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hypertension

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afp20180715p78.pdf

...in high-deductible plans without an HSA were 7% less likely to be screened for breast cancer and 4% less likely to be screened for hypertension, and their rate of influenza vaccination was 8% lower. The study establishes that high- deductible plan enrollees without HSAs see family...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p78.pdf

afp20180715p80.pdf

...complete the live workshop and corresponding activities. Improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. STEP 1: Assess your practice (course prep). STEP 2: Attend three-day collaborative workshop. STEP 3:...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p80.pdf

afp20180715p85.pdf

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

American Family Physician

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

afp20180801od2.pdf

...Historical factors such as prior coronary artery disease or myocardial infarction, diabetes mel- litus, cerebrovascular disease, hypertension, hyperlipidemia, and male sex, as well as symp- toms such as diaphoresis, dyspnea, and exer- tional or radiating pain, have LR+’s of less...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801od2.pdf

afp20180801p143.pdf

...competing demands that exacer- bate FI.3 Obesity is associated with FI, especially in women and in persons with diabetes mellitus, hypertension, dyslipidemia, or depression.4-10 Adults with very low food security have a higher 10-year risk of cardiovascular events than those with...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p143.pdf

afp20180801p154.pdf

...sin-converting enzyme inhibitors and angiotensin receptor blockers should be used preferentially in patients with diabetes who have hypertension and microalbuminuria (urinary albumin- to-creatinine ratio greater than 30 mg per g).27 Acute Issues of Type 1 Diabetes HYPOGLYCEMIA...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p154.pdf

afp20180801p164.pdf

...disease is an overlap syndrome of SLE, myositis, and scleroderma. Patients classically present with the Raynaud phenomenon, pulmonary hypertension, arthritis, and myositis. BEST PRACTICES IN RHEUMATOLOGY Recommendations from the Choosing Wisely Campaign Recommendation...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p164.pdf

afp20180801p171.pdf

...Arrhythmias, hypertension, insomnia, nervousnessPseudoephedrine C 4 years Intranasal decongestants Oxymetazoline (Afrin) C 6 years Vasoconstriction; onset of action is within 10 minutes Rhinitis medicamentosa with long- term usePhenylephrine C 2 years Adapted with...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p171.pdf

afp20180801p187.pdf

...diabetes, a high-risk ethnicity or race, history of cardiovas- cular disease, hypertension, a high-density lipoprotein level of less than 35 mg per dL (0.91 mmol per L) or a triglyceride level greater than 250 mg per dL (2.8 mmol per L), physical inactivity, polycystic ovary...

American Family Physician

https://www.aafp.org/afp/2018/0801/afp20180801p187.pdf

afp20180815p251.pdf

...hair and blue eyes presented for his annual physical exam- ination. His medical history was significant for type 2 diabetes mellitus, hypertension, hyperlip- idemia, and primary hypothyroidism. The physical examination revealed multi- ple nevi on his back and a nontender,...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p251.pdf

afp20180815p256.pdf

...respira- tory symptoms, nausea, emesis, vision changes or scotoma, photophobia or phonophobia, or gait changes, and has no history of hypertension. She has slight neck stiffness that she attributed to vigorous exercise that morning. She had taken 800 mg of ibuprofen, which helped...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p256.pdf

afp20180901p276.pdf

...Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease Dustin K. Smith, DO, FAAFP; Paul Seales, MD; and Sajeewane Seales, MD, MPH Naval Hospital Jacksonville Family Medicine Resi- dency Program, Jacksonville, Florida Author disclosure: No relevant...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p276.pdf

afp20180915od1.pdf

...risk of CVD events are usually treated with a combination of diet and exercise mod- ifications, lipid-lowering medications, aspirin, hypertension management, and interventions to encourage tobacco cessation. Other relevant USPSTF recommendations The USPSTF has made...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915od1.pdf

afp20180915p341.pdf

...cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with fewer than one adverse cardiovascular event per 1 million patients exposed.1 Eletriptan is a...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p341.pdf

afp20180915p342.pdf

...cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with fewer than one adverse cardiovascular event per 1 million patients exposed.1 Eletriptan is a...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p342.pdf

