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hypertension

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afp20190301p295.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/afp20190301p295.pdf

afp20190315od1.pdf

...hypertension, age ≥ 75 years, diabetes mellitus, prior stroke or transient ischemic attack or thromboembolism [doubled]) (developed by Gage and colleagues, Washington University School of Medicine) or its updated version, CHA2DS2-VASc (congestive heart failure, hypertension, age ≥...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315od1.pdf

afp20190315p354.pdf

...variation in stroke risk, ranging from 0.4% to 9.3% per year, which persisted across any single CHA2DS2-VASc (congestive heart failure; hypertension; age 75 years or older [doubled]; diabetes mellitus; prior stroke, transient ischemic attack, or thromboembolism [doubled]; vascular...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p354.pdf

afp20190315p357.pdf

...do without listening to what the patient thinks or is willing to do. Typical one-year medication adherence rates for conditions such as hypertension are 50% to 60%.3 Because the rate of adherence to a treatment plan is more than two times higher if the physician is a good com-...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p357.pdf

afp20190315p362.pdf

...Analysis of data from the National Health and Nutrition Examination Survey demonstrated that the most significant PAD risk factors are hypertension, diabetes mellitus, chronic kidney disease, hyperlipidemia, and smoking. The odds of having PAD increase with each additional risk...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p362.pdf

afp20190315p383.pdf

...every day and teaches yoga four times a week for two to three hours per session. She has a body mass index of 24 kg per m2. She has hypertension, which is controlled with chlor- thalidone, and hypothyroidism, which is treated with levothyroxine. Her most recent thyroid levels were...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p383.pdf

afp20190315p392.pdf

...sedation (13%), dizziness (19%), bra- dycardia (24%), and hypotension (30%).1 Abrupt discontinuation of lofexidine can cause rebound hypertension, as well as diarrhea, chills, and hyper- hidrosis. It is recommended that patients discon- tinue use gradually. Effectiveness...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p392.pdf

afp20190415od1.pdf

...No hypertension, dys- lipidemia, or abnormal blood glucose levels Individualize the decision to provide or refer to behavioral counseling Individualize the decision to provide or refer to behavioral counseling Provide or refer to intensive behavioral counseling...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415od1.pdf

afp20190415p519.pdf

...is not recommended for patients at low risk (less than 5% per year; score of 4 or less on the CHA2DS2-VASc [congestive heart failure; hypertension; age 75 years or older (doubled); diabetes mel- litus; stroke, transient ischemic attack, thromboembolism (doubled); vascular disease;...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415p519.pdf

afp20190501p543.pdf

...Vaginitis, Coronary Artery Disease, Hypertension in Children, COPD, Alzheimer Disease What are key tips on diagnosing and treating vaginitis? Office-based or laboratory testing should be used with the history and physical examination find- ings to make the diagnosis. Do not...

American Family Physician

https://www.aafp.org/afp/2019/0501/afp20190501p543.pdf

afp20190501p558.pdf

...to 40 mg per day. Beta blockers should be tapered and discontinued several days before clonidine withdrawal to reduce the risk of rebound hypertension. Spironolactone dosages should be limited to 25 mg daily when coadministered with potassium supplements. Avoid prescribing opioid...

American Family Physician

https://www.aafp.org/afp/2019/0501/afp20190501p558.pdf

afp20190515od3.pdf

...is ordinarily a red flag, but in this case the predic- tors were relatively unambiguous (e.g., body mass index, number of medications for hypertension) and the chart review was done in parallel by two investigators using clear prespecified defi- nitions for each variable. The...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515od3.pdf

afp20190515od4.pdf

...is ordinarily a red flag, but in this case the predic- tors were relatively unambiguous (e.g., body mass index, number of medications for hypertension) and the chart review was done in parallel by two investigators using clear prespecified defi- nitions for each variable. The...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515od4.pdf

afp20190515od5.pdf

...is ordinarily a red flag, but in this case the predic- tors were relatively unambiguous (e.g., body mass index, number of medications for hypertension) and the chart review was done in parallel by two investigators using clear prespecified defi- nitions for each variable. The...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515od5.pdf

afp20190515p602.pdf

...The USPSTF recommends that primary care professionals individualize the decision to offer or refer adults without obesity who do not have hypertension, dyslipidemia, abnormal blood glucose levels, or diabetes mellitus to behavioral counseling to pro- mote a healthful diet and...

