Hypertension - American Family Physician
Mar 15, 2020 - This collection features AFP content on hypertension and related issues, including pharmacologic and non-pharmacologic therapies, and blood pressure monitoring and screening. This collection features AFP content on hypertension and related issues, including pharmacologic and ...
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12
Secondary Hypertension: Discovering the Underlying Cause - American Family Physician
Oct 1, 2017 - Most patients with hypertension have no clear etiology and are classified as having primary hypertension. However, 5% to 10% of these patients may have secondary hypertension, which indicates an underlying and potentially reversible cause. The prevalence and potential etiologies of ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p453.html
Severe Asymptomatic Hypertension: Evaluation and Treatment - American Family Physician
Apr 15, 2017 - Hypertension affects one-third of Americans and is a significant modifiable risk factor for cardiovascular disease, stroke, renal disease, and death. Severe asymptomatic hypertension is defined as severely elevated blood pressure (180 mm Hg or more systolic, or 110 mm Hg or more ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0415/p492.html
Managing Hypertension Using Combination Therapy - American Family Physician
Mar 15, 2020 - More than 70% of adults treated for primary hypertension will eventually require at least two antihypertensive agents, either initially as combination therapy or as add-on therapy if monotherapy and lifestyle modifications do not achieve adequate blood pressure control. Four main ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p341.html
Pulmonary Hypertension: Diagnosis and Treatment - American Family Physician
Sep 15, 2016 - Pulmonary hypertension is a common, complex group of disorders that result from different pathophysiologic mechanisms but are all defined by a mean pulmonary arterial pressure of 25 mm Hg or greater. Patients often initially present to family physicians; however, because the symptoms ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0915/p463.html
Nonpharmacologic Management of Hypertension: What Works? - American Family Physician
Jun 1, 2015 - Hypertension is one of the most common conditions encountered in primary care. Nonpharmacologic strategies have been shown to help lower blood pressure. Lifestyle modifications are recommended for all patients with hypertension. The American Heart Association/American College of ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0601/p772.html
Common Questions About the Initial Management of Hypertension - American Family Physician
Feb 1, 2015 - Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0201/p172.html
Diagnosis of Secondary Hypertension: An Age-Based Approach - American Family Physician
Dec 15, 2010 - Secondary hypertension is a type of hypertension with an underlying, potentially correctable cause. A secondary etiology may be suggested by symptoms (e.g., flushing and sweating suggestive of pheochromocytoma), examina- tion findings (e.g., a renal bruit suggestive of renal artery ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1215/p1471.html
JNC8 Guidelines for the Management of Hypertension in Adults - Practice Guidelines - ...
Oct 1, 2014 - Hypertension is one of the most important preventable contributors to disease and death in the United States, leading to myocardial infarction, stroke, and renal failure when it is not detected early and treated appropriately. The Eighth Joint National Committee (JNC 8) recently ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2014/1001/p503.html
Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...
Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1277.html
Evaluation and Treatment of Severe Asymptomatic Hypertension - American Family Physician
Feb 15, 2010 - Poorly controlled hypertension is a common finding in the outpatient setting. When patients present with severely elevated blood pressure (i.e., systolic blood pressure of 180 mm Hg or greater, or diastolic blood pressure of 110 mm Hg or greater), physicians need to differentiate ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0215/p470.html
Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment - American Family...
Aug 15, 2010 - Pulmonary arterial hypertension is defined as a mean pulmonary arterial pressure greater than 25 mm Hg at rest or 30 mm Hg during physical activity. Pulmonary arterial hypertension is classified into subgroups, including idiopathic, heritable, and pulmonary arterial hypertension ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p370.html
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
Coding for Hypertension: Painting a Picture of the Severity of Illness -- FPM
Apr 1, 2020 - As risk-adjustment scoring increases, the pressure is on to code hypertension correctly. Here’s an overview using common patient scenarios.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p23.html
Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...
Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p403.html
Radiologic Evaluation of Suspected Renovascular Hypertension - American Family Physician
Aug 1, 2009 - More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p273.html
Evaluation and Management of the Patient with Difficult-to-Control or Resistant ...
May 15, 2009 - High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure...
American Family Physician : Article
https://www.aafp.org/afp/2009/0515/p863.html
First-Line Treatment for Hypertension - Cochrane for Clinicians - American Family ...
Jun 1, 2010 - In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2010/0601/p1333.html
Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension - ...
