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hypertension

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afp20191015p505.pdf

...lar (excluding isolated hypertension), renal, hepatic, neurologic, hematologic, or metabolic disorders (e.g., asthma, diabetes mellitus) • Pregnant women • Residents of nursing homes or other long-term care facilities Editor’s Note: Recommendations on the use of LAIV from...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p505.pdf

afp20191101p541.pdf

...Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for Hypertension Jeffrey C. Leggit, MD, CAQSM, Uniformed Services University of the Health Sciences, Bethesda, Maryland Author disclosure: No relevant financial affiliations. Clinical Question...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p541.pdf

afp20191101p544.pdf

...and petrochemicals. Gulf War veterans, who were also exposed to asbestos and chemical- biologic agents, have a higher incidence of hypertension, musculoskeletal complaints, PTSD, and periodontal disease compared with nondeployed veterans.37 Airborne hazards have been associated with...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p544.pdf

afp20191101p575.pdf

...diabetes mellitus, arthritis, hypertension, and chronic pain. These studies were generally small and mostly compared telehealth with face-to-face consultations. A total of 35 studies with moderate strength of evidence found that telehealth improves access in terms of time to...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p575.pdf

afp20191115p646.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p646.pdf

afp20191115p646a.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p646a.pdf

afp20191115p647.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p647.pdf

afp20191115p648.pdf

...manual read- ings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with hypertension; the recent guidelines from the American College of Cardi- ology/American Heart Association are based on automated readings. Follow them...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p648.pdf

afp20191115p649.pdf

...Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG Preeclampsia, a disorder of pregnancy associated with new-onset hypertension, occurs in up to 8% of pregnancies globally, with an incidence that increased by 25% from 1987 to 2004 in the United States....

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p649.pdf

afp20191201p687.pdf

...Hypertension Hypoalbuminemia Hyponatremia Mechanical ventilation Nephrotoxic drug use Rhabdomyolysis Sepsis Information from references 3-6. Downloaded from the American Family Physician website at www.aafp.org/afp. Copyright © 2019 American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2019/1201/afp20191201p687.pdf

afp20191215p742.pdf

...Case Scenario Mr. G is an 83-year-old man who lives alone with some assistance from family members. He has well-controlled hypertension, hyperlipidemia, and arthritis. His maxi- mum low-density lipoprotein (LDL) cholesterol level is around 135 mg per dL (3.50 mmol per L). He uses a...

American Family Physician

https://www.aafp.org/afp/2019/1215/afp20191215p742.pdf

afp20191215p759.pdf

...Patient information: A handout on this topic is available at https:// family doctor.org/condition/cirrhosis-and-portal- hypertension. Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and...

American Family Physician

https://www.aafp.org/afp/2019/1215/afp20191215p759.pdf

afp20191215p782.pdf

...Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice Bulletin In pregnancy, chronic hypertension is defined as hypertension diagnosed before 20 weeks’ gestation. Up to 1.5% of pregnant women have chronic hypertension, which can result in harm to the...

American Family Physician

https://www.aafp.org/afp/2019/1215/afp20191215p782.pdf

afp20200101p16.pdf

...and health prob- lems such as atrial fibrillation, congestive heart failure, coronary artery disease, depression, diabetes mellitus, hypertension, and stroke.3 CPAP is the current first-line therapy; however, up to two-thirds of patients do not adhere to treatment.4 Positional...

American Family Physician

https://www.aafp.org/afp/2020/0101/afp20200101p16.pdf

afp20200101p17.pdf

...and health prob- lems such as atrial fibrillation, congestive heart failure, coronary artery disease, depression, diabetes mellitus, hypertension, and stroke.3 CPAP is the current first-line therapy; however, up to two-thirds of patients do not adhere to treatment.4 Positional...

American Family Physician

https://www.aafp.org/afp/2020/0101/afp20200101p17.pdf

afp20200115p115.pdf

...the live workshop and corresponding activities to help improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. And meet all your Performance Improvement and KSA requirements. STEP 1: Assess your practice (course prep)....

American Family Physician

https://www.aafp.org/afp/2020/0115/afp20200115p115.pdf

afp20200115p123.pdf

...on high-quality evidence, oral anticoag- ulants should be prescribed for women with AF and a CHA2DS2-VASc (congestive heart failure; hypertension; age of at least 75 years [doubled]; diabetes mellitus; previous stroke, transient ischemic attack, or thromboembolism [dou- bled];...

