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stroke

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afp20201115p627.pdf

...reluctant to start or add injectable treatment and for whom weight loss is desired. It does not increase major CV events (including nonfatal stroke or nonfatal myocardial infarc- tion) in higher-risk patients. The cost and hyperglycemia- lowering benefits of oral semaglutide are...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p627.pdf

afp20201201p645a.pdf

...commonly headache, anosmia, and ageusia-in addition to the more well-recognized respiratory findings. Other manifestations include stroke, impairment of consciousness, coma, seizure, and encephalopathy.1 An early case series from Wuhan, China, identified neurologic features in 78 of...

American Family Physician

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

afp20201201p648.pdf

...commonly headache, anosmia, and ageusia-in addition to the more well-recognized respiratory findings. Other manifestations include stroke, impairment of consciousness, coma, seizure, and encephalopathy.1 An early case series from Wuhan, China, identified neurologic features in 78 of...

American Family Physician

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

afp20201201p673.pdf

...in the likelihood of cancer or in the composite cardiovascular outcome (cardiovascular death, nonfatal myocardial infarc- tion, or ischemic stroke). In 2019, another POEM reported on the ASCEND (A Study of Cardiovascular Events in Dia- betes) trial of the use of omega-3 fatty acids...

American Family Physician

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

afp20201201p679.pdf

...in the basal ganglia, particularly in the substan- tia nigra,2 and development of Lewy bodies in the dopaminergic neurons. Lewy bodies are the pathologic feature of Parkinson disease.3 How- ever, Lewy bodies are nonspecific for Parkinson disease and are found in multiple...

American Family Physician

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

afp20201215p716.pdf

...serious post-COVID complications from those with less concerning symptoms. Serious complications include pulmonary embolus, heart failure, stroke, myocardial infarction, lung fibrosis, neurologic derangement, and severe deterioration in men- tal health. Patients presenting with...

American Family Physician

https://www.aafp.org/afp/2020/1215/afp20201215p716.pdf

afp20201215p740.pdf

...Brissaud reflex Stroking the sole of the foot results in a vigorous contraction of the ipsilat- eral tensor fasciae lata Not reported Lhermitte sign Flexion of the neck results in a shoot- ing, electrical sensation down the spine Not reported Information from references...

American Family Physician

https://www.aafp.org/afp/2020/1215/afp20201215p740.pdf

afp20201215p753.pdf

...for mild cognitive impairment or dementia; therefore, clinicians who have a high index of suspicion should use a screening tool for demen- tia such as the Mini-Cog (https:// mini-cog.com). Patients with dementia who are hospitalized are at high risk of iatrogenic harms, including...

American Family Physician

https://www.aafp.org/afp/2020/1215/afp20201215p753.pdf

afp20210101p42.pdf

...guide specific diagnostic imaging choices. Noncontrast head computed tomography is the first-line modality when a stroke is suspected. Magnetic resonance imaging stroke protocols and computed tomography perfusion scans can augment evaluation and poten- tially expand pharmacologic...

American Family Physician

https://www.aafp.org/afp/2021/0101/afp20210101p42.pdf

afp20210115od1.pdf

...women in the same age group with a previous hysterectomy. The original trials were stopped after 7.2 years because of an increased risk of stroke in the treatment groups. After the original trials were stopped, less than 4% of the women reported continuing hormone therapy. The...

American Family Physician

https://www.aafp.org/afp/2021/0115/afp20210115od1.pdf

afp20210115od3.pdf

...women in the same age group with a previous hysterectomy. The original trials were stopped after 7.2 years because of an increased risk of stroke in the treatment groups. After the original trials were stopped, less than 4% of the women reported continuing hormone therapy. The...

American Family Physician

https://www.aafp.org/afp/2021/0115/afp20210115od3.pdf

afp20210115od4.pdf

...women in the same age group with a previous hysterectomy. The original trials were stopped after 7.2 years because of an increased risk of stroke in the treatment groups. After the original trials were stopped, less than 4% of the women reported continuing hormone therapy. The...

American Family Physician

https://www.aafp.org/afp/2021/0115/afp20210115od4.pdf

afp20210115p97.pdf

...Oropharyngeal Pathology Oropharyngeal dysphagia is most commonly related to chronic neurologic conditions, particularly Parkinson dis- ease, stroke, and dementia; it is not part of normal aging.5 Dysphagia: Evaluation and Collaborative Management John M. Wilkinson, MD; Don...

American Family Physician

https://www.aafp.org/afp/2021/0115/afp20210115p97.pdf

afp20210201p155.pdf

...medications, and even fewer benefit. Other limitations include serious adverse events, illustrated by a 20% to 30% rate of heart attack, stroke, or peripheral vascular events among patients taking ponatinib, which is used in treating chronic myelogenous leukemia. Immune checkpoint...

American Family Physician

https://www.aafp.org/afp/2021/0201/afp20210201p155.pdf

afp20210201p183.pdf

...In the United States, 5.8 million people 65 years and older (11.4% of this age group) are estimated to have clinical ATD.2,3 Deaths from stroke and heart disease have decreased over the past two decades while the number of deaths asso- ciated with clinical ATD has increased,...

