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stroke

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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

Update on the Management of Chronic Kidney Disease - American Family Physician

Oct 15, 2012 - Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1015/p749.html

Complications of HIV Infection: A Systems-Based Approach - American Family Physician

Feb 15, 2011 - Patients with human immunodeficiency virus (HIV) infection often develop multiple complications and comorbidities. Opportunistic infections should always be considered in the evaluation of symptomatic patients with advanced HIV/AIDS, although the overall incidence of these infections ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p395.html

Diastolic Heart Failure: The Challenges of Diagnosis and Treatment - American Family ...

Jun 1, 2004 - Diastolic heart failure, a major cause of morbidity and mortality, is defined as symptoms of heart failure in a patient with preserved left ventricular function. It is characterized by a stiff left ventricle with decreased compliance and impaired relaxation, which leads to increased end...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2609.html

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2021 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2021/0515/p614.html

Treatment of Knee Osteoarthritis - American Family Physician

Jun 1, 2011 - Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1287.html

Screening for Asymptomatic Carotid Artery Stenosis - Putting Prevention into Practice -... Restricted content. Login required.

May 15, 2021 - A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0515/p623.html

Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption -...

Jun 1, 2020 - Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0601/p646.html

Management of Falls in Older Persons: A Prescription for Prevention - American Family ...

Dec 1, 2011 - Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1267.html

Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ... Restricted content. Login required.

Jun 15, 2021 - 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/2021/0615/p757.html

Top 20 Research Studies of 2011 for Primary Care Physicians - American Family Physician

Nov 1, 2012 - In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p835.html

The AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with ...

January 15, 2015 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2015/0115/afp20150115p136.pdf

Health Effects of Garlic - American Family Physician

Jul 1, 2005 - Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p103.html

Diagnosis, Initial Management, and Prevention of Meningitis - American Family Physician

Dec 15, 2010 - Although the annual incidence of bacterial meningitis in the United States is declining, it remains a medical emer- gency with a potential for high morbidity and mortality. Clinical signs and symptoms are unreliable in distinguishing bacterial meningitis from the more common forms of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1491.html

Treatment of Vertigo - American Family Physician

Mar 15, 2005 - Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1115.html

Cerebrospinal Fluid Analysis - American Family Physician

Sep 15, 2003 - Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1103.html

Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS - ...

Jan 15, 2020 - This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0115/p123.html

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology... Restricted content. Login required.

Jan 15, 2021 - The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0115/p120.html

Perioperative Cardiac Risk Reduction - American Family Physician

Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p239.html

Implementing Advance Directives in Office Practice - American Family Physician

Mar 1, 2012 - Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician’s office involves more than ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p461.html

Using DaTscan to Diagnose Parkinson Disease - Letters to the Editor - American Family ...

Jun 1, 2021 - ...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 : Letter

https://www.aafp.org/afp/2021/0601/p647.html

Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic - Editorials...

May 15, 2021 - How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0515/p584.html

Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...

Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p265.html

Management of Erectile Dysfunction - American Family Physician

Feb 1, 2010 - Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age and affects up to one third of men throughout their lives. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. History and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p305.html

Decreasing the Morbidity, Mortality, and Cost of Stroke Through Awareness and ...

Dec 15, 2003 - ...the Morbidity, Mortality, and Cost of Stroke Through Awareness and Prevention MARGARET GRADISON, M.D., Duke University Medical Center, Durham, North Carolina Am Fam Physician. 2003 Dec 15;68(12):2335-2340. Related Article Stroke is a significant medical problem that affects more...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/1215/p2335.html

Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic ...

Oct 1, 2003 - Aspirin has a small benefit for long-term outcome and survival. Anticoagulants increase the risk for bleeding and do not have long-term benefit.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/1001/p1307.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Now More Than Ever, Mental Health Care Needs Family Medicine -- FPM

Jun 1, 2021 - With the stress of the pandemic exacerbating patients’ health issues, primary care physicians have an unparalleled opportunity to address both their physical and their mental health needs.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/oa1.html

Colchicine Reduces MI and Revascularization in Patients with Established Coronary ... Restricted content. Login required.

May 15, 2021 - Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p631a.html

Sex-Based Differences in Drug Activity - American Family Physician

Dec 1, 2009 - Physiologic differences between men and women affect drug activity, including pharmacokinetics and pharmacodynamics. Pharmacokinetics in women is affected by lower body weight, slower gastrointestinal motility, less intestinal enzymatic activity, and slower glomerular filtration rate. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1254.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

Apr 1, 2005 - Muscle weakness is a common complaint among patients presenting to family physicians. Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. The pattern ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1327.html

ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD...

Aug 15, 2014 - The Blood Cholesterol Expert Panel from the American College of Cardiology (ACC) and the American Heart Association (AHA) issued an updated evidence-based guideline in 2013 that addresses the use of fixed doses of cholesterol-lowering drugs (statins) to reduce the risk of ASCVD in ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0815/p260.html

Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for...