afp20180915p347.pdf

...Hypertension Measure blood pressure Insufficient evidence (Grade I)17 Screen annually beginning at 3 years of age (SOR C)18 Iron deficiency Complete blood count Insufficient evidence (Grade I)19 Screen at 12 months; consider sup- plements for preterm or exclusively breastfed...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p347.pdf

afp20180915p354.pdf

...Systemic disease Malignant hypertension, sys- temic lupus erythematosus, scleroderma, liver disease, vasculitides, hypersplenism Trapping, fragmentation Extravascular or intravascular Disease-specific testing Disease-specific treatment Trauma Endovascular devices,...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p354.pdf

afp20180915p368.pdf

...in life. Mater- nal benefits include decreased risk of breast cancer, ovarian cancer, cardiometabolic disease (type 2 diabetes mellitus, hypertension, and cardiovascular disease), and postpartum depression. Table 1 lists the benefits of breastfeeding.2-5 EVIDENCE SUMMARY The...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p368.pdf

afp20181001p437.pdf

...Monitor for hypersensitivity and hypertension (3.8%) vs. hypotension (1%) Ferric gluco- nate (Ferrlecit) 62.5 mg per 5 mL of solution 10 mL diluted in 100 mL of saline over multiple treatments Give 2-mL test dose diluted in 50 mL of saline infused over one hour before...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p437.pdf

afp20181015od2.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od2.pdf

afp20181015od3.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od3.pdf

afp20181015od4.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od4.pdf

afp20181015od5.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od5.pdf

afp20181015p476.pdf

...321 million at the time) compared with the 10 other countries (combined population of 318 million). They focused on drugs prescribed for hypertension, pain, hyperlipidemia, diabetes mellitus, gastrointestinal issues, and depression, and found that per capita expenditures in these...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p476.pdf

afp20181015p486.pdf

...problem, along with the worldwide epi- demics of obesity and physical inactivity. The combined prevalence of elevated blood pressure and hypertension in children is around 6%, or 3% for each.1,2 The combined prevalence increases by nearly five times, to around 30%, in adolescents...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p486.pdf

afp20181101p590.pdf

...Comorbidities such as hypertension, hyperlipidemia, nephropathy, and retinopathy should be assessed in children and adolescents with type 2 diabetes. C 6, 11, 22 A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p590.pdf

afp20181101p595.pdf

...Obstetric: visual disturbance (scotomata), proteinuria, hypertension Nonobstetric or obstetrically aggravated: tension or migraine headache, meningitis, sinusitis (viral, allergic, bacterial), sub- arachnoid hemorrhage, brain tumor Obstetric: preeclampsia HELLP = hemolysis,...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p595.pdf

afp20181115p577.pdf

...Hypertension 14 26.3 30.2 Asthma 14 20.1 14.9 History of infectious disease 14 14.3 21 Arthritis or rheumatism 14 12.9 15 Heart conditions 14 10.4 9.8 Diabetes mellitus or high blood glucose levels 14 7.2 9 Information from references 13 through 15. 580...

American Family Physician

https://www.aafp.org/afp/2018/1115/afp20181115p577.pdf

afp20181201p645.pdf

...Rare, indolent, or incompletely studied: breast or uterine cancer, cardiovas- cular and cerebrovascular disease, hypertension, liver dysfunction Increased acne/oily skin, amen- orrhea risk, clitoral size, facial and body hair, fat redistribution, muscle mass, strength, vaginal...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p645.pdf

afp20181201p661.pdf

...Prednisone 40 to 60 mg by mouth daily Hypertension, fluid retention, weight gain, hypernatremia, elevated blood glucose, osteoporosis, mood disorder, increased risk of infection, narrow angle glaucoma None Blood pressure, electrolyte panel, blood glucose level, mental status,...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p661.pdf

afp20181215od1.pdf

...2. Grøndal N, Søgaard R, Lindholt JS. Baseline prevalence of abdominal aortic aneurysm, peripheral arterial disease and hypertension in men aged 65-74 years from a population screening study (VIVA trial). Br J Surg. 2015; 102(8): 902-906. 3. Sigvant B, Lundin F, Wahlberg E. The...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215od1.pdf

afp20181215p751.pdf

...with NVAF. His CHA2DS2-VASc score is 2 (one point each for hypertension and age). He takes a nonsteroidal anti-inflammatory drug daily for osteoarthritis; therefore, his HAS-BLED score is 3 (one point each for hypertension, age, and nonsteroidal anti-inflammatory drug use)....

