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Angiotensin Blockade in Patients with Diabetic Nephropathy - FPIN's Clinical Inquiries ...

Aug 1, 2007 - When used to delay the progression of early nephropathy in patients with type 2 diabetes mellitus, angiotensin receptor blockers (ARBs) are not superior to angiotensin-converting enzyme (ACE) inhibitors.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0801/p423.html

Angiotensin II Receptor Antagonists in the Treatment of Hypertension - American Family ...

Sep 15, 1999 - The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-VI) includes recommendations for the assessment of overall cardiovascular risk and the need for active antihypertensive drug therapy. Once the decision to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1185.html

Angiotensin-Converting Enzyme Inhibitors vs. Angiotensin Receptor Blockers

February 1, 2015 Clinical Inquiries

American Family Physician

https://www.aafp.org/afp/2015/0201/afp20150201p193.pdf

Angiotensin-Converting Enzyme Inhibitors vs. Angiotensin Receptor Blockers - FPIN's ...

Feb 1, 2015 - ACE inhibitors should be used in patients with hypertension because they reduce all-cause mortality, whereas ARBs do not.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0201/p193.html

Annular Lesions - Photo Quiz - American Family Physician

Aug 15, 2005 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2005/0815/p671.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Anticoagulant Use in Patients with Risk of Falling - Letters to the Editor - American ...

Apr 15, 2003 - ...I often see patients who are admitted to our nursing homes after sustaining an embolic stroke because of atrial fibrillation who were not given anticoagulation therapy because of a risk of falling. Physicians are obligated to inform our patients of the risks and benefits of...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0415/p1683.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jul 1, 2009 - Although LMWH appears to be more effective than oral anticoagulants in the prevention of recurrent VTE, this does not translate into a survival benefit. LMWH and oral anticoagulants have the same reported adverse events of bleeding and thrombocytopenia.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/0701/p30.html

Anticoagulation in Elderly Persons: A Call for Wider Use - Editorials - American Family...

Jul 1, 1998 - ...adverse effects of bleeding complications, particularly intracranial hemorrhage. Warfarin is most commonly prescribed for the prevention of stroke in patients with atrial fibrillation and for long-term treatment of deep venous thrombosis, as discussed in the article by Ahktar and...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0701/p39.html

Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/0615/p748.html

Anticoagulation: Updated Guidelines for Outpatient Management - American Family Physician

Oct 1, 2019 - Anticoagulation therapy is recommended for preventing, treating, and reducing the recurrence of venous thromboembolism, and preventing stroke in persons with atrial fibrillation. Direct oral anticoagulants are first-line agents for eligible patients for treating venous thromboembolism ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p426.html

Antidepressant Discontinuation Syndrome - American Family Physician

Aug 1, 2006 - Antidepressant discontinuation syndrome occurs in approximately 20 percent of patients after abrupt discontinuation of an antidepressant medication that was taken for at least six weeks. Typical symptoms of antidepressant discontinuation syndrome include flu-like symptoms, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p449.html

Antidepressants and Psychological Therapies Are Effective for IBS - POEMs - American ...

Jan 15, 2015 - Antidepressants and psychological therapies are effective in treating the symptoms of IBS. This study, an update of a similar systematic review and meta-analysis completed five years ago, found the same level of effectiveness for both treatment approaches as the previous analysis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p134.html

Antidepressants for Agitation and Psychosis in Patients with Dementia

...of evidence of increased risk of stroke and death.2-4 In 18 short-term ran- domized controlled trials, atypical antipsy- chotic medications used for the treatment of neuropsychiatric symptoms were associ- ated with three times the risk of stroke and almost twice the risk of death...

American Family Physician

https://www.aafp.org/afp/2012/0101/afp20120101p20.pdf

Antidepressants for Agitation and Psychosis in Patients with Dementia - Cochrane for ...

