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stroke

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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

afp20210501p547.pdf

...diversion, with the most common reasons being cardiac arrest (57.9%), cardiac symptoms (18.4%), obstetric emergencies (18.0%), and possible stroke (16.4%).7,22 The decision to divert an aircraft is made by the pilot in con- junction with flight dispatch and recommendations from the...

American Family Physician

https://www.aafp.org/afp/2021/0501/afp20210501p547.pdf

afp20210515p580.pdf

...the annual risk of stroke for the patient in the case scenario was incor- rectly listed as 8% instead of 3.2%. The sentence should have read: Mr. H has a 3.2% annual risk of stroke, with less than one-half of that being a risk of a disabling or fatal stroke.1,2,9,12 The online...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p580.pdf

afp20210515p581.pdf

...the annual risk of stroke for the patient in the case scenario was incor- rectly listed as 8% instead of 3.2%. The sentence should have read: Mr. H has a 3.2% annual risk of stroke, with less than one-half of that being a risk of a disabling or fatal stroke.1,2,9,12 The online...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p581.pdf

afp20210515p584.pdf

...the hospi- tal or clinic have led many patients to defer or avoid necessary medical care, with severe con- sequences, including death from strokes, heart attacks, and other acute illnesses.3 However, there may be a silver lining to deferring certain types of routine care.4 For many...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p584.pdf

afp20210515p590.pdf

...for patients in isolation. Studies of patients with heart failure or stroke have shown that telere- habilitation is not inferior to traditional physi- cal therapy.37,38 However, unsupervised exercise and competitive athletics should be avoided during the initial outpatient phase of...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p590.pdf

afp20210515p614.pdf

...stroke, transient ischemic attack, or other neurologic symptoms referable to the carotid arteries. The prevalence of asymptomatic carotid artery steno- sis is low in the general population but increases with age.1 Although asymptomatic carotid artery stenosis is a risk factor for...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p614.pdf

afp20210515p623.pdf

...last visit were within normal limits. He says that he feels well and has no neuro- logic complaints or any other symptoms. His father had a stroke at 68 years of age and was told it was caused by a blocked artery in his neck. The patient asks whether he should be screened for the...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p623.pdf

afp20210515p630.pdf

...stroke, the number needed to treat (NNT) was 67 over 29 months. The cost is $8 per month in Canada and $65 per month in the United States. There was increased noncardiovascular mortal- ity, but no clear pattern with regard to cause of death. (Level of Evidence = 1b) Synopsis...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p630.pdf

afp20210515p630a.pdf

...stroke, the number needed to treat (NNT) was 67 over 29 months. The cost is $8 per month in Canada and $65 per month in the United States. There was increased noncardiovascular mortal- ity, but no clear pattern with regard to cause of death. (Level of Evidence = 1b) Synopsis...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p630a.pdf

afp20210515p631a.pdf

...stroke, the number needed to treat (NNT) was 67 over 29 months. The cost is $8 per month in Canada and $65 per month in the United States. There was increased noncardiovascular mortal- ity, but no clear pattern with regard to cause of death. (Level of Evidence = 1b) Synopsis...

American Family Physician

https://www.aafp.org/afp/2021/0515/afp20210515p631a.pdf

afp20210601p646.pdf

...the DaTscan can differentiate drug-induced Parkinson-like syndromes from actual Parkinson disease. For atypical presentations that mimic stroke or depression, the finding of diminished dopamine transport can redirect the differential diagnosis and treatment back to Parkinson...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p646.pdf

afp20210601p647.pdf

...the DaTscan can differentiate drug-induced Parkinson-like syndromes from actual Parkinson disease. For atypical presentations that mimic stroke or depression, the finding of diminished dopamine transport can redirect the differential diagnosis and treatment back to Parkinson...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p647.pdf

afp20210601p663.pdf

...May indicate stroke, increased likeli- hood of vestibular schwannoma, or intracranial hyper- or hypotension; consider prompt imaging* and neuro- logic evaluation Vascular Detectable bruits over the ear canal or periauricular area, orbits, carotids (neck), or chest May suggest...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p663.pdf

afp20210601p680.pdf

...that 100 mg of aspirin used daily over a five-year period significantly reduced the risk of nonfatal myocardial infarc- tion, nonfatal stroke, pulmonary embolism, major venous thrombosis, or death from cardiovascular causes compared with placebo (3.2% vs. 7.9%; number needed to...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p680.pdf

afp20210601p695.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p695.pdf

afp20210601p695a.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p695a.pdf

afp20210601p696.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p696.pdf

afp20210601p697.pdf

...disease (hazard ratio = 0.89; 95% CI, 0.86 to 0.93) without evidence of heterogeneity, but there was no effect on the risk of stroke (moderate heterogeneity). Study design: Meta-analysis (other) Funding source: Self-funded or unfunded Setting: Various (meta-analysis)...

