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Cholesterol - American Family Physician

Apr 15, 2003 - ...While some cholesterol is needed for good health, too much cholesterol in your blood can raise your risk of having a heart attack or stroke. The extra cholesterol in your blood may be stored in your arteries (blood vessels) and cause them to narrow. This is called atherosclerosis....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/0415/p1775.html

Cholesterol Management: ACC/AHA Updates Guideline - Practice Guidelines - American ...

May 1, 2019 - The American College of Cardiology/American Heart Association (ACC/AHA) task force on clinical practice guidelines has updated its 2013 cholesterol guideline.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0501/p589.html

Cholesterol Treatment Guidelines Update -- American Family Physician

...1. American Heart Association. Heart and stroke sta- tistical update. Dallas: American Heart Association, 1997. 2. Levine GN, Keaney JF Jr., Vita JA. Cholesterol reduction in cardiovascular disease. Clinical bene- fits and possible mechanisms. N Engl J Med 1995; 332:512-21....

American Family Physician

https://www.aafp.org/afp/2002/0301/afp20020301p871.pdf

Chondroitin/Glucosamine Equal to Celecoxib for Knee Osteoarthritis - POEMs - American ...

Jun 15, 2016 - or patients with painful knee osteoarthritis, a high-dose combination of glucosamine hydrochloride (1,500 mg) and chondroitin (1,200 mg) was as effective in lessening pain and stiffness and improving function as celecoxib (200 mg). Other studies have not found benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0615/p1032.html

Choosing Between Warfarin (Coumadin) and Aspirin Therapy for Patients with Atrial ...

Jun 15, 2005 - Pooled data from randomized trials show that warfarin reduces the risk of stroke from 4.5 percent to 1.4 percent per year in patients with nonvalvular atrial fibrillation and no history of stroke or transient ischemic attack (TIA).

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0615/p2348.html

Choosing Drug Therapy for Patients with Hyperlipidemia - American Family Physician

Jun 1, 2000 - Almost 13 million American adults require drug therapy to meet the low-density lipoprotein goals set by the National Cholesterol Education Program. Attempts to achieve these goals through diet and exercise are often unsuccessful. Major studies in recent years have demonstrated that ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3371.html

Choosing First-Line Therapy for Management of Type 2 Diabetes - AFP Journal Club - ...

Jan 1, 2008 - Which controls type 2 diabetes best at five years: rosiglitazone, metformin, or glyburide? Metformin should be the first-line drug for managing type 2 diabetes. Insulin and sulfonylureas should be second line, and glitazones should be reserved for third line.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0101/p16.html

Choosing Wisely: Avoid CT of the head in asymptomatic adult patients in the emergency ...

Avoid CT of the head in asymptomatic adult patients in the emergency department with syncope, insignificant trauma, and a normal neurological evaluation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=222

Choosing Wisely: Avoid transfusions of red blood cells for arbitrary hemoglobin or ...

Avoid transfusions of red blood cells for arbitrary hemoglobin or hematocrit thresholds and in the absence of symptoms or active coronary disease, heart failure, or stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=31

Choosing Wisely: Avoid use of ultrasound for routine surveillance of carotid arteries ...

Avoid use of ultrasound for routine surveillance of carotid arteries in the asymptomatic healthy population at any time.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=237

Choosing Wisely: Don’t initiate antihypertensive treatment in individuals ≥ 60 years of...

Don’t initiate antihypertensive treatment in individuals ≥ 60 years of age for systolic blood pressure < 150 mm Hg or diastolic blood pressure < 90 mm Hg.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=267

Choosing Wisely: Don’t initiate routine evaluation of carotid artery disease prior to ...

Don’t initiate routine evaluation of carotid artery disease prior to cardiac surgery in the absence of symptoms or other high-risk criteria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=86

Choosing Wisely: Don’t order a homocysteine assay as part of the thrombophilia workup. ...

Don’t order a homocysteine assay as part of the thrombophilia workup.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=493

Choosing Wisely: Don’t order continuous telemetry monitoring outside of the intensive ...

Don’t order continuous telemetry monitoring outside of the intensive care unit without using a protocol that governs continuation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=11

Choosing Wisely: Don’t order formal swallow evaluation in stroke patients unless they ...

Don’t order formal swallow evaluation in stroke patients unless they fail their initial swallow screen.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=325

Choosing Wisely: Don’t perform CT imaging for headache when MRI is available, except in...

Don’t perform CT imaging for headache when MRI is available, except in emergency settings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=158

Choosing Wisely: Don’t routinely order a screening ECG as part of a sports ...

