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2018 AAFP FMX CME Schedule

...CME124 Stroke Rowland Room 208-210 • 1.00 CME credit • HEMATOLOGY/IMMUNE, PEDIATRICS CME207 Pediatric and Adolescent Immunization Update Temte Room 220-222 • 1.00 CME credit • NEPHROLOGIC CME177 Ask the Expert: Chronic Kidney Disease and End-Stage Renal Disease Shahady...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx18-cme-schedule-onsite.pdf

2020 CME Session Topics

View the CME topics that will be discussed at the 2020 AAFP Family Medicine Experience (FMX) Conference: Chicago, October 13-17.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/cme/opportunities/session-topics.html

2020 Handouts

View handouts from the 2020 AAFP FMX.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/cme/handouts.html

AAFP FMX 2020

...• The main goals of AF therapy are to improve symptoms, reduce morbidity (stroke, heart failure), and (possibly) reduce mortality. - AF may independently increase mortality above the mortality risk imposed by underlying diseases (CHF, CAD, HTN, etc.) 31 32 Outline •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-005.pdf

AAFP FMX 2020

...- Clinical or subclinical CV dz-excluding stroke. - CKD, GFR 20-60-excluding polycystic kidney dz. - 10-yr Framingham risk ≥15%. - Age ≥75. • DM and prior stroke excluded. • Composite endpoint: MI + ACS + stroke + HF + CV death. NEJM 2015;373:2103‐16 SPRINT Trial - Results...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-012.pdf

AAFP FMX 2020

...Stroke and TIA Alvin B. Lin, MD, FAAFP CAQ Geriatric Medicine Solo Private Practice, Las Vegas, NV ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-080.pdf

AAFP FMX 2020

...- 1.6% ARR in primary composite outcome: death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke - 1.4% ARR: hospitalization for heart failure - 2.5% ARR: death from any cause - Funded by Boehringer Ingelheim and Eli Lilly N Engl J Med...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-037.pdf

AAFP FMX 2020

...• Diabetes negates protective effect women have related to CVD and stroke risk • Triples risk of CVD in women, doubles it in men • 27% relative increase in stroke risk for women vs men • Differential shown in several studies and across Asian and non-Asian populations GDM...

Events

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

AAFP FMX 2020

...vertigo • Intracranial mass • Stroke/TIA - Posterior circulation • Chiari malformation • Multiple sclerosis Narrowing Your Diagnosis Duration Timing Episodic Constant Seconds BPPV Minutes-Hours Meniere disease Migraine TIA Days Migraine Vestibular neuritisCVA...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-074.pdf

AAFP FMX 2020

...• Adverse effects may develop such as a stroke/myocardial ischemia Pathophysiology • Poorly understood • Common mechanism believed to be a ‘tipping’ point when vascular resistance increases due to humoral vasoconstrictors • A critical arterial pressure overwhelms target...

Events

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

AAFP FMX 2020

...•Great masquerader −Pulmonary Embolism −ACS −Stroke •Missed 1 in 5 cases AAS is out to get you! 9 10 10/7/2020 6 Thoracic Aortic Dissection •Aortic dissection is relatively uncommon −2.6-3.5 per 100,000 person-years −60- to 80-year-old men • Women tend to...

Events

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

AAFP FMX 2020

...consider PCSK9 inhibitors • Very high risk = ACS (within 12 months, MI, Ischemic stroke, symptomatic PAD) Alenghat FJ, Davis AM, JAMA 2019 Feb 4 Grundy SM, et al. 2018 Guideline on the Management of Blood Cholesterol. Circulation. Nov 2018 AES Question 29 30 A....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-011.pdf

AAFP FMX 2020

...• ↓ CHF [HR = 0.58 (0.49-0.70)], ↓ Stroke [HR = 0.51 (0.41-0.63)] European Heart Journal (2019) 0, 1-12 What is a Hazard’s Ratio? 29 30 10/16/2020 16 EBM: What is a Hazards Ratio? • Hazard Ratio: Estimate of effect of an intervention on outcome at a given time....

Events

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

AAFP FMX 2020

...A. Current breast cancer B. Depression C. History of transient ischemic attack D. History of venous thromboembolism E. Unexplained vaginal bleeding Question 2 Which of the following is not a contraindication to hormone replacement therapy? 9 10 9/14/2020 6 A....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-147.pdf

AAFP FMX 2020

...•Every 34 seconds, one American has a coronary event •CAD often leads to heart failure and stroke and is the single largest killer of men and women in the U.S •Heart disease is the leading cause of mortality in the United States, with ~ 650,000 in 2017 (now tied with Cancer)1...

Events

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

AAFP FMX 2020

...- Primary outcome (nonfatal MI, nonfatal stroke, death from cardiovascular causes): 352 (intensive) vs. 371 (standard) (HR 0.90; 95% CI 0.78 to 1.04) - Death: 257 vs. 203 (HR 1.22; 95% CI 1.01 to 1.46) Intensive therapy arm discontinued at 3.5 years. 41 42 Factors...

Events

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

AAFP FMX 2020

...• Residual/recurrent stenosis • Death • Stroke • Aortic rupture • Aortic regurgitation Transcatheter Aortic Valve Replacement (TAVR) •For high risk patients who are not suitable candidates for surgical valve repair, TAVR is emerging as a viable option. •First study - 699...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-017.pdf

AAFP FMX 2020

...or Cr > 1.1 mg/dL • pulmonary edema • abruption • HELLP, liver hematoma • Abruption • Maternal stroke, MI, • (give streroids if < 34 weeks but do not wait) < 34 weeks: 24-48 hours after steroids, < 34 weeks and labor < 34 weeks for indications maternal or fetal ≥ 34 weeks,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-155.pdf

AAFP FMX 2020

...4 Suicide (7.6%) CLRD (5.3%) Stroke (5.8%) Stroke (8.1%) 5 Homicide (3.8%) Diabetes (3.8%) Alzheimer's disease (4.4%) CLRD (4.9%) Source: CDC, :https://www.cdc.gov/women/lcod/2017/all-races-origins/index.htm#anchor_1571151327 8 Priority Areas for the Well-Woman Visit...

Events

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

...• Immobilization (15%) −Hospitalization or NH resident −Long travel (> 4-6 hours) −Stroke −Spinal cord injury • Cancer (20%) • Hypercoaguable states: Pregnancy/postpartum Oral contraceptive use Sickle Cell Disease Nephrotic syndrome Advanced CKD Factor V Leiden Prothrombin...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-013.pdf

AAFP FMX 2020

...•FDA requires labeling of testosterone products to include a warning about a possible increased risk for heart attacks and strokes •FDA does not support use of testosterone treatment in all patients with age-related low testosterone without informed decision making AES...

Events

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

AAFP FMX 2020

...stroke • hypertension • type 2 diabetes mellitus, • osteoporosis • obesity • colon and breast cancer • anxiety and depression • cognitive decline 7 8 More Benefits of Exercise • Improved outcomes in • mood disorders • dementia • chronic pain • congestive heart failure •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-049.pdf

AAFP FMX 2020

...• Black box warning of increased risk of MI, stroke and CV death. Contraindicated if CV event in last 12 mos. 53 54 9/15/2020 28 Shared Decision Making Drug Dose Average retail price (GOOD RX) Insurance copays vary Treatment NNT Alendronate 70mg Oral Q week...

Events

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

AAFP FMX 2020

...• Useful adjunct/acceptable alternative: addiction, stroke rehab, OA, HA, LBP, tennis elbow, menstrual cramps, carpal tunnel, fibromyalgia • Sufficient evidence of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-058.pdf

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