American Family Physician

https://www.aafp.org/afp/2019/0515/afp20190515p602.pdf

afp20190601p716.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p716.pdf

afp20190601p717.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p717.pdf

afp20190601p717a.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p717a.pdf

afp20190601p718.pdf

...has one of those major ASCVD events and multiple high-risk conditions, such as familial hyper- cholesterolemia, age of at least 65 years, hypertension, dia- betes, chronic kidney disease, tobacco use, heart failure, or LDL level greater than 100 mg per dL (2.59 mmol per L) despite...

American Family Physician

https://www.aafp.org/afp/2019/0601/afp20190601p718.pdf

afp20190615p737.pdf

...in life. Maternal benefits include decreased risk of breast cancer, ovarian cancer, cardiometabolic disease (type 2 diabetes melli- tus, hypertension, and cardiovascular disease), and postpartum depression. https://www.aafp.org/afp/2018/0915/p368.html Tip for Using AFP at the...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p737.pdf

afp20190615p740.pdf

...Case Scenario A 70-year-old man had been a heavy smoker until 10 years ago, when he quit after a myocardial infarction. He has hypertension, mild chronic obstructive pulmonary disease, and stable coronary artery disease. He walks half a mile daily without shortness of breath. At his...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p740.pdf

afp20190615p751.pdf

...testing, and diagnosis is confirmed by repeated elevation in urinary albumin excretion. Treatment includes management of hyperglycemia, hypertension, hyperlipidemia, and cessation of tobacco use. Multiple antihyperglycemic medications, including sodium-glucose cotrans- porter-2...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p751.pdf

afp20190701p12.pdf

...Migraine Headache, Hypertension in Children, CVD Risk, Acupuncture, Incarcerated Patients When should clinicians consider prescribing preventive therapy for migraine headache? Preventive therapy should be considered in patients having four or more headaches per month or at least...

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p12.pdf

afp20190701p39.pdf

...Striae, buffalo hump, central obesity, hypertension Cushing syndrome CAH = congenital adrenal hyperplasia; GnRH = gonadotropin-releasing hormone; PCOS = polycystic ovary syndrome. *-Absence of breast buds may not indicate nonfunctioning ovaries or future functionality....

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p39.pdf

afp20190715p118.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p118.pdf

afp20190715p118a.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p118a.pdf

afp20190715p119.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p119.pdf

afp20190715p120.pdf

...age of participants was 74 years, 56% were women, and 8.7% were nonwhite. Most of the patients were recruited in Australia (87%), 74% had hypertension, 65% had hyperlipidemia, and only 11% had diabetes mellitus. Participants were followed up for a median of 4.8 years, and only 2.2%...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p120.pdf

afp20190715p121.pdf

...longer duration of breastfeeding is associated with improved mater- nal health. Benefits include a lower risk of diabe- tes mellitus, hypertension, myocardial infarction, ovarian cancer, and breast cancer. Although exclusive breastfeeding is recommended for the first six months of...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p121.pdf

afp20190715p76.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/2019/0715/afp20190715p76.pdf

afp20190801p168.pdf

...Hypertension Impaired glucose tolerance Moon facies Proximal muscle weakness Purple skin striae Hyperpro- lactinemia Rarely presents with isolated hirsutism Amenorrhea Galactorrhea Infertility Thyroid disorders Rarely present with isolated hirsutism...

American Family Physician

https://www.aafp.org/afp/2019/0801/afp20190801p168.pdf

afp20190815p213.pdf

...Although its recommendations are primarily based on expert opinion, the American Academy of Pediatrics rec- ommends screening for hypertension annually, vision and hearing problems approximately every two years, and dyslipidemia once between nine and 11 years of age; regular...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p213.pdf

afp20190815p239.pdf

...His medical history included diabetes melli- tus, hypertension, hyperlipidemia, and obstruc- tive sleep apnea. His medications included hydrochlorothiazide, metformin, glipizide (Glu- cotrol), minocycline (Minocin), and pravastatin (Pravachol). Six weeks before presentation, he had...

