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hypertension

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afp20140401p578.pdf

...on Prevention, Evaluation, and Treatment of Hypertension Clinical Question What are the best methods to prevent, detect, evaluate, and treat hypertension? Bottom Line See the Synopsis section for a summary of the updated hypertension treatment recom- mendations from the Eighth...

American Family Physician

https://www.aafp.org/afp/2014/0401/afp20140401p578.pdf

afp20140815od2.pdf

...the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or stroke. Celecoxib (Celebrex) does not increase the risk of hypertension or stroke....

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od2.pdf

afp20141015p569.pdf

October 15, 2014 Putting Prevention into Practice

American Family Physician

https://www.aafp.org/afp/2014/1015/afp20141015p569.pdf

afp20150301od1.pdf

March 1, 2015 USPSTF

American Family Physician

https://www.aafp.org/afp/2015/0301/afp20150301od1.pdf

afp20150315od2.pdf

March 15, 2015 USPSTF

American Family Physician

https://www.aafp.org/afp/2015/0315/afp20150315od2.pdf

afp20150501p600.pdf

Date xx, xxxx Editorials

American Family Physician

https://www.aafp.org/afp/2015/0501/afp20150501p600.pdf

afp20150501p602.pdf

...study, compared with moth- ers who breastfed according to national guidelines, those who never breastfed were 29% more likely to develop hypertension, even after adjustment for lifestyle factors and family history.16 These differences in blood pressure persisted well into...

American Family Physician

https://www.aafp.org/afp/2015/0501/afp20150501p602.pdf

afp20150515p678.pdf

...Help Family Physicians Improve Chronic Disease Management Caring for patients with chronic conditions such as dia- betes mellitus, hypertension, and hyperlipidemia can be time-intensive. New research conducted by the Depart- ment of Family and Community Medicine at the Uni- versity...

American Family Physician

https://www.aafp.org/afp/2015/0515/afp20150515p678.pdf

afp20151001p556.pdf

...extra benefits and reduced cost sharing to patients who have diabetes, chronic obstructive pulmo- nary disease, congestive heart failure, hypertension, cor- onary artery disease, or mood disorders. Patients with a history of stroke also will be included in the test model. According...

American Family Physician

https://www.aafp.org/afp/2015/1001/afp20151001p556.pdf

afp20160501p738.pdf

...Hypertension Metabolic syndrome Obesity Tobacco use BRCA MUTATION RISK FACTORS Family history of breast cancer: Bilateral Diagnosed before 50 years of age Diagnosed in multiple family members In one or more male family members With a family history of...

American Family Physician

https://www.aafp.org/afp/2016/0501/afp20160501p738.pdf

afp20160615p1032.pdf

...Clinical Question Does intensive lowering of blood pressure (BP) improve the lives of patients with hypertension? Bottom Line Patients with hypertension who are treated intensively are less likely to have major cardiovascular (CV) events, stroke, or progression of albuminuria or...

American Family Physician

https://www.aafp.org/afp/2016/0615/afp20160615p1032.pdf

afp20160615p1032a.pdf

...Clinical Question Does intensive lowering of blood pressure (BP) improve the lives of patients with hypertension? Bottom Line Patients with hypertension who are treated intensively are less likely to have major cardiovascular (CV) events, stroke, or progression of albuminuria or...

American Family Physician

https://www.aafp.org/afp/2016/0615/afp20160615p1032a.pdf

afp20160615p1036.pdf

...Clinical Question Does intensive lowering of blood pressure (BP) improve the lives of patients with hypertension? Bottom Line Patients with hypertension who are treated intensively are less likely to have major cardiovascular (CV) events, stroke, or progression of albuminuria or...

American Family Physician

https://www.aafp.org/afp/2016/0615/afp20160615p1036.pdf

afp20160715p161.pdf

July 15, 2016: STEPS

American Family Physician

https://www.aafp.org/afp/2016/0715/afp20160715p161.pdf

afp20160715p168.pdf

...at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabe- tes mellitus or hypertension were no more likely to change their diet or increase their physical activity. Fancy tests do not appear to be motivators for...

American Family Physician

https://www.aafp.org/afp/2016/0715/afp20160715p168.pdf

afp20160715p168a.pdf

...at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabe- tes mellitus or hypertension were no more likely to change their diet or increase their physical activity. Fancy tests do not appear to be motivators for...

American Family Physician

https://www.aafp.org/afp/2016/0715/afp20160715p168a.pdf

afp20160901p355-s1.pdf

...• Heart disease, including heart failure • Stroke • Hypertension (not controlled with medicine) • Depression • Increased risk of motor vehicle crashes • Overall increased risk of death Where can I get more information? Your doctor American Sleep Apnea Association...