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215p751.pdf

afp20190101p14.pdf

...mishap in the cognitively impaired, as well as potential drug- drug and disease-drug interactions (e.g., agitation, open-angle glaucoma, hypertension, other cardio- vascular conditions) in this aging population. The practice recommendations in this activity are available at http://...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p14.pdf

afp20190101p15.pdf

...mishap in the cognitively impaired, as well as potential drug- drug and disease-drug interactions (e.g., agitation, open-angle glaucoma, hypertension, other cardio- vascular conditions) in this aging population. The practice recommendations in this activity are available at http://...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p15.pdf

afp20190101p17.pdf

...Dry mouth, hypertension, insomnia, mydriasis, nausea, nervousness, seizures Do not use within 14 days of MAOI $30 COPD = chronic obstructive pulmonary disease; ER = extended release; MAOI = monoamine oxidase inhibitor. *-Estimated retail price of one month’s treatment...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p17.pdf

afp20190101p44.pdf

...for a follow-up visit and for medication refills after she had been laid off from her job. She has a history of type 2 diabetes mellitus, hypertension, and breast cancer. She was worried that she would not be able to afford access to health care after losing her employer-based...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p44.pdf

afp20190101p47.pdf

...lesions on his elbows and knees that had been present for about five years. The patient’s history included tobacco use, newly diag- nosed hypertension, and a recent transient ischemic attack. Before the transient ischemic attack, he was not seeing a physician regularly. Physical...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p47.pdf

afp20190101p53.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p53.pdf

afp20190101p53a.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p53a.pdf

afp20190101p54.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p54.pdf

afp20190101p55.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p55.pdf

afp20190115p109.pdf

...Heart failure, atrial fibrillation, pulmonary hypertension, dilated cardiomyopathy Echocardiography Musculoskeletal Infectious Epidural abscess Back pain and local tenderness, fever, late neurologic compromise MRI with contrast media, then CT-guided biopsy...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p109.pdf

afp20190115p123.pdf

...in the past six months. She does not have a history of smoking, chest pain, or shortness of breath. She has never been diagnosed with hypertension or hypercho- lesterolemia, but her brother and father have both. Downloaded from the American Family Physician website at...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p123.pdf

afp20190115p74.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p74.pdf

afp20190115p76.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p76.pdf

afp20190115p77.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p77.pdf

afp20190201p179.pdf

...Risk Factors Risk factors for renal cell carcinoma include hypertension, tobacco use, obesity, and acquired cystic kidney disease in the setting of end-stage renal disease.1,3,6 Occupational exposure to trichloroethylene can lead to the develop- ment of renal cell carcinoma and...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p179.pdf

afp20190215p237.pdf

...Gomis R, Hanefeld M, Karasik A, Laakso M; STOP-NIDDM Trial Research Group. Acarbose treatment and the risk of cardiovascular disease and hypertension in patients with impaired glucose tolerance: the STOP-NIDDM trial. JAMA. 2003; 290(4): 486-494. 21. Holman RR, Coleman RL, Chan...

American Family Physician

https://www.aafp.org/afp/2019/0215/afp20190215p237.pdf

afp20190301od1.pdf

...Among secondary maternal outcomes, there was little to no difference in incidence of gestational hypertension, preeclampsia, or preterm birth despite a high level of het- erogeneity between the included trials. Women who received met- formin did not have significantly different...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301od1.pdf

afp20190301p294.pdf

...was assessed in four studies (n = 457), as was relapse (n = 478). Adverse effects that were studied included hyperglycemia (n = 345), hypertension (n = 311), and other (n = 503), which included gastrointestinal bleeding, symptomatic gastrointestinal reflux, symptoms of congestive...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301p294.pdf

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