American Family Physician

https://www.aafp.org/afp/2020/0115/afp20200115p123.pdf

afp20200115p89.pdf

...Both studies randomized patients to acyclovir with or without a 21-day taper of corticosteroids. The studies excluded patients with hypertension, dia- betes, or cancer. After randomization, patients had a median age of 61. The first trial randomized 208 patients to receive acyclovir...

American Family Physician

https://www.aafp.org/afp/2020/0115/afp20200115p89.pdf

afp20200201p147.pdf

...Blood pressure (hypertension) Insufficient evidence to assess the balance of benefits and harms of screening asymptomatic adolescents to prevent car- diovascular disease in childhood or adulthood Grade I; 2013 Screen those ≥ 18 years; obtain measurements outside of the...

American Family Physician

https://www.aafp.org/afp/2020/0201/afp20200201p147.pdf

afp20200201p159.pdf

...There may be classic signs of venous hypertension, including edema, hemo- siderin staining, and lipo- dermatosclerosis. Workup should include assessment of arterial status with the ankle-brachial index (ABI) and palpation of pulses to rule out mixed arterial and venous disease and...

American Family Physician

https://www.aafp.org/afp/2020/0201/afp20200201p159.pdf

afp20200215p197.pdf

...conditions, immunocompro- mised state, and concurrent use of nonsteroidal anti-inflammatory drugs. Hyperglycemia, fluid retention, hypertension, delirium, psychosis, insomnia, osteonecrosis, and gastrointestinal bleeding may consequently be underestimated. The potential harmful...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p197.pdf

afp20200215p248.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p248.pdf

afp20200215p248a.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p248a.pdf

afp20200215p249.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p249.pdf

afp20200215p250.pdf

...Using national data from the U.S. Department of Veterans Affairs (VA), the investigators identified adults 65 years or older with hypertension who were admitted within a two-year period to a VA hospital for the common noncardiac conditions of pneumonia, urinary tract infection, or...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p250.pdf

afp20200301p272.pdf

...and the prevalence is expected to double by 2030. Modifiable risk factors for dementia include diabetes mellitus, midlife obesity and hypertension, smoking, and physical inactivity. Vitamins and minerals have recognized roles in normal functioning and development, so it has been...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p272.pdf

afp20200301p273.pdf

...and the prevalence is expected to double by 2030. Modifiable risk factors for dementia include diabetes mellitus, midlife obesity and hypertension, smoking, and physical inactivity. Vitamins and minerals have recognized roles in normal functioning and development, so it has been...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p273.pdf

afp20200301p305.pdf

...blisters on his trunk, bilateral upper and lower extremities, face, and groin. The rash appeared two months prior. He had a history of hypertension and diabetes mellitus. Physical examination revealed extensive, nearly confluent, pink-red plaques associated with tense and flaccid...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p305.pdf

afp20200301p309a.pdf

...diabetes, an A1C of 6.5% to 8.5%, and high cardiovascular risk (e.g., established cardiovascular disease, multiple risk factors including hypertension, smoking, hyperlipidemia, age greater than 69 years, evidence of microvascular compli­ cations). Eligible patients randomly received...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p309a.pdf

afp20200301p310.pdf

...diabetes, an A1C of 6.5% to 8.5%, and high cardiovascular risk (e.g., established cardiovascular disease, multiple risk factors including hypertension, smoking, hyperlipidemia, age greater than 69 years, evidence of microvascular compli­ cations). Eligible patients randomly received...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p310.pdf

afp20200301p310a.pdf

...diabetes, an A1C of 6.5% to 8.5%, and high cardiovascular risk (e.g., established cardiovascular disease, multiple risk factors including hypertension, smoking, hyperlipidemia, age greater than 69 years, evidence of microvascular compli­ cations). Eligible patients randomly received...

American Family Physician

https://www.aafp.org/afp/2020/0301/afp20200301p310a.pdf

afp20200315p341.pdf

...Cardiovascular disease is the leading cause of death worldwide, and hypertension is a modifi- able risk factor for cardiovascular disease.1 Risk increases with incremental increases in blood pressure, even within the normal range.2 More than 70% of adults treated for primary...

American Family Physician

https://www.aafp.org/afp/2020/0315/afp20200315p341.pdf

afp20200315p370.pdf

...who lives alone at home. She has a body mass index of 20 kg per m2 and describes her health as good. However, she takes medications for hypertension and has mild chronic obstructive pulmo- nary disease attributed to a long-term half-a-pack-per-day smoking habit. She has received...