American Family Physician

https://www.aafp.org/afp/2019/0815/afp20190815p239.pdf

afp20190901p278.pdf

...did not cause any sig- nificant harms. When progestogens were compared with placebo, there were no differences in pregnancy-induced hypertension, antepartum hemorrhage, stillbirth, low birth weight, or respiratory distress syndrome. No significant dif- ferences were found for...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p278.pdf

afp20190901p279.pdf

...did not cause any sig- nificant harms. When progestogens were compared with placebo, there were no differences in pregnancy-induced hypertension, antepartum hemorrhage, stillbirth, low birth weight, or respiratory distress syndrome. No significant dif- ferences were found for...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p279.pdf

afp20190901p298.pdf

...Venous ulcers are open skin lesions that occur in an area affected by venous hypertension.1 The prevalence of venous ulcers in the United States ranges from 1% to 3%.2,3 In the United States, 10% to 35% of adults have chronic venous insufficiency, and 4% of adults 65 years or older...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p298.pdf

afp20190901p306.pdf

...Case Scenario A 67-year-old woman came to my clinic with uncontrolled hypertension and stage 3 chronic kidney disease. She told me she had not taken her lisinopril because she read on the inter- net that taking lisinopril causes lung cancer. I searched online and found the...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p306.pdf

afp20190915p369.pdf

...Case Scenario Sally is a 78-year-old retired teacher. She has hypertension and uses insulin to treat her diabe- tes mellitus. She lives independently with the help of a hired caregiver who visits three days per week to shop for groceries and cook. Her daughter lives nearby and...

American Family Physician

https://www.aafp.org/afp/2019/0915/afp20190915p369.pdf

afp20191001p391.pdf

...2. Gidding SS, Champagne MA, de Ferrant SD, et al.; Ameri- can Heart Association Atherosclerosis, Hypertension, and Obesity in Young Committee of Council on Cardiovas- cular Disease in Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p391.pdf

afp20191001p392.pdf

...2. Gidding SS, Champagne MA, de Ferrant SD, et al.; Ameri- can Heart Association Atherosclerosis, Hypertension, and Obesity in Young Committee of Council on Cardiovas- cular Disease in Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p392.pdf

afp20191001p396.pdf

...among a set of high-risk conditions more sim- ilar to cancer or cirrhosis than hypertension or controlled asthma. Primary care for opioid use disorder, however, does not generally have care coordination, peer counseling, and other resources to further allow sustainable quality care....

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p396.pdf

afp20191001p403.pdf

...Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy Nicholas LeFevre, MD, and Ellisa Krumm, MD John Peter Smith Hospital Family Medicine Residency Program, Fort Worth, Texas Author disclosure: No relevant financial affiliations. Clinical...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p403.pdf

afp20191001p405.pdf

...Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy Nicholas LeFevre, MD, and Ellisa Krumm, MD John Peter Smith Hospital Family Medicine Residency Program, Fort Worth, Texas Author disclosure: No relevant financial affiliations. Clinical...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p405.pdf

afp20191001p416.pdf

...should be treated as a chronic condition with longitudinal, team-based, patient-centered care. Similar to type 2 diabetes mellitus or hypertension, opioid use disorder has genetic, environmental, and behavioral causes; the disorder responds best to long-term treat- ment with...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p416.pdf

afp20191001p438.pdf

...sometimes forgetful. I manage pretty well with the help of my son, who visits me weekly, and my family doctor, who I see monthly for my hypertension, stomach reflux problems, prediabetes, and high cholesterol. I try to manage my forgetfulness with the help of a pill box so that I...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p438.pdf

afp20191015od1.pdf

...residential lead hazard control measures, or chelation therapy) to improve intermediate (e.g., blood lead levels or gestational hypertension) or health outcomes in pregnant women. As published by the USPSTF. This summary is one in a series excerpted from the Recommendation...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015od1.pdf

afp20191015p463.pdf

...diabetes mellitus, ankle-brachial index less than 0.9, 70% or greater carotid stenosis, at least one carotid plaque, poorly controlled hypertension, hypercholes- terolemia, smoking more than 15 cigarettes per day, or age at least 65 (men) or 70 (women) years. A higher percentage of...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p463.pdf

afp20191015p485.pdf

...Up to 10% of women have elevated blood pressure during pregnancy, including chronic hypertension, gestational hypertension, and preeclampsia. Women with hypertensive disorders of pregnancy should have a follow-up blood pres- sure check within seven days of delivery and be evaluated...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p485.pdf

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

afp20191101p540.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/afp20191101p540.pdf

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