American Family Physician

https://www.aafp.org/afp/2016/0901/afp20160901p355-s1.pdf

afp20170315p396.pdf

...were balanced at baseline with a mean age of 65 years and a mean duration of type 2 diabetes of 14 years; 61% were men. Most (93%) had hypertension, and 60% had documented ischemic heart disease. Patients were followed for a median of 2.1 years, and analysis was by intention to...

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315p396.pdf

afp20170401p423.pdf

...is a progressive condition often encoun- tered by family physicians; it is both a com- plication of commonly encountered disease (e.g., hypertension, diabetes mellitus)2 and an independent risk factor for cardiovascular disease.3 Patients with end-stage renal disease incur...

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p423.pdf

afp20170601p733.pdf

...pressure was the aver- age of three measurements. The participants had a mean age of 75 years, 62% were female, and approximately 63% had hypertension. The mean blood pressures were 129/67 mm Hg taken on a bare arm, 133/73 mm Hg on a fully sleeved arm, and 133/74 mm Hg on an arm...

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601p733.pdf

afp20170601p733a.pdf

...pressure was the aver- age of three measurements. The participants had a mean age of 75 years, 62% were female, and approximately 63% had hypertension. The mean blood pressures were 129/67 mm Hg taken on a bare arm, 133/73 mm Hg on a fully sleeved arm, and 133/74 mm Hg on an arm...

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601p733a.pdf

afp20170601p737.pdf

...pressure was the aver- age of three measurements. The participants had a mean age of 75 years, 62% were female, and approximately 63% had hypertension. The mean blood pressures were 129/67 mm Hg taken on a bare arm, 133/73 mm Hg on a fully sleeved arm, and 133/74 mm Hg on an arm...

American Family Physician

https://www.aafp.org/afp/2017/0601/afp20170601p737.pdf

afp20171215p769.pdf

December 15, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1215/afp20171215p769.pdf

afp20171215p776.pdf

...with serum creatinine, urine albumin/creatinine ratio, and urinalysis for patients with risk factors, particularly diabetes mel- litus, hypertension, and a history of cardiovascular disease. The U.S. Preventive Services Task Force found insuf- ficient evidence to assess the balance...

American Family Physician

https://www.aafp.org/afp/2017/1215/afp20171215p776.pdf

afp20180101p29.pdf

...treatment burden. †-Coexisting chronic illnesses may include arthritis, cancer, congestive heart failure, depression, emphysema, falls, hypertension, incontinence, stage 3 or worse chronic kidney disease, myocardial infarction, and stroke. A total of at least 3 conditions is...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p29.pdf

afp20180115od1.pdf

...can have other hyper- tensive conditions along with preeclampsia, preeclampsia is defined as new-onset hypertension (or, in patients with existing hypertension, worsening hypertension) occurring after 20 weeks of gestation, combined with either new- onset proteinuria (excess protein...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115od1.pdf

afp20180115p102.pdf

...failure, hypertension, cardiomyopathy, neuropathic pain) and should prompt referral.57 Angiokeratomas are usually asymptomatic, so treatment is not required.53,55,56 How- ever, treatment is indicated if the patient is symptomatic or if the lesions bleed. Options include surgery,...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p102.pdf

afp20180115p124.pdf

...Nebivolol/Valsartan (Byvalson) for Hypertension Nathan H. Lamberton, PharmD, BCPS Medical College of Wisconsin School of Pharmacy, Milwaukee, Wisconsin Ardis M. Copenhaver, MS, PharmD University of Pittsburgh Medical Center St. Margaret, Pittsburgh, Pennsylvania...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p124.pdf

afp20180115p72.pdf

...Update: AAFP Opts to Not Endorse New AHA/ACC Hypertension Guideline The American Academy of Family Physicians (AAFP) has decided to not endorse the new hypertension guideline from the American Heart Association (AHA), the Amer- ican College of Cardiology (ACC), and nine other health...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p72.pdf

afp20180215p243.pdf

...Acute severe hypertension Marked blood pressure elevation (systolic > 210 mm Hg or diastolic > 120 mm Hg); may have confusion or irritability Benign intracra- nial hypertension (pseudotumor cerebri) Often abrupt onset; associated with nausea, vomiting, dizziness, blurred...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p243.pdf