American Family Physician

https://www.aafp.org/afp/2020/0315/afp20200315p370.pdf

afp20200315p378.pdf

...GBS disease include tachycardia, tachy- pnea, and lethargy, which can lead to severe cardiorespi- ratory failure, persistent pulmonary hypertension of the newborn, and perinatal encephalopathy. Late-onset GBS disease presents most often as bacteremia without a focus, with a...

American Family Physician

https://www.aafp.org/afp/2020/0315/afp20200315p378.pdf

afp20200401p419.pdf

...headache prophylaxis may be helpful in treating comorbid conditions (e.g., amitriptyline for depression or chronic pain, propranolol for hypertension). Guidelines stress that behavioral and physical therapies should be integrated with pharmaco- logic treatment of frequent...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p419.pdf

afp20200401p434.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p434.pdf

afp20200401p434a.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p434a.pdf

afp20200401p435.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p435.pdf

afp20200401p435a.pdf

...of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk Clinical Question Does bedtime ingestion instead of morning ingestion of hypertension medications produce better cardiovascular disease risk reduction in adults with hypertension?...

American Family Physician

https://www.aafp.org/afp/2020/0401/afp20200401p435a.pdf

afp20200415p460.pdf

...Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants Is a single office-based blood pressure measurement reliable to assess hypertension? Do not rely on a single blood pressure measure- ment. The first blood pressure reading taken during an office...

American Family Physician

https://www.aafp.org/afp/2020/0415/afp20200415p460.pdf

afp20200501p530.pdf

...include high fever, headache, myalgias, arthralgias, and nausea.17 Fever lasts about three days and ends with rigors, tachycardia, and hypertension, followed by profuse sweating and defervescence. Symp- toms dissipate for about seven days, and then the cycle repeats.18 Uncommon...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p530.pdf

afp20200501p542.pdf

...component contributing to chronic dys- pnea; for instance, in cases of atypical cystic fibrosis, alpha1-antitrypsin deficiency, pulmonary hypertension, and pulmonary fibrosis. It is important to ask about use of complementary modal- ities to avoid potential drug-drug or...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p542.pdf

afp20200501p551.pdf

...Hypertension Infertility Late menopause Nulliparity Obesity Personal or family history of endometrial neoplasia Polycystic ovary syndrome Tamoxifen use Thyroid disease Unopposed estrogen therapy Information from references 8-10. SORT: KEY...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p551.pdf

afp20200501p557.pdf

...bleeding, hypertension, or psychiatric disorders. The evi- dence was insufficient to compare different corticoste- roids with respect to dyspnea, clinical failure, and death. Evidence was insufficient to compare different routes of administration and duration of corticosteroid use....

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p557.pdf

afp20200501p567.pdf

...The patient also had muscle aches, mild abdominal discom- fort, and a recent sore throat. His medical history included diabetes mellitus, hypertension, and cirrhosis due to non- alcoholic steatohepatitis. His long-term medications were insulin degludec (Tresiba), semaglutide, and...

American Family Physician

https://www.aafp.org/afp/2020/0501/afp20200501p567.pdf

afp20200515od1.pdf

...10. 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. 11. Reimerink JJ, van der Laan MJ,...

American Family Physician

https://www.aafp.org/afp/2020/0515/afp20200515od1.pdf

afp20200515p608.pdf

...Hypertension Hypertension is among the most common conditions man- aged by primary care physicians and is the topic of the two POEMs rated most relevant to readers in 2019 (Table 1).5,6 Researchers randomized 19,168 adults with hypertension to take their antihypertensive medications...

American Family Physician

https://www.aafp.org/afp/2020/0515/afp20200515p608.pdf

afp20200615p718.pdf

...hypertension, and 2,573 (59.1%) tested positive for COVID-19. Antihypertensive medication use (i.e., angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, beta blockers, calcium channel blockers, or thiazide diuret- ics) was higher in patients with COVID-19...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615p718.pdf

afp20200615p753.pdf

...lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pres- sure is well controlled by an angiotensin recep- tor blocker, and she takes no other medications. She...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615p753.pdf

afp20200615p755.pdf

...She had a history of hypertension, type 2 dia- betes mellitus, mild nonproliferative diabetic retinopathy, bilateral glaucoma for which she had surgery three months earlier, and asthma. She was a former smoker. Her family history was positive for lupus erythematosus and rheumatoid...

American Family Physician

https://www.aafp.org/afp/2020/0615/afp20200615p755.pdf

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