Don’t routinely order a screening ECG as part of a sports preparticipation examination in asymptomatic, otherwise healthy patients with no personal or family history of cardiac disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=452

Choosing Wisely: Don’t routinely screen for brain aneurysms in asymptomatic patients ...

Don’t routinely screen for brain aneurysms in asymptomatic patients without a family or personal history of brain aneurysms, subarachnoid hemorrhage, or genetic disorders that may predispose to aneurysm formation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=208

Choosing Wisely: Don’t routinely use seizure prophylaxis in patients following ischemic...

Don’t routinely use seizure prophylaxis in patients following ischemic stroke.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=209

Choosing Wisely: Don’t screen for carotid artery stenosis in asymptomatic adult ...

Don’t screen for carotid artery stenosis in asymptomatic adult patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=68

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=26

Choosing Wisely: Don’t use slings for individuals with a hemiplegic arm that place the ...

Don’t use slings for individuals with a hemiplegic arm that place the arm in a flexor pattern for extended periods of time.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=490

Choosing Wisely: Don’t use two or more medications that are known to increase the risk ...

Don’t use two or more medications that are known to increase the risk of bleeding without evaluating the potential risks and benefits. These medications include direct oral anticoagulants, warfarin, aspirin, selective serotonin reuptake inhibitors (SSRIs), antiplatelet agents, NSAIDs, ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=486

Choosing Wisely: More Good Clinical Recommendations - American Family Physician

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and Reduce Harm

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/search.htm

Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and ...

Aug 1, 2013 - The Choosing Wisely campaign provides key clinical recommendations for physicians and patients that promote best practices and help avoid unnecessary medical interventions.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0801/p164.html

Choosing Wisely: Top Interventions to Improve Health and Reduce Harm, While Lowering Costs

...All statins are effective in decreasing mortality, heart attacks, and strokes when dose is titrated to effect appropriate LDL cholesterol reduction Switch to more expensive brand-name statins (atorvastatin [Lipitor] or rosuvastatin [Crestor]) only if generic statins cause...

American Family Physician

https://www.aafp.org/afp/2012/0715/afp20120715p128.pdf

Choosing Wisely: Top Interventions to Improve Health and Reduce Harm, While Lowering ...

Jul 15, 2012 - Initially sponsored by nine medical specialty societies, the campaign consists of specialty-specific top-five lists of common tests and procedures that are often performed unnecessarily, when they are not likely to improve a patient's health. The primary focus of the campaign is to ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0715/p128.html

choosing-wisely-table.pdf

...with ischemic stroke. Stroke. 2007;38(5):1655-711. ACC/AHA guidelines Cardio- vascular Don't perform routine annual stress testing after coronary artery revascularization. Society of Nuclear Medicine and Molecular Imaging Routine annual stress...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/choosing-wisely-table.pdf

Chronic Atrial Fibrillation - Clinical Evidence Handbook - American Family Physician

Oct 15, 2012 - What are the effects of oral medical treatments to control heart rate in patients with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for patients with persistent nonvalvular atrial fibrillation?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/1015/p757.html

Chronic Conditions Online CME Course | AAFP

Gain a wide-ranging overview of family medicine-specific content related to chronic conditions with this AAFP self-study CME course. Earn 29.25 CME credits.

CME : All CME Products

https://www.aafp.org/cme/all/chronic-conditions/self-study.html

Chronic Critical Limb Ischemia: Diagnosis, Treatment and Prognosis - American Family ...

Apr 1, 1999 - Chronic critical limb ischemia is manifested by pain at rest, nonhealing wounds and gangrene. Ischemic rest pain is typically described as a burning pain in the arch or distal foot that occurs while the patient is recumbent but is relieved when the patient returns to a position in which...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1899.html

Chronic Daily Headache: Diagnosis and Management

...Hemorrhagic stroke Presence of systemic symptoms (i.e., weight loss, fevers, myalgias) Giant cell arteritis, meningitis, encephalitis Recent pregnancy Postpartum preeclampsia Information from references 3 and 6. Table 3. Secondary Causes of Headache Type Examples...

American Family Physician

https://www.aafp.org/afp/2014/0415/afp20140415p642.pdf

Chronic Daily Headache: Diagnosis and Management - American Family Physician

Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p642.html

Chronic Illness and Sexual Functioning - American Family Physician

Jan 15, 2003 - Chronic illness and its treatments can have a negative impact on sexual functioning. The mechanism of interference may be neurologic, vascular, endocrinologic, musculoskeletal, or psychologic. Patients may mistakenly perceive a medical prohibition to the resumption of sexual activity, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p347.html

Chronic Kidney Disease - American Family Physician

Nov 15, 2004 - ...Previous: Risk of Recurrent Stroke with Patent Foramen Ovale and Atrial Septal Aneurysm Next: Hyperbaric Oxygen to Treat Malignant External Otitis View the full table of contents >> Home / Journals / afp / Vol. 70/No. 10(November 15, 2004) / Chronic Kidney Disease...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/1115/p1929.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Nov 15, 2011 - Chronic kidney disease affects an estimated 27 million adults in the United States, and is associated with significantly increased risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1138.html

Chronic Neck Pain - Photo Quiz - American Family Physician

Apr 1, 2009 - 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/2009/0401/p595.html

Chronic Neck Pain: Nonpharmacologic Treatment - Implementing AHRQ Effective Health Care...