American Family Physician

https://www.aafp.org/afp/2021/0201/afp20210201p183.pdf

afp20210215p219.pdf

...the number of health deficits and presence of multiple comorbidities.2 Patients diag- nosed with diabetes mellitus, respiratory disease, stroke, dementia, multiple sclerosis, connective tissue disease, osteoarthritis, and chronic fatigue syndrome have higher documented frailty...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p219.pdf

afp20210215p227.pdf

...Neurologic disease: complex partial seizures, Huntington chorea, migraine headache, multiple sclerosis, neoplasm, stroke, traumatic brain injury, Wilson disease Vitamin deficiency: B12, folate, niacin, thiamine Medications Cardiovascular: captopril, hydralazine...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p227.pdf

afp20210215p247.pdf

...Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone Clinical Question Is ticagrelor (Brilinta) plus aspirin superior to aspirin alone for decreasing the risk of subse- quent stroke or death in patients with acute isch- emic stroke? Bottom Line For...

American Family Physician

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

afp20210215p247a.pdf

...Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone Clinical Question Is ticagrelor (Brilinta) plus aspirin superior to aspirin alone for decreasing the risk of subse- quent stroke or death in patients with acute isch- emic stroke? Bottom Line For...

American Family Physician

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

afp20210215p248.pdf

...Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone Clinical Question Is ticagrelor (Brilinta) plus aspirin superior to aspirin alone for decreasing the risk of subse- quent stroke or death in patients with acute isch- emic stroke? Bottom Line For...

American Family Physician

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

afp20210215p249.pdf

...Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone Clinical Question Is ticagrelor (Brilinta) plus aspirin superior to aspirin alone for decreasing the risk of subse- quent stroke or death in patients with acute isch- emic stroke? Bottom Line For...

American Family Physician

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

afp20210215p252.pdf

...and nausea and vomiting can also occur with heat exhaustion. Severe EAH presents with men- tal status changes similar to exertional heat stroke. High ambient temperatures increase the risk of EAH as well as heat illness. Injury logs from a national park showed that one in five...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p252.pdf

afp20210301od1.pdf

...Stroke or TIA Brit Long, MD, and Michael Gottlieb, MD Details for This Review Study Population: Five randomized controlled trials including a total of 10,739 patients with atherothrombotic ischemic stroke or transient ischemic attack (TIA) Efficacy End Points: Stroke...

American Family Physician

https://www.aafp.org/afp/2021/0301/afp20210301od1.pdf

afp20210301p291.pdf

...Stroke, previous or current 4 2 3 2 2 1 Surgery Major, without prolonged immobilization 2 1 1 1 1 1 Major, with prolonged immobilization 4 2 2 2 2 1 Minor 1 1 1 1 1 1 Systemic lupus erythematosus Positive antiphospholipid antibodies 4 3 3 3 3 1...

American Family Physician

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

afp20210301p311.pdf

...for Stroke Prevention in Older Patients with Atrial Fibrillation Clinical Question Is low-dose edoxaban (Savaysa) safe and effective for stroke prevention in older patients with atrial fibrillation? Bottom Line A lower dose of edoxaban is effective in decreasing stroke and...

American Family Physician

https://www.aafp.org/afp/2021/0301/afp20210301p311.pdf

afp20210301p312a.pdf

...for Stroke Prevention in Older Patients with Atrial Fibrillation Clinical Question Is low-dose edoxaban (Savaysa) safe and effective for stroke prevention in older patients with atrial fibrillation? Bottom Line A lower dose of edoxaban is effective in decreasing stroke and...

American Family Physician

https://www.aafp.org/afp/2021/0301/afp20210301p312a.pdf

afp20210315p366.pdf

...There is adequate evidence that counseling interventions reduce overall CVD events (e.g., myocardial infarction and stroke). There is convincing evidence that counseling interventions improve blood pressure, lipid and fasting blood glucose levels, and body weight/adiposity....

American Family Physician

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

afp20210401p404.pdf

...injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse effects, including loss of vision, stroke, paralysis, and death.2 It has been suggested that these rare complications are the result of particulate steroids; no adverse outcomes...

American Family Physician

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

afp20210401p405.pdf

...injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse effects, including loss of vision, stroke, paralysis, and death.2 It has been suggested that these rare complications are the result of particulate steroids; no adverse outcomes...

American Family Physician

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

afp20210401p439.pdf

...In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price Clinical Question For older patients at high cardiovascular risk, is a strategy of rate control or rhythm control preferred for recent-onset atrial...

American Family Physician

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

afp20210401p439a.pdf

...In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price Clinical Question For older patients at high cardiovascular risk, is a strategy of rate control or rhythm control preferred for recent-onset atrial...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p439a.pdf

afp20210401p440.pdf

...In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price Clinical Question For older patients at high cardiovascular risk, is a strategy of rate control or rhythm control preferred for recent-onset atrial...