afp20180215p254.pdf

...Hypertension51,52 Does not lower blood pressure or prevent hypertension Menopausal symptoms27,46,47 No therapeutic effect in Women’s Health Initiative study Nonspecific muscu- loskeletal pain53-55 Does not decrease symptoms Osteoarthritis56,57 No improvement in pain...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p254.pdf

afp20180301p339.pdf

...stage D, New York Heart Association class III heart failure due to coro- nary artery disease. He also had type 2 diabetes mellitus and hypertension. He was recently hospitalized for an exacerba- tion of heart failure, his third hospitalization in eight months. At the visit, he...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p339.pdf

afp20180315p372.pdf

...Editorials ACC/AHA Hypertension Guideline: What Is New? What Do We Do? Michael LeFevre, MD, MSPH, University of Missouri School of Medicine, Columbia, Missouri See related Practice Guideline on page 413. Redefining a cutoff point above which the value of a phys- iologic...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p372.pdf

afp20180315p376.pdf

...(e.g., smok- ing cessation, increased physical activity, weight control, healthy diet) and management of comorbid conditions such as hypertension and diabetes mellitus can reduce overall and CVD-related mortality.3,4 LIFESTYLE MODIFICATION Engaging in 30 to 60 minutes of...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p376.pdf

afp20180315p413.pdf

...shown that elevated blood pressure (BP) and hypertension are associated with an increased risk of cardiovascular disease (CVD), end-stage renal disease, subclinical atherosclerosis, and all- cause mortality. A person’s risk of hypertension is influenced by various genetic and...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p413.pdf

afp20180401p455.pdf

...resemble bronchiolitis obliterans with organizing pneu- monia, idiopathic pulmonary fibrosis, patient may also have pulmonary arterial hypertension Pleural effusion Exudative effusion with markedly low glucose level Pulmonary nodules Can be asymptomatic Skin Rheumatoid...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p455.pdf

afp20180401p478.pdf

...heart failure; hypertension; age 75 years or older; diabetes mellitus; previous stroke, transient ischemic attack, or throm- boembolism [doubled]) score. Abnormal findings on ECG and a lower glomerular filtration rate are also risk factors. Although it has not been shown to be...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p478.pdf

afp20180415p543.pdf

...(BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an updated search of the literature on the topic. Recommendations STRONG Oscillometric devices that have been validated for...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p543.pdf

afp20180501p562.pdf

...has no effect on major adverse cardiac events, all-cause mortality, sudden cardiac death, coronary artery revascularization, or hypertension.1 (Strength of Recommendation [SOR]: A, based on consistent, good-quality patient-oriented evidence.) Practice Pointers Omega-3 fatty...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p562.pdf

afp20180501p581.pdf

...Cardiovascular Disease and Hypertension The first group of POEMs focuses on cardiovascular dis- ease (CVD) and hypertension (Table 1),10-14 and two of these POEMs address the proper way to measure blood pressure, a part of the care of almost every patient. Although it may be...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p581.pdf

afp20180601p721.pdf

...The Dietary Approaches to Stop Hypertension (DASH) diet is promoted by the National Institutes of Health to treat hypertension. It has strong evidence for improving risk fac- tors for CVD and lowering blood pressure,11 and more lim- ited evidence for weight loss 12 and managing or...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p721.pdf

afp20180601p750.pdf

...3. Guérin L, Couturaud F, Parent F, et al. Prevalence of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Prevalence of CTEPH after pulmonary embolism. Thromb Haemost. 2014; 112(3): 598-605. 4. Raja AS, Greenberg JO, Qaseem A, et al. Evaluation of...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p750.pdf

afp20180701p23.pdf

...Harm End Points: Tachycardia, hypertension, pallor, tremor, nausea, vomiting, diarrhea, and acute urinary retention Narrative: Bronchiolitis is the most common lower respiratory tract infection in infants, with respiratory syncytial virus being the leading cause. Airway edema and...

American Family Physician

https://www.aafp.org/afp/2018/0701/afp20180701p23.pdf

afp20180715p107.pdf

...on weight bearing. He had new petechiae on his right lower extremity. He had a history of tobacco use, long-term daily alcohol use, and hypertension. Physical examination revealed an open eschar over the left medial malleolus (Figure 1). There was no fluctuance, crepitus, or...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p107.pdf

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

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

afp20180715p93.pdf

...When should treatment be initiated in older patients with hypertension, and what are reasonable goals?A10 Try to remember 60-150-140: In patients older than 60 years, consider treatment if the systolic blood pressure is 150 mm Hg or higher, or 140 mm Hg or higher in patients with...

American Family Physician

https://www.aafp.org/afp/2018/0715/afp20180715p93.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

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