Aug 1, 2019 - Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain for at least one month?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0801/p180.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Clarification for Apixaban Dosing in Patients with Impaired Renal Function - Letters to...

Apr 15, 2018 - ...(anti–factor Xa activity) data.2,3 The dosing the authors list in Table 1 is most similar to dosing guidelines for reduction of the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. However, t hat recommendation requires an adjustment to the...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0415/p496.html

Classification of Tremor and Update on Treatment - American Family Physician

Mar 15, 1999 - Tremor is a symptom of many disorders, including Parkinson's disease, essential tremor, orthostatic tremor, cerebellar disease, peripheral neuropathy and alcohol withdrawal. Tremors may be classified as postural, rest or action tremors. Symptomatic treatment is tailored to the tremor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1565.html

Clincal Briefs - Clinical Briefs - American Family Physician

Nov 1, 1998 - ...has been approved by the U.S. Food and Drug Administration. Pravastatin is now approved for use in reducing the risk of stroke or transient ischemic attacks (TIAs) in patients who have had a previous myocardial infarction and have normal cholesterol levels. In 1996, pravastatin was...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1998/1101/p1688.html

Clinical Briefs - Apr 1, 2001 - American Family Physician

Apr 1, 2001 - ...an expanded indication for ramipril (Altace) to reduce the risk of stroke, myocardial infarction and death from cardiovascular causes in patients 55 years and older with a history of coronary artery disease, stroke or peripheral vascular disease, or with diabetes and one other...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0401/p1433.html

Clinical Briefs - Apr 1, 2002 - American Family Physician

Apr 1, 2002 - ...with substantial morbidity and mortality. Persons with diabetes have increased rates of death from heart disease, and increased risk of stroke, blindness, and renal disease. Morbidity and mortality from diabetes can best be minimized through primary prevention. The Task Force has...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0401/p1468.html

Clinical Briefs - Apr 15, 2002 - American Family Physician

Apr 15, 2002 - ...toxin-A include spasmodic torticollis, focal hand dystonia, spasmodic dysphonia, dynamic contracture in patients with cerebral palsy, post-stroke spasticity myofascial pain syndrome, and chronic low-back pain. The FDA has already approved botulinum toxin-A for the treatment of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2002/0415/p1690.html

Clinical Briefs - Apr 15, 2004 - American Family Physician

Apr 15, 2004 - ...The American Heart Association (AHA) has released new guidelines on the prevention of heart disease and stroke based on a woman's individual cardiovascular health. Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women appears in the February 10, 2004, issue of...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0415/p2018.html

Clinical Briefs - Aug 01, 1999 - American Family Physician

Aug 1, 1999 - ...Report on Treatment of Acute Ischemic Stroke The Health Technology Advisory Committee (HTAC) has published a report on the treatment of acute ischemic stroke (brain attack). HTAC was established in 1992 by the Minnesota state legislature. It is an independent, nonpartisan advisory...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/1999/0801/p672.html

Clinical Briefs - Aug 1, 2000 - American Family Physician

Aug 1, 2000 - ...the leading causes of hospitalization of patients who are initially seen in the emergency department include pneumonia, heart disease, stroke, chronic obstructive lung disease, asthma and septicemia. The report also illustrates that regardless of how they were admitted, more than...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2000/0801/p666.html

Clinical Briefs - Aug 1, 2001 - American Family Physician

Aug 1, 2001 - ...Previous: American Heart Association Scientific Statement on the Primary Prevention of Ischemic Stroke Next: A Case of Physician Burnout View the full table of contents >> Home / Journals / afp / Vol. 64/No. 3(August 1, 2001) / Clinical Briefs: Clinical Briefs...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0801/p516.html

Clinical Briefs - Aug 1, 2003 - American Family Physician

Aug 1, 2003 - ...The athlete's physician should devise a careful return-to-play strategy should the athlete experience exertional heat stroke, heat exhaustion, or exertional hyponatremia. Physician clearance is strongly recommended in all cases of exertional hyponatremia. In cases of heat...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0801/p561.html

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