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hypertension

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AAFP Affirms Value of New Cholesterol Management Guideline

The AAFP recently gave its "affirmation of value" designation to a cholesterol management guideline jointly developed by the American College of Cardiology and the American Heart Association.

https://www.aafp.org/news/health-of-the-public/20190320acc-ahacholguidln.html

AAFP and ACP Publish Recommendations on Diagnosis and Management of VTE - Practice ...

Oct 15, 2007 - Recommendations on diagnosis and management of venous throm-boembolism (VTE) have been published by the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1015/p1225.html

AAFP Backs Breastfeeding, Lactation for Medical Trainees

The AAFP has updated its policy supporting breastfeeding and lactation accommodations for medical trainees, which other medical organizations plan to use as model policy for their members.

https://www.aafp.org/news/health-of-the-public/20190626breastfeedpolicy.html

AAFP Delivers Useful Clinical Resources for 2018

The AAFP offered a wide range of clinical recommendations and resources throughout 2017 -- including practice guidelines, immunization guidance and preventive services recommendations -- that members can use in 2018 and beyond.

https://www.aafp.org/news/resources-tools-2018/20180103yir-clinical.html

AAFP FMX 2020

...Hypertension Treatment of Resistant Hypertension Chuck Carter, MD, FAAFP Clinical Professor University of South Carolina School of Medicine ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-016.pdf

AAFP FMX 2020

...1. Provide evidence-based management for severe asymptomatic hypertension. 2. Determine when patients with elevated blood pressure should be admitted to the hospital. 3 4 10/7/2020 3 Hypertension Emergency (Elevated BP) • This value is usually a sBP/dBP >/= to...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-032.pdf

AAFP FMX 2020

...Medical Indications: Hypertension HYPITAT RCT, 2009 • IOL or expectant care for gestational HTN or mild pre-e after 36wks • Significant reduction of maternal complications • No difference in c/s rate or neonatal morbidity • ACOG: Women w/ gestational HTN or preeclampsia w/o...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-146.pdf

AAFP FMX 2020

...leading to inability to cooperate • Mod stenotic valvular heart dz • Recent stroke or TIA • Severe HTN (SBP ≥200 and/or DBP ≥110) • Tachy- or bradyarrhythmias, incl AFib w/RVR Absolute Contraindications Relative Contraindications Circulation 2002;106:1883-92; Am Fam...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-006.pdf

AAFP FMX 2020

...artery hypertension D. Mechanical valve Question 1 Pregnancy is considered contraindicated for a woman with which of the following cardiac lesions: A. Unrepaired ventricular septal defect (VSD) B. Hypertrophic cardiomyopathy C. Pulmonary artery hypertension D. Mechanical...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-139.pdf

AAFP FMX 2020

...• 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guideline moved HTN from >/= 140/90 to >/= 130/80 mm Hg • Isolated Diastolic Hypertension (IDH) as >/= 80 mm Hg (expert opinion) • 18,000+ Tx of IDH over 25 years: • Tx > 80 mmHg did NOT Decrease •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-103.pdf

AAFP FMX 2020

...• Diabetes • ASCVD • Hyperlipidemia • Hypertension Time for just one thing? • For children < 6, parental obesity is strongest predictor of childhood obesity. 27 28 9/15/2020 15 Screen for Food Insecurity (FI) Screen with Hunger Vital Sign: For each of the...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-093.pdf

AAFP FMX 2020

...• Hypertension (>140/90 mmHg or on therapy for hypertension) • History of CVD Diagnosis Borderline diabetes 29 30 Diagnosis Borderline diabetes 2020 ADA: Prediabetes Diagnosis Impaired glucose tolerance: 2 hr glucose in 75g OGTT 140-199 mg/dL OR Impaired...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-038.pdf

AAFP FMX 2020

...cardiopulmonary disease −Hypertrophic cardiomyopathy (HCM), dilated/restrictive cardiomyopathies −Valvular heart disease −Pulmonary HTN Syncope: Diagnostic Evaluation •History •Physical Exam •Labs only as indicated from the hx and PE •Every patient should receive an EKG...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-014.pdf