Mar 15, 2021 - The USPSTF recommends offering or referring adults with cardiovascular disease (CVD) risk factors to behavioral counseling interventions to promote a healthy diet and physical activity.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2021/0315/p366.html

Long COVID: A Primer for Family Physicians - Editorials - American Family Physician

Dec 15, 2020 - As the United States struggles with a prolonged wave of acute coronavirus disease 2019 (COVID-19; see article recently published in American Family Physician), family physicians need to be prepared to care for patients presenting with postacute (one to three months) or chronic (beyond ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1215/p716.html

Stroke: Strategies for Primary Prevention - American Family Physician

...risk factors for ischemic stroke are listed in Table 1.3-8 Until the results of definitive studies are available, the roles of other potential risk factors (e.g., homo- cysteine) remain controversial. Strategies for Primary Prevention Various stroke prevention strategies,...

American Family Physician

https://www.aafp.org/afp/2003/1215/afp20031215p2379.pdf

Transient Ischemic Attacks: Part I. Diagnosis and Evaluation - American Family Physician

...first four days after the TIA. Notably, of the patients with TIA who returned to the emergency depart- ment with stroke (10.5 percent), approxi- mately one half had the stroke within the first 48 hours after the initial TIA. In 2.6 percent of patients with TIA, hospi- talization was...

American Family Physician

https://www.aafp.org/afp/2004/0401/afp20040401p1665.pdf

Transient Ischemic Attacks: Part II. Treatment - American Family Physician

...TIA or Stroke. Typically, blood pressure low- ers without treatment in the first two weeks after a stroke. Therefore, it is rational to wait two weeks before continuing or beginning antihypertensive drug therapy. In the patient found to have high blood pressure after a stroke or...

American Family Physician

https://www.aafp.org/afp/2004/0401/afp20040401p1681.pdf

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

Subacute Management of Ischemic Stroke

...Subacute Management of Ischemic Stroke CHRISTOPHER R. BERNHEISEL, MD; JEFFREY D. SCHLAUDECKER, MD; and KATELYN LEOPOLD, MD Christ Hospital/University of Cincinnati Family Medicine Residency, Cincinnati, Ohio I schemic stroke, which includes throm­ botic and embolic subtypes, is...

American Family Physician

https://www.aafp.org/afp/2011/1215/afp20111215p1383.pdf

Rivaroxaban vs. Warfarin for Stroke Prevention in Patients with Nonvalvular Atrial ...

...How does rivaroxaban (Xarelto) compare with warfarin (Coumadin) for stroke prevention in patients with nonvalvular atrial fibrillation? Andrea: Atrial fibrillation occurs with increas- ing prevalence as the patient population ages. The overall prevalence is estimated at 0.4 to 1...

American Family Physician

https://www.aafp.org/afp/2012/0315/afp20120315p577.pdf

Transient Ischemic Attack: The Rules Have Changed

...ischemic attack (TIA) is, and how to evaluate for it, think again. This scientific statement snuck past a lot of us and its impli- cations are far-reaching. The guideline includes three game chang- ers for all physicians: • It revises the definition of TIA • It recommends that...

American Family Physician

https://www.aafp.org/afp/2012/0615/afp20120615p1179.pdf

Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment

...Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment B. BRENT SIMMONS, MD; ANNETTE B. GADEGBEKU, MD; and BARBARA CIRIGNANO, MD Drexel University College of Medicine, Philadelphia, Pennsylvania F ollowing a transient ischemic attack (TIA), the focus of...

American Family Physician

https://www.aafp.org/afp/2012/0915/afp20120915p527.pdf

Insulin for Glycemic Control in Acute Ischemic Stroke

...Insulin for Glycemic Control in Acute Ischemic Stroke AARON SAGUIL, MD, MPH, FAAFP, and MATTHEW PFLIPSEN, MD Clinical Question In patients with acute ischemic stroke, is glycemic control with insulin effective in decreasing death and disability? Evidence-Based Answer...

American Family Physician

https://www.aafp.org/afp/2012/1201/afp20121201p1008.pdf

Insulin for Glycemic Control in Acute Ischemic Stroke

...Insulin for Glycemic Control in Acute Ischemic Stroke AARON SAGUIL, MD, MPH, FAAFP, and MATTHEW PFLIPSEN, MD Clinical Question In patients with acute ischemic stroke, is glycemic control with insulin effective in decreasing death and disability? Evidence-Based Answer...

American Family Physician

https://www.aafp.org/afp/2012/1201/afp20121201p1009.pdf

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

Recurrent Ischemic Stroke: Strategies for Prevention

October 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001p436.pdf

Stroke: How to Recognize It and What to Do About It

...Stroke: How to Recognize It and What to Do About It What is a stroke? A stroke is like a brain attack. In a heart attack, not enough blood gets to the heart muscle. In a stroke, not enough blood gets to the brain. Parts of the brain can die if blood is cut off for more than a couple...

American Family Physician

https://www.aafp.org/afp/2015/0415/afp20150415p528-s1.pdf

Managing Hypertension Using Combination Therapy - American Family Physician

May 1, 2008 - Combination therapy of hypertension with separate agents or a fixed-dose combination pill offers the potential to lower blood pressure more quickly, obtain target blood pressure, and decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1279.html

Better Primary Care Continuity Is Associated with Lower Mortality Risk - POEMs - ... Restricted content. Login required.

Mar 1, 2021 - Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311a.html

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