Jan 1, 2012 - There are few high-quality studies examining the effectiveness of antidepressants for treating the neuropsychiatric symptoms of dementia. Although there is some evidence to support the use of the selective serotonin reuptake inhibitors (SSRIs) sertraline (Zoloft) and citalopram ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0101/p20.html

Antihypertensive Treatment and CHD in the Elderly - Letters to the Editor - American ...

Sep 15, 1999 - ...1. SHEP Cooperative Research Group. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension. Final results of the Systolic Hypertension in the Elderly Program (SHEP). JAMA. 1991;265:3255–64.... 2. Hansson L, Zanchetti A,...

American Family Physician : Letter

https://www.aafp.org/afp/1999/0915/p1102.html

Antioxidant Vitamins and the Prevention of Coronary Heart Disease - American Family ...

Sep 1, 1999 - Clinical use of antioxidant vitamin supplementation may help to prevent coronary heart disease (CHD). Epidemiologic studies find lower CHD morbidity and mortality in persons who consume larger quantities of antioxidants in foods or supplements. Clinical trials indicate that ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p895.html

Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ... Restricted content. Login required.

Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0301/od1.html

Antiplatelet Therapy and Anticoagulation in Patients with Hypertension - Cochrane for ...

Mar 1, 2005 - Antiplatelet agents should not be used in patients with hypertension and no previous history of heart attack or stroke. However, these agents are recommended for use in hypertensive patients who already have vascular disease. Anticoagulants should not be used for prevention of vascular ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0301/p897.html

Antiplatelet vs. Anticoagulation Therapy for Patients with Heart Failure in Sinus ...

Aug 1, 2017 - Heart failure increases the risk of thrombotic complications, but use of warfarin does not lower all-cause mortality more than aspirin in patients with heart failure with reduced ejection fraction in sinus rhythm.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0801/p160.html

Antiretroviral Prophylaxis for Occupational Exposure to HIV - Cochrane for Clinicians -...

Aug 1, 2007 - The literature shows that acarbose can reduce the risk of type 2 diabetes in patients with impaired glucose tolerance or impaired fasting glucose. However, it is unclear whether the drug stops or delays the development of the disease or masks the diagnosis. There is no evidence that ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0801/p375.html

Aortic Stenosis: Diagnosis and Treatment

...needed to provide sufficient LV diastolic fill- ing and to support adequate stroke volume.9 As aortic stenosis worsens, these adaptations become inadequate to overcome the outflow obstruction and maintain systolic function.10 Impaired systolic function, alone or com- bined with...

American Family Physician

https://www.aafp.org/afp/2016/0301/afp20160301p371.pdf

Aortic Stenosis: Diagnosis and Treatment - American Family Physician

Mar 1, 2016 - Aortic stenosis affects 3% of persons older than 65 years. Although survival in asymptomatic patients is comparable to that in age- and sex-matched control patients, it decreases rapidly after symptoms appear. During the asymptomatic latent period, left ventricular hypertrophy and ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0301/p371.html

Aortic Stenosis: Diagnosis and Treatment - American Family Physician

Sep 15, 2008 - Aortic stenosis is the most important cardiac valve disease in developed countries, affecting 3 percent of persons older than 65 years. Although the survival rate in asymptomatic patients with aortic stenosis is comparable to that in age- and sex-matched control patients, the average ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p717.html

Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - STEPS - American ...

Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/0415/p672.html

Apolipoprotein Measurement for Cardiovascular Risk Assessment

...than low-density lipoprotein cholesterol. Elevated levels of apolipopro- tein A-I predict a lower risk of cardiovascu- lar events except stroke, but not as well as elevated HDL-C levels. Evidence Summary Apolipoproteins are structural components of lipoproteins and have a role in...

American Family Physician

https://www.aafp.org/afp/2014/0415/afp20140415od2.pdf

Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...

Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0415/od2.html

Apophysitis and Osteochondrosis: Common Causes of Pain in Growing Bones - American ...

