people • Health care professionals, including students and staff who...

American Family Physician

https://www.aafp.org/afp/2020/1015/afp20201015p505.pdf

afp20201101p533.pdf

...Gout is caused by monosodium urate crystal deposition in joints and tissues. Risk factors include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat and seafood; chronic kidney disease; a diet heavy in fructose-rich food and beverages; being a member...

American Family Physician

https://www.aafp.org/afp/2020/1101/afp20201101p533.pdf

afp20201115p603.pdf

...≥ 130 mm Hg systolic or ≥ 85 mm Hg diastolic, or antihy- pertensive pharmacotherapy needed in a patient with a history of hypertension Fasting glucose level ≥ 100 mg per dL (5.55 mmol per L) or pharmacotherapy needed for elevated glucose level HDL cholesterol level < 50...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p603.pdf

afp20201115p629.pdf

...risk associated with the patient’s care is low.99214 - Office visit with a 55-year-old male established patient for management of stable hypertension and mild fatigue; on beta blocker/thiazide regimen • The number and complexity of problems addressed is one chronic illness with...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p629.pdf

afp20201201p645a.pdf

...An 88-year-old woman with a history of hypertension, pulmonary embolism (receiving apixaban [Eliquis]), hypo- thyroidism, and chronic kidney disease presented with three hours of slurred speech, dizziness, and blurred vision. On arrival, her symptoms improved, and she was afebrile....

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p645a.pdf

afp20201201p648.pdf

...An 88-year-old woman with a history of hypertension, pulmonary embolism (receiving apixaban [Eliquis]), hypo- thyroidism, and chronic kidney disease presented with three hours of slurred speech, dizziness, and blurred vision. On arrival, her symptoms improved, and she was afebrile....

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p648.pdf

afp20201201p673.pdf

...17. Nerenberg KA, Zarnke KB, Leung AA, et al. Hypertension Canada’s 2018 guidelines for diagnosis, risk assessment, prevention, and treat- ment of hypertension in adults and children. Can J Cardiol. 2018; 34(5): 506-525. 18. Atzema CL, Wong A, Masood S, et al. The...

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p673.pdf

afp20201201p679.pdf

...Orthostasis Midodrine, fludrocortisone Adjust hypertension medications and try nonpharmacologic lifestyle interven- tions first Adjust motor therapies for Parkinson disease when possible (e.g., dopamine agonists, anticholinergics) May consider adding drug therapy specifically...

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p679.pdf

afp20201201p695.pdf

...shoulder but had undergone bilat- eral hip replacements and right ankle fusion. The patient had a history of type 2 diabetes mellitus and hypertension. On physical examination, the patient’s right shoulder was diffusely tender and mildly warm. The range of motion was...

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p695.pdf

afp20201215p759.pdf

...borderline levels can be treated with exercise, weight loss, and improved sleep. Although testosterone levels decline with obe- sity, hypertension, hyperlipidemia, type 2 dia- betes mellitus, and obstructive sleep apnea, the U.S. Food and Drug Administration has con- cluded that...

American Family Physician

https://www.aafp.org/afp/2020/1215/afp20201215p759.pdf

afp20210201p138.pdf

...that increased detection of nonalcoholic fatty liver disease will reduce future incidence of cirrhosis or that diagnosing a patient with hypertension will lead to improvements in diet and physical activity that prevent cardiovascular events. At the same time, potential physical and...

American Family Physician

https://www.aafp.org/afp/2021/0201/afp20210201p138.pdf

afp20210215od1.pdf

...Importance The prevalence of hypertension (both primary and second- ary) in children and adolescents in the United States ranges from 3% to 4% in most studies.1-5 Primary hypertension in children and adolescents occurs primarily in children older than 13 years and has no known cause...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215od1.pdf

afp20210215p199.pdf

...To the Editor: An 85-year-old patient with hypertension, coronary artery disease, peripheral vascular disease, vascu- lar dementia, diabetes mellitus, and chronic kidney disease was residing in an assisted living facility due to dementia and care dependency. The patient’s family was...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p199.pdf

