ACC/AHA Hypertension Guideline: What Is New? What Do We Do? - Editorials - American ...
Mar 15, 2018 - Choosing a threshold and target for treatment should be based on the science supporting CVD risk reduction, while considering the benefits and harms in individual patient circumstances and respecting patient choice.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0315/p372.html
Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician
Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1215/p721.html
Acute Heart Failure in a 39-Year-Old Man - Photo Quiz - American Family Physician
Jan 15, 2020 - Advertisement << Previous article Next article >> Jan 15, 2020 Issue Photo Quiz Acute Heart Failure in a 39-Year-Old Man DREW ASHBY, MD; FRANKLIN NIBLOCK, MD, MPH; KENNETH HERRING, MD; and LOGAN MIMS, MD, University of Colorado, Denver, Colorado Am Fam Physician. 2020 Jan...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0115/p117.html
Ambulatory Blood Pressure Important for Decision-Making About Treatment - POEMs - ...
Oct 15, 2018 - This study supports the guidelines recommending that treatment decisions be based on ambulatory blood pressure measurements rather than in-office blood pressure results. The difference between the two measurements in this cohort was 19/11 mm Hg, which is enough to change the decision to...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1015/od5.html
Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
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
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
Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test ...
May 1, 2019 - Using the INTERCHEST chest pain decision rule to decide next steps when a patient presents to a primary care physician with chest pain.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0501/p584.html
Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician
Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0901/od2.html
Aspirin’s Benefits and Harms Are Less Clear for Primary Prevention in Moderate-Risk ...
Apr 1, 2019 - In this study, after five years of treatment, patients at a moderate risk of heart disease who took low-dose aspirin did not show a decrease in coronary events and all-cause mortality and had slightly more gastrointestinal bleeding.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p459a.html
Atrial Fibrillation - American Family Physician
Nov 1, 2020 - This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, antiplatelet therapy, arrhythmias, and palpitations. This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, ...
- Overview
- Screening and Diagnosis
- Treatment
- 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=33
Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ...
Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434a.html
Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...
Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0601/p718.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
Beta Blockers for Suspected or Diagnosed Acute Myocardial Infarction - Cochrane for ...
Dec 1, 2020 - Compared with placebo, beta-blocker use in patients with acute MI reduces short-term (less than three months) risk of MI and long-term (more than three months) risk of cardiovascular mortality and all-cause mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/1201/p666.html
Bleeding with Anticoagulants: ACC Releases Expert Consensus Decision Pathway to Guide ...
Jul 1, 2018 - This Expert Consensus Decision Pathway from the American College of Cardiology (ACC) aims to provide physicians with decision-making assistance for managing bleeding events in patients taking anticoagulants.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0701/p57.html
Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...
Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p276.html
Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...
Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0415/p519.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
Coaching Patients About Successful Blood Pressure Management - Lown Right Care: ...
Mar 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath 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/2019/0315/p357.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
Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ...
Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p248.html
Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ...
Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0715/p115.html
Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure ...
Aug 1, 2019 - The only cardiovascular benefit to treatment with dapagliflozin was a reduction in the likelihood of hospitalization; 125 patients would need to be treated for 10 years to prevent one hospitalization.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0801/p184.html
Depression After ACS Events: AAFP Releases Updated Guidelines - Practice Guidelines - ...
Jun 15, 2019 - The American Academy of Family Physicians has released a guideline focusing on depression in adults within three months of an ACS event (unstable angina or myocardial infarction). The guideline is based on a systematic review of randomized controlled trials and observational studies and...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0615/p785.html
Diagnosis of Acute Coronary Syndrome - FPIN's Help Desk Answers - American Family ...
Aug 1, 2018 - The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0801/od2.html
Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ...
Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/0215/p230.html
Diets for Health: Goals and Guidelines - American Family Physician
Jun 1, 2018 - Diet is the single most significant risk factor for disability and premature death. Patients and physicians often have difficulty staying abreast of diet trends, many of which focus primarily on weight loss rather than nutrition and health. Recommending an eating style can help patients...
American Family Physician : Article
https://www.aafp.org/afp/2018/0601/p721.html
Direct Oral Anticoagulants Preferred Over Warfarin for Nonvalvular Atrial Fibrillation ...
Dec 1, 2018 - The balance of benefits and harms favors direct oral anticoagulants over warfarin (Coumadin) for patients with nonvalvular atrial fibrillation who require anticoagulation and are already taking low-dose aspirin.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1201/p683.html
Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...
Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0401/p422.html
Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...
Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0315/p354.html
Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...
Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0915/p378.html
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...
Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1015/p463.html
Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...
Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0201/od1.html
Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...
Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p648.html
Early Invasive Management of Acute Coronary Syndromes - Medicine by the Numbers - ...
Dec 1, 2018 - Does early invasive management help patients with unstable angina or acute non–ST-segment elevation myocardial infarction (NSTEMI) in reducing occurence of death, myocardial infarction, angina symptoms, and rehospitalization at six- to 12-month follow-up? Find out.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1201/od1.html
Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...
Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p405.html
Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ...
Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0901/p271.html
Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...
Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/1215/p751.html
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53.html
Febuxostat Increases All-Cause and Cardiovascular Mortality Compared with Allopurinol -...
Sep 15, 2018 - For patients with gout who require treatment to lower their uric acid level, allopurinol is a safer option than febuxostat.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0915/p385.html
Fitness-Related Cardiac Arrhythmias - Editorials - American Family Physician
Jan 15, 2019 - How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0115/p78.html
For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs...
Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p698.html
Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ...
Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646.html
Heart Failure - American Family Physician
Jul 15, 2020 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26
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
High Blood Pressure: ACC/AHA Releases Updated Guideline - Practice Guidelines - ...
Mar 15, 2018 - The American College of Cardiology (ACC) and American Heart Association (AHA) recently updated their guideline on the prevention, detection, evaluation, and treatment of high BP in adults. The ACC/AHA recommendations were based on a systematic review that addressed four questions ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0315/p413.html
High-Sensitivity Troponin I of Less Than 5 ng per L Has Negative Predictive Value of ...
Mar 15, 2018 - A cardiac troponin I concentration of less than 5 ng per L in adults who present with potential acute coronary syndrome has a negative predictive value (NPV) of at least 99.9% for cardiac death at 30 days and at one year.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0315/p410.html
Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...
Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1001/od1.html
Hyperlipidemia - American Family Physician
Jan 15, 2021 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels. This collection features AFP content on hyperlipidemia ...
- Screening and Diagnosis
- Prevention
- Treatment
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13
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
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