May 15, 2019 - Apophysitis and osteochondrosis are common causes of pain in growing bones but have differing etiologies and required management. Apophysitis results from a traction injury to the cartilage and bony attachment of tendons in children and adolescents. Most often it is an overuse injury in...

American Family Physician : Article

https://www.aafp.org/afp/2019/0515/p610.html

Approach to Acute Headache in Adults - American Family Physician

May 15, 2013 - Approximately one-half of the adult population worldwide is affected by a headache disorder. The International Headache Society classification and diagnostic criteria can help physicians differentiate primary headaches (e.g., tension, migraine, cluster) from secondary headaches (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0515/p682.html

Approach to Vaso-occlussive Crisis in Adults with Sickle Cell Disease - American Family...

Mar 1, 2000 - The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Acute episodes of severe pain (crises) are the primary reason that these patients seek medical care in hospital emergency departments. Frequently, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1349.html

Appropriate and Safe Use of Diagnostic Imaging

...clinical conditions can reduce these risks. Although noncontrast CT of the head is needed to rule out bleeding in patients with suspected stroke within the first three hours of symptom onset, diffusion-weighted imaging with magnetic resonance of the head and neck is superior to CT...

American Family Physician

https://www.aafp.org/afp/2013/0401/afp20130401p494.pdf

Appropriate and Safe Use of Diagnostic Imaging - American Family Physician

Apr 1, 2013 - Risks of diagnostic imaging include cancer from radiation exposure and nephrogenic systemic fibrosis. The increase in volume of imaging between 1980 and 2006 has led to a sixfold increase in annual per capita radiation exposure. It is predicted that 2 percent of future cancers will be ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0401/p494.html

Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease

...daily aspirin therapy may not decrease the risk of acute myocardial infarction in women, although there was a 17 percent decreased risk of stroke.10 Currently, two large, international randomized controlled trials (n > 10,000) are investigating the benefit of daily aspirin therapy...

American Family Physician

https://www.aafp.org/afp/2011/0615/afp20110615p1380.pdf

Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease

...myocardial infarction in men (odds ratio = 0.68; 95% CI, 0.54 to 0.86; P = .001), whereas it is associ- ated with a 17 percent reduction of stroke in women (odds ratio = 0.83; 95% CI, 0.70 to 0.97; P = .02). However, aspirin use does not affect total mortality in either sex, perhaps...

American Family Physician

https://www.aafp.org/afp/2011/0615/afp20110615p1387.pdf

Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease - Editorials: ...

Jun 15, 2011 - The factor most strongly associated with appropriate aspirin use is a conversation between the patient and physician. The National Committee for Quality Assurance has proposed that health plans measure their members' use of aspirin, as well as the extent to which physicians discuss ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1380.html

Appropriate Indications for Administration of tPA - Letters to the Editor - American ...

Aug 1, 2005 - ...to the editor: I would like to clarify some of the recommendations from the article, Transient Ischemic Attacks: Part I. Diagnosis and Evaluation,1 that appeared in American Family Physician. The authors advocate early referral to the emergency department for evaluation and...

American Family Physician : Letter

https://www.aafp.org/afp/2005/0801/p381.html

Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Sep 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/0915/p335.html

April 1, 1998 - American Family Physician

...American Heart Association Issues Guidelines on Imaging in Transient Ischemic Attacks and Stroke Sharon Scott Morey ACOG Issues Report on the Management of Post-term Pregnancy Verna L. Rose Letters to the Editor Comparing Family Physicians: Canada and the United States...

American Family Physician

https://www.aafp.org/afp/1998/0401/

April 1, 2002 - American Family Physician

...HRT and Stroke Risk After Acute Myocardial Infarction Use of Naltrexone to Maintain Sobriety in Alcoholics Angiotensin Receptor Blockers in Standard CHF Therapy Antioxidants, Niacin, and Simvastatin in CHD Do NSAIDs Have a Protective Effect in Alzheimer's Disease?...