American Family Physician

https://www.aafp.org/afp/2021/0601/afp20210601p697.pdf

afp20210615p757.pdf

...discourse should occur in a language and at a health literacy level that patients understand. Using relative numbers (e.g., 50% reduction in stroke, as in this patient’s case) is confusing to patients and does not help them understand actual risks and benefits. The use of absolute...

American Family Physician

https://www.aafp.org/afp/2021/0615/afp20210615p757.pdf

afp20210700p14.pdf

...headaches off and on. She attempted to see a specialist for her headaches but was unsuccessful. A few days later, she had an acute stroke. Mary’s experience and the subsequent out- comes are a result of an imbalance in our health care system that is, in many respects, a direct...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p14.pdf

afp20210700p49.pdf

...20. Pervane Vural S, Nakipoglu Yuzer GF, Sezgin Ozcan D, et al. Effects of mirror therapy in stroke patients with com- plex regional pain syndrome type 1: a randomized con- trolled study. Arch Phys Med Rehabil. 2016; 97(4): 575-581. 21. Connolly SB, Prager JP, Harden RN. A...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p49.pdf

afp20210700p63.pdf

...NSAIDs increase the risk of cardiovascular events, including myocardial infarction, stroke, and death, by about 30%.29,30 Even short-term NSAID use is cautioned in patients with a high baseline risk of cardiovascular disease; however, selecting an NSAID associated with a lower car-...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p63.pdf

afp20210700p91.pdf

...serotonin reuptake inhibitors (SSRIs) and risperidone (Risperdal) are moderately effec- tive at decreasing agitation in all types of demen- tia. (Strength of Recommendation [SOR]: A, based on meta-analysis.) Olanzapine (Zyprexa) and risperidone reduce dementia-related agita- tion...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p91.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.

AAFP News : Patient Care

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

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

...stroke ranges from 1 to 20 percent, depending on comorbidities and the patient’s history of cerebrovascular events. Because of the risk of bleeding asso- ciated with antithrombotics such as warfarin (Coumadin) that are used to reduce the inci- dence of atrial fibrillation-related...

American Family Physician

https://www.aafp.org/afp/2013/0515/afp20130515p732.pdf

AHA/ASA Release Guideline on Stroke Prevention in Women

March 1, 2015 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2015/0301/afp20150301p330.pdf

AHA/ASA Release Guideline on Stroke Prevention in Women - Practice Guidelines - ...

Mar 1, 2015 - The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0301/p330.html

Alcohol Misuse - Clinical Evidence Handbook - American Family Physician

Apr 15, 2009 - What are the effects of interventions in hazardous or harmful drinkers in the primary care and emergency department settings?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0415/p692.html

Alcohol-Related Problems: Recognition and Intervention - American Family Physician

Jan 15, 1999 - Early identification of alcohol-related problems is important because these problems are prevalent, pose serious health risks to patients and their families, and are amenable to intervention. Physicians may be able to help patients change their drinking behaviors. The most effective ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p361.html

Alcoholism in the Elderly - American Family Physician

Mar 15, 2000 - Alcohol abuse and alcoholism are common but underrecognized problems among older adults. One third of older alcoholic persons develop a problem with alcohol in later life, while the other two thirds grow older with the medical and psychosocial sequelae of early-onset alcoholism. The ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1710.html

Algorithms - American Family Physician

...Stroke and TIA Substance Abuse Thyroid and parathyroid disorders Tobacco Abuse and dependence Travel medicine Upper Respiratory Tract Infection Urinary tract infections/dysuria Vaginitis Attention Deficit/Hyperactivity Disorder Deep Venous Thrombosis and Pulmonary...

American Family Physician

https://www.aafp.org/afp/algorithms/viewAll.htm

Algorithms - American Family Physician

...Stroke and TIA Substance Abuse Thyroid and parathyroid disorders Tobacco Abuse and dependence Travel medicine Upper Respiratory Tract Infection Urinary tract infections/dysuria Vaginitis Attention Deficit/Hyperactivity Disorder Deep Venous Thrombosis and Pulmonary...

American Family Physician

https://www.aafp.org/afp/algorithms/viewAll.htm?cmpid=afped_ot_pub_afpj_van_alg

Alirocumab (Praluent) for Treatment of Hyperlipidemia - STEPS - American Family Physician

Aug 15, 2016 - Alirocumab is a novel lipid-lowering therapy that is highly effective at lowering LDL cholesterol when used in addition to statin therapy and diet. Its use should be limited to patients with either heterozygous familial hypercholesterolemia or clinical atherosclerotic cardiovascular ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0815/p310.html

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