afp20210215p201.pdf

...To the Editor: An 85-year-old patient with hypertension, coronary artery disease, peripheral vascular disease, vascu- lar dementia, diabetes mellitus, and chronic kidney disease was residing in an assisted living facility due to dementia and care dependency. The patient’s family was...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p201.pdf

afp20210215p209.pdf

...Hypertension Screen adults ≥ 18 years (A recommendation)A2 Initial screening with office blood pressure measurement should be confirmed with ambulatory blood pressure mea- surement before starting treatment Obesity Refer adults with body mass index ≥ 30 kg per m2 for intensive...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p209.pdf

afp20210215p247.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p247.pdf

afp20210215p247a.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p247a.pdf

afp20210215p248.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p248.pdf

afp20210215p249.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p249.pdf

afp20210301p291.pdf

...Hypertension During previous pregnancy only (now resolved) 2 1 1 1 1 1 Systolic < 159 mm Hg and dia- stolic < 99 mm Hg 3 1 2 1 1 1 Systolic ≥ 160 mm Hg, diastolic ≥ 100 mm Hg, and/or with vascu- lar disease 4 2 3 2 2 1 Inflammatory bowel disease Ulcerative...

American Family Physician

https://www.aafp.org/afp/2021/0301/afp20210301p291.pdf

afp20210315p337.pdf

...that have been reported with topical corticosteroid use include cata- racts, glaucoma, adrenal suppression, decreased growth rate, hypertension, hyperglycemia, and Cushing syndrome.20 Adverse effects are rare with low-potency topical corticosteroids.17 Evi- dence suggests that the...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p337.pdf

afp20210315p355.pdf

...Pulmonary hypertension Hematologic conditions Coagulation disorders Current anticoagulation Thrombocytopenia Hepatic conditions Cirrhosis or hepatitis with abnormal liver function or coagulopathy Neuromuscular conditions Multiple sclerosis Muscular dystrophy...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p355.pdf

afp20210315p366.pdf

...States.1 Known modifiable risk factors for CVD include smoking, being overweight or obese, diabetes mellitus, elevated blood pressure or hypertension, dyslipidemia, lack of physical activity, and unhealthy diet. Adults who adhere to national guidelines for a healthy diet2 and...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p366.pdf

afp20210315p371.pdf

...are available at https:// www.uspreventive services task force.org/uspstf/recommendation/ blood-pressure-in-children-and-adolescents-hypertension-screening. This series is coordinated by Kenny Lin, MD, MPH, deputy editor. A collection of Putting Prevention into Practice...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p371.pdf

afp20210401p404.pdf

...suggests that active management may reduce the incidence of maternal anemia (NNT = 28; 95% CI, 17 to 73). Potential harms of postnatal hypertension, pain, and readmission to the hospital because of bleeding have been identi- fied.1 (Strength of Recommendation: B, Cochrane review...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p404.pdf

afp20210401p405.pdf

...suggests that active management may reduce the incidence of maternal anemia (NNT = 28; 95% CI, 17 to 73). Potential harms of postnatal hypertension, pain, and readmission to the hospital because of bleeding have been identi- fied.1 (Strength of Recommendation: B, Cochrane review...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p405.pdf

afp20210401p422.pdf

...but can be useful in the evaluation of other neurologic conditions, such as spontaneous intracranial hypotension, idiopathic intracranial hypertension, multiple sclerosis, Guillain-Barré syndrome, and malignancy. Bacterial meningitis has a high mortality rate and characteristic...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p422.pdf

afp20210401p439.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p439.pdf

afp20210401p440.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p440.pdf

afp20210401p441.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p441.pdf

afp20210401p442.pdf

...Pressure - history of hypertension Note: 0 to 1 criteria = low risk of OSA; 2 or more criteria = high risk of OSA. OSA = obstructive sleep apnea. Downloaded from the American Family Physician website at www.aafp.org/afp. Copyright © 2021 American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p442.pdf

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