Feb 1, 2018 - Although beta blockers seem to have a positive impact on patient-oriented evidence that matters in patients with hypertension, they appear to be inferior when compared with other medications.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0201/od1.html
Nebivolol/Valsartan (Byvalson) for Hypertension - STEPS - American Family Physician
Jan 15, 2018 - Nebivolol/valsartan is an option for the treatment of patients with newly diagnosed or poorly controlled hypertension. Although it offers a new beta-blocker option, no research has demonstrated its benefit over existing treatments.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0115/p124.html
Pharmacologic Treatment of Hypertension: ACP and AAFP Release Recommendations for ...
May 1, 2017 - The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) have made recommendations for all clinicians to treat hypertension in persons 60 years and older, based on the benefits and harms of higher (less than 150 mm Hg) and lower (140 mm Hg or less) ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2017/0501/p588.html
Diagnosis and Treatment of Pulmonary Hypertension - American Family Physician
May 1, 2001 - Primary pulmonary hypertension is a rare disease of unknown etiology, whereas secondary pulmonary hypertension is a complication of many pulmonary, cardiac and extrathoracic conditions. Chronic obstructive pulmonary disease, left ventricular dysfunction and disorders associated with ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0501/p1789.html
Hypertension in Children and Adolescents - American Family Physician
May 1, 2006 - The development of a national database on normative blood pressure levels throughout childhood has contributed to the recognition of elevated blood pressure in children and adolescents. The epidemic of childhood obesity, the risk of developing left ventricular hypertrophy, and evidence ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0501/p1558.html
Heart Failure with Preserved Ejection Fraction: Diagnosis and Management - American ...
Nov 1, 2017 - Heart failure with preserved ejection fraction, also referred to as diastolic heart failure, causes almost one-half of the 5 million cases of heart failure in the United States. It is more common among older patients and women, and results from abnormalities of active ventricular ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1101/p582.html
Nonpharmacologic Strategies for Managing Hypertension - American Family Physician
Jun 1, 2006 - The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommends lifestyle modification for all patients with hypertension or prehypertension. Modifications include reducing dietary sodium to less than 2.4 g per ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1953.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
Encounter Forms -- FPM Toolbox
May 4, 2020 - Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care.
Family Practice Management : FPM Toolbox : Encounter Forms
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=12
ICD-10 coding for patients with hypertension and heart failure -- FPM
Here’s how to code for heart failure when it is not caused by your patient’s hypertension.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/hypertension_heart_failure.html
How to document newly diagnosed hypertension -- FPM
If a patient’s elevated blood pressure has developed into hypertension, your documentation should clearly describe the basis for the new diagnosis.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/properly_documenting_hypertension.html
Gout: Rapid Evidence Review - American Family Physician
Nov 1, 2020 - Gout is caused by monosodium urate crystal deposition in joints and tissues. Risk factors include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat and seafood; chronic kidney disease; a diet heavy in fructose-rich food and beverages; being a member of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1101/p533.html
AHA/ATS Release Guidelines on the Diagnosis and Treatment of Pediatric Pulmonary ...
Apr 1, 2016 - These guidelines from the American Heart Association (AHA) and the American Thoracic Society (ATS) address evaluation and treatment of pediatric pulmonary hypertension, including diagnosis, pharmacotherapy, and outpatient treatment recommendations.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2016/0401/p605.html
High Blood Pressure in Children and Adolescents - American Family Physician
Oct 15, 2018 - High blood pressure in children and adolescents is a growing health problem that is often overlooked. Children should be screened for elevated blood pressure annually beginning at three years of age or at every visit if risk factors are present. In children younger than 13 years, ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1015/p486.html
Chronic Kidney Disease: Detection and Evaluation - American Family Physician
Dec 15, 2017 - Chronic kidney disease affects 47 million people in the United States and is associated with significant health care costs, morbidity, and mortality. Because this disease can silently progress to advanced stages, early detection is critical for initiating timely interventions. Multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p776.html
Some Benefit to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall ...
Dec 1, 2015 - Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall mortality in a small proportion of patients.