AAFP FMX 2020

...A. Turner Syndrome B. Essential hypertension C. Trauma D. Diabetes mellitus E. Ehlers-Danlos syndrome Question 1 Which of the following is NOT a risk factor for thoracic aneurysm dissection? A. Turner Syndrome B. Essential hypertension C. Trauma D. Diabetes mellitus E....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-036.pdf

AAFP FMX 2020

...• Targeted screening for high risk patients: - DM - HTN - Cardiovascular disease - Structural renal tract disease (nephrolithiasis, BPH) - Systemic disease w/possible renal involvement (SLE) - Family history - History of AKI 9 Kidney Int Suppl. 2013;3:1-150 AES Question...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-070.pdf

AAFP FMX 2020

...Joint National Committee (JNC) Hypertension guidelines NHLBI-sponsored 51 52 9/11/2020 27 AES Question What blood pressure threshold do you use to diagnose hypertension in an adult? A. 140/90 B. 150/90 for adults >60 years, 140/90 for younger adults C. 130/80...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-098.pdf

AAFP FMX 2020

...A. 35-year-old with severe hypertension B. 60-year-old with new-onset renal failure C. 60-year-old with hypertension and a 20-pack-year smoking history D. 68-year-old with a 5-pack-year smoking history E. Insufficient evidence to recommend for women age 65-75 who have ever smoked...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-162.pdf

AAFP FMX 2020

...• Hypertension • Diabetes • Smoking • High cholesterol • Overweight and obesity • Physical inactivity • Depression 7 8 AES Question AES Question 1 Which of the following risk factors have a greater adverse effect in women than in men? A. Hypertension B. Diabetes C....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-007.pdf

AAFP FMX 2020

...Ascites/decompensated liver failure Right HF from other causes (RV infart, idiopathic pulmonary HTN, arrhythmogenic RV) Chronic kidney disease High-output heart failure 15 16 HFpEF Evaluation • Labs: CBC, CMP, TSH, UA • ECG: CAD, LVH, dysrhythmia - 50% have atrial...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-010.pdf

AAFP FMX 2020

...Patient Presentation HPI: A 56-year-old male with a medical history significant for HTN, HLD, GERD, hypothyroidism, and post-9/11 syndrome of COPD was brought to the clinic by his wife, after she noticed he was developing deficits in his field of vision in addition to...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-100.pdf

AAFP FMX 2020

...− HTN 2017 − PCI 2015 − Dual antiplatelet therapy (DAPT) update 2016 − Blood cholesterol to reduce CV risk − Secondary prevention for patients with ASCVD 2011 − ASCVD prevention in women 2011 − European Cardiovascular Society 2019 (US endorsement?)...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-002.pdf

AAFP FMX 2020

...AES #1 Your established 60yo M w/well controlled DM and HTN presents for medication refills. He says he’s slowed down a bit in the past year, lost a step on his kids, gained another inch in his gut (waist = 42), and doesn’t feel as vigorous in bed as he did in the past. Symptoms of...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-040.pdf

AAFP FMX 2020

...Mrs D recently retired but is active volunteering and watching her grandchildren. She was diagnosed with hypertension four years ago and is well controlled with lisinopril 20mg daily. She is moderately overweight with a BMI of 28. She was recently found to have an elevated A1c of...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-055.pdf

AAFP FMX 2020

...takes a budesonide/formoterol inhaler daily for asthma, which is typically well controlled with an ACT score of 22. He also takes an ACEi for HTN. He denies recent travel or known exposure to a COVID positive patient. He is febrile at 102F and has a pulse oximetry reading of 96%....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-099.pdf

AAFP FMX 2020

...History of Hypertension •ASA daily from 13 weeks •Chronic hypertension-treat if > 150 systolic and/or >105 diastolic •Previous pre-eclampsia-screen, observe closely •Consider checking kidney function ACOG Practice Bulletin #203 Chronic Hypertension in Pregnancy 12/18 AES...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-157.pdf

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