American Family Physician

https://www.aafp.org/afp/2002/0401/

April 1, 2004 - American Family Physician

...Transient Ischemic Attacks: Part I. Diagnosis and Evaluation Nina J. Solenski Transient Ischemic Attacks: Part II. Treatment Nina J. Solenski Evaluation and Management of Suspected Retinal Detachment Ray F. Gariano; Chang-Hee Kim Atypical Pathogens and Challenges in...

American Family Physician

https://www.aafp.org/afp/2004/0401/

April 1, 2006 - American Family Physician

...After Stroke: 2 Percent Rate of Annual MI and Death Clinical Evidence Handbook Herniated Lumbar Disk Jo Jordan; Tamara Shawver Morgan; James Weinstein; Kika Konstantinou Practice Guidelines NAMDRC Recommendations for Prolonged Mechanical Ventilation Amber Randel...

American Family Physician

https://www.aafp.org/afp/2006/0401/

April 1, 2007 - American Family Physician

...Constraining Healthy Limb Helps Function After Stroke Statins Beneficial for Heart Failure Patients Pain Relief vs. Antibiotics in Patients with Pharyngitis Is Pelvic Organ Prolapse Caused by Vaginal Delivery? Fluticasone with HFA Is Effective in Preschool-Age...

American Family Physician

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

April 1, 2008 - American Family Physician

...Aspirin vs. Warfarin for Stroke Prevention in Older Patients Is Short-term Therapy Effective for Treating Latent TB in Children? POEMS U.S. Preventive Services Task Force Screening for Carotid Artery Stenosis: Recommendation Statement Practice Guidelines AAN...

American Family Physician

https://www.aafp.org/afp/2008/0401/

April 1, 2019 - American Family Physician

...Cochrane for Clinicians: Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD John W. Lax; Racheal Wood; Christopher E. Jonas AFP Clinical Answers: Testicular Cancer, Onset of Labor, Respiratory Tract...

American Family Physician

https://www.aafp.org/afp/2019/0401/

April 1, 2021 - American Family Physician

...In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation Letters to the Editor Case Report: Chest-Wall Lump Yields a Surprising...

American Family Physician

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

April 1, 2021 - American Family Physician

...In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation Letters to the Editor Case Report: Chest-Wall Lump Yields a Surprising...

American Family Physician

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

April 15, 1998 - American Family Physician

...Identifying and Treating Actue Ischemic Stroke Diagnosis of Insufficiency Fracture in the Elderly Safety of Naltrexone for the Treatment of Alcoholism Diagnostic Value of Cardiac Troponin in Acute Chest Pain Predicting Treatment Outcome in Chronic Hepatitis C Use...

American Family Physician

https://www.aafp.org/afp/1998/0415/

April 15, 1999 - American Family Physician

...Reducing the Risk of Stroke in Women with Migraine Respiratory Syncytial Virus: A Cause of Acute Otitis Media Determining Need for Imaging in Young Children After a Fall Home Exercise for Elderly Persons with Disabilities Maternal and Neonatal Injury with High...

American Family Physician

https://www.aafp.org/afp/1999/0415/

April 15, 2001 - American Family Physician

...Secondary Prevention of TIA and Stroke Effect of Gingko Therapy in Elderly Persons with Dementia POEMS Patient Information How to Stay Out of the Hospital if You Have Congestive Heart Failure Preventing Dog Bites Dyspareunia: What it Might Mean for You Strep...

American Family Physician

https://www.aafp.org/afp/2001/0415/

April 15, 2004 - American Family Physician

...Ximelagatran and Risk of Stroke in Atrial Fibrillation Care Recommendation Letter for Somatization Disorder Annual Proteinuria Screening Is Not Cost-Effective U.S. Preventive Services Task Force Screening for Obesity in Adults: Recommendations and Rationale...

American Family Physician

https://www.aafp.org/afp/2004/0415/

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