American Family Physician : POEMs
https://www.aafp.org/afp/2015/1201/p1020.html
Hypertensive Disorders of Pregnancy - American Family Physician
Jan 15, 2016 - Elevated blood pressure in pregnancy may represent chronic hypertension (occurring before 20 weeks’ gestation or persisting longer than 12 weeks after delivery), gestational hypertension (occurring after 20 weeks’ gestation), preeclampsia, or preeclampsia superimposed on chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0115/p121.html
Coronary Artery Disease/Coronary Heart Disease - American Family Physician
Dec 1, 2020 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4
Diagnosing Secondary Hypertension - American Family Physician
Jan 1, 2003 - Secondary hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Only about 5 to 10 percent of hypertension cases are thought to result from secondary causes. The ABCDE mnemonic can be used to help determine a secondary cause of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0101/p67.html
Managing Hypertension in Athletes and Physically Active Patients - American Family ...
Aug 1, 2002 - Athletes and other physically active patients should be screened for hypertension and given appropriate therapy if needed. Mild hypertension should be treated with non-pharmacologic measures for six months. If blood pressure control is adequate, lifestyle modifications are continued. If...
American Family Physician : Article
https://www.aafp.org/afp/2002/0801/p445.html
Screening for Primary Hypertension in Children and Adolescents: Recommendation ...
Feb 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for primary hypertension in asymptomatic children and adolescents to prevent subsequent cardiovascular disease in childhood or ...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2015/0215/od1.html
METRIC Hypertension Module
Improve your hypertension patient care, enhance your practice, earn CME credit, and complete an ABFM Performance Improvement Activity all with the METRIC hypertension module.
https://www.aafp.org/cme/programs/metric/hypertension.html
Screening for Primary Hypertension in Children and Adolescents - Putting Prevention ...
Feb 15, 2015 - L.S. is a 14-year-old black adolescent who presents for a routine school physical examination. Her mother tells you that she and her husband have hypertension, and they worry about their daughter's blood pressure. She asks you whether L.S. should be periodically checked for high blood ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2015/0215/p257.html
Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment - American Family ...
Mar 15, 2019 - Lower extremity peripheral artery disease (PAD) affects 12% to 20% of Americans 60 years and older. The most significant risk factors for PAD are hyperlipidemia, hypertension, diabetes mellitus, chronic kidney disease, and smoking; the presence of three or more factors confers a 10-fold...
American Family Physician : Article
https://www.aafp.org/afp/2019/0315/p362.html
Hypertension in Adults Over 60
Access the AAFP clinical practice guideline on treatment of hypertension in adults over age 60.
|AAFP Policies and Recommendations
https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/hypertension-over-60.html
PerformanceNavigator On Demand: Hypertension
Improve patient care with this online, multi-activity education on hypertension, that helps satisfy your ABFM Performance Improvement Activities requirement.
https://www.aafp.org/cme/all/performancenavigator/ondemand-hypertension.html
Hypertension - Clinical Preventive Service Recommendation
The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on high blood pressure (hypertension).
|AAFP Policies and Recommendations
https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/hypertension.html
Edema: Diagnosis and Management - American Family Physician
Jul 15, 2013 - Edema is an accumulation of fluid in the interstitial space that occurs as the capillary filtration exceeds the limits of lymphatic drainage, producing noticeable clinical signs and symptoms. The rapid development of generalized pitting edema associated with systemic disease requires ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p102.html
JNC 8 Report on Prevention, Evaluation, and Treatment of Hypertension - POEMs - ...
Apr 1, 2014 - See the Synopsis section for a summary of the updated hypertension treatment recommendations from the Eighth Joint National Committee (JNC 8).
American Family Physician : POEMs
https://www.aafp.org/afp/2014/0401/p574a.html
Controlling Hypertension in Patients with Diabetes - American Family Physician
Oct 1, 2002 - Hypertension and diabetes mellitus are common diseases in the United States. Patients with diabetes have a much higher rate of hypertension than would be expected in the general population. Regardless of the antihypertensive agent used, a reduction in blood pressure helps to prevent ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1001/p1209.html
New Developments in the Management of Hypertension - American Family Physician
Sep 1, 2003 - The management of hypertension has evolved over the past decade. Isolated systolic blood pressure elevation, the most common form of uncontrolled hypertension, is recognized as a significant risk factor for vascular complications in patients with hypertension. Nutritional management of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0901/p853.html
Clinically Relevant Drug-Drug Interactions in Primary Care - American Family Physician
May 1, 2019 - Drug interactions are common in the primary care setting and are usually predictable. Identifying the most important and clinically relevant drug interactions in primary care is essential to patient safety. Strategies for reducing the risk of drug-drug interactions include minimizing ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0501/p558.html