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Condition: Heart Attack
Management: Family Practices

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Total 71 results found since Jan 2013.

Tight versus standard blood pressure control on the incidence of myocardial infarction and stroke: an observational retrospective cohort study in the general ambulatory setting
The 2017 American College of Cardiology and American Heart Association guideline defined hypertension as blood pressure (BP)  ≥ 130/80 mmHg compared to the traditional definition of ≥140/90 mmHg. This change ra...
Source: BMC Family Practice - May 16, 2020 Category: Primary Care Authors: Bumsoo Park, Katarzyna Budzynska, Nada Almasri, Sumaiya Islam, Fanar Alyas, Rachel L. Carolan, Benjamin E. Abraham, Pamela A. Castro-Camero, Maria E. Shreve, Della A. Rees and Lois Lamerato Tags: Research article Source Type: research

Lifestyle behaviours in patients with established cardiovascular diseases: a European observational study
Patients who have experienced a cardiovascular clinical event such as a myocardial infarction or stroke qualify for intensive risk factor evaluation and management.
Source: BMC Family Practice - November 26, 2019 Category: Primary Care Authors: Diana Fern ández, Carlos Brotons, Irene Moral, Mateja Bulc, Mélanie Afonso, Hülya Akan, Susana Pinto, Jasna Vucak and Carlos Manuel da Silva Martins Tags: Research article Source Type: research

Clinical Inquiries: What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events?
Abