Hypertension - American Family Physician
Feb 15, 2021 - 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
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
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
Management of Hypertriglyceridemia: Common Questions and Answers - American Family ...
Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0915/p347.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
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
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
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
Stable Coronary Artery Disease: Treatment - American Family Physician
Mar 15, 2018 - Stable coronary artery disease refers to a reversible supply/demand mismatch related to ischemia, a history of myocardial infarction, or the presence of plaque documented by catheterization or computed tomography angiography. Patients are considered stable if they are asymptomatic or ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0315/p376.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
Venous Ulcers: Diagnosis and Treatment - American Family Physician
Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p298.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
Varicose Veins: Diagnosis and Treatment - American Family Physician
Jun 1, 2019 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. The exact pathophysiology is debated, but it involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. Risk factors include family history ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0601/p682.html
Peripheral Vascular Disease - American Family Physician
Mar 15, 2019 - Advertisement AFP BY TOPIC Peripheral Vascular Disease Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on peripheral vascular disease and related issues, including atherosclerosis, critical limb...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=82
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
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
Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...
May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0515/od1.html
The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...
Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1215/p734.html
Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services...
Feb 15, 2021 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for high blood pressure in children and adolescents.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2021/0215/od1.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
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
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
Rethinking Aspirin for the Primary Prevention of Cardiovascular Disease - Editorials - ...
Jun 1, 2019 - Aspirin's routine use for primary prevention has been the subject of controversy because of questionable benefits and increased bleeding risk. Aspirin therapy may reduce the relative risk of a first heart attack or stroke, but this benefit could be outweighed by the risk of ...
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0601/p670.html
Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ...
Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.
American Family Physician : STEPS
https://www.aafp.org/afp/2021/0115/p117.html
Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...
Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1215/p782.html
Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial ...
Mar 1, 2021 - A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0301/p312a.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
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
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
KardiaMobile for ECG Monitoring and Arrhythmia Diagnosis - Diagnostic Tests: What ...
Nov 1, 2020 - KardiaMobile is a mobile single lead ECG device that is FDA approved for detection of atrial fibrillation, bradycardia, and tachycardia.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/1101/p562.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
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
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
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
Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ...
May 15, 2020 - A 65-year-old man with no significant medical history presents to your clinic for a wellness visit. His social history includes smoking periodically in his 20s, and his family history includes a father who died from an abdominal aortic aneurysm (AAA) in his 60s. The patient wants to ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0515/p621.html
Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ...
Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p247.html
PLAC Test for Lp-PLA2 Activity to Predict Coronary Heart Disease - Diagnostic Tests: ...
Jan 1, 2020 - The PLAC test is a blood test used to measure serum activity of lipoprotein-associated phospholipase A2 (Lp-PLA2), an enzyme that breaks down oxidized low-density lipoprotein in the vascular wall.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0101/p44.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
Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome - ...
Jun 1, 2020 - No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0601/p687.html
Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American...
May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p630a.html
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
Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Dec 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/2019/1215/p742.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
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
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.html
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
Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...
Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0701/p49.html
One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ...
Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od5.html
Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with...
Dec 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk with the ankle-brachial index (ABI) in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/1215/od1.html
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