American Family Physician

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

afp20210401p441.pdf

...In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price Clinical Question For older patients at high cardiovascular risk, is a strategy of rate control or rhythm control preferred for recent-onset atrial...

American Family Physician

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

afp20210415p503.pdf

...populations are at greater risk of this disease, including older people and those with dysphagia or impaired neurologic status (e.g., due to stroke or alcohol or drug use). Radiographs show opacification of the posterior segment of the upper lobes and the superior segment of the...

American Family Physician

https://www.aafp.org/afp/2021/0415/afp20210415p503.pdf

afp20210415p507.pdf

...Atherosclerotic CVA/transient ischemic attack PAD (claudication or abdominal aortic aneurysm) Does not include asymptomatic incidental finding of potential atherosclerosis (e.g., coronary artery calcium) Does patient have higher- risk CVD? (Sidebar 1) Recommend regular...

American Family Physician

https://www.aafp.org/afp/2021/0415/afp20210415p507.pdf

AGA Releases Position Statement on CT Colonography - Practice Guidelines - American ...

Aug 1, 2007 - Although computed tomographic (CT) colonography is considered investigational for colorectal screening, the American Gastroenterological Association (AGA) suggests that it could significantly influence patient care and how the field of gastroenterology is defined.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p447.html

AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke ...

Jan 15, 2015 - The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients is at a ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0115/p136.html

AHA and NHLBI Review Diagnosis and Management of the Metabolic Syndrome - Practice ...

Sep 15, 2006 - The American Heart Association (AHA) and the National Heart, Lung, and Blood Institute (NHLBI) have released joint recommendations on the management and diagnosis of the metabolic syndrome.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0915/p1039.html

AHA Publishes Guidelines on CVD Prevention in Women - Practice Guidelines - American ...

Apr 1, 2007 - Guidelines presented by the American Heart Association (AHA) represent the most current clinical recommendations for the prevention of cardiovascular disease (CVD) in women 20 years and older.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0401/p1096.html

AHA Recommendations for the Management of Intracranial Aneurysms - Practice Guidelines ...

Jun 15, 2001 - The American Heart Association (AHA) has formulated recommendations for the management of unruptured intracranial aneurysms. The guidelines are intended to serve as a framework for the development of treatments and for future research.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0615/p2465.html

AHA Releases Guidelines for Hypertension Management in Adults with or at Risk of CAD - ...

Jul 15, 2008 - The American Heart Association (AHA) Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention have released guidelines on the management of hypertension in adults with or at risk of coronary artery disease (CAD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0715/p270.html

AHA Releases Statement on Exercise and Heart Failure - Practice Guidelines - American ...

Sep 1, 2003 - Although discomfort during exercise is a principal reason that patients with heart failure seek medical care, exercise training is safe and can benefit these patients, according to the American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0901/p969.html

AHA Updates Guidelines for Carotid Endarterectomy - Special Medical Reports - American ...

Nov 15, 1998 - ...endarterectomy in patients with symptomatic and asymptomatic carotid stenosis. Developed by the 16-member Special Writing Group of the Stroke Council, the guidelines cover the following topics: management of risk factors, such as hypertension, cigarette smoking, serum lipid levels,...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/1115/p1898.html

AHA/AAC/<FEFF>ASH Release Guideline on the Treatment of Hypertension and CAD

December 1, 2015 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1023.pdf

AHA/ACC Issue New Cholesterol Management Guideline

On Nov. 10, the American Heart Association and the American College of Cardiology released a new cholesterol guideline that includes recommendations for more personalized risk assessments and new cholesterol-lowering drug options for people at the highest risk for cardiovascular disease.

https://www.aafp.org/news/health-of-the-public/20181128ahaacccholesterol.html

AHA/ACC/ASH Release Guideline on the Treatment of Hypertension and CAD - Practice ...

Dec 1, 2015 - The American Heart Association (AHA), American College of Cardiology (ACC), and American Society of Hypertension (ASH) have released a guideline on the management of hypertension in patients with coronary artery disease (CAD). It updates a previous AHA guideline to reflect newer data.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/1201/p1023.html

AHA/ACCF Statement on the Evaluation of Syncope - Practice Guidelines - American Family...

Jul 1, 2006 - The American Heart Association (AHA) and the American College of Cardiology Foundation (ACCF) recently released a scientific statement on the evaluation of syncope (i.e., transient loss of consciousness).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p179.html

AHA/ASA Guidelines on Prevention of Recurrent Stroke

...who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. In the United States, about one-fourth of the nearly 800,000 strokes that occur each year are recurrent events. The risk of stroke within 90 days of a TIA may be as high as...

American Family Physician

https://www.aafp.org/afp/2011/0415/afp20110415p993.pdf

AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...

Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0415/p993.html

AHA/ASA Publish Advisory on Oral Antithrombotics for Stroke Prevention in Nonvalvular ...

May 15, 2013 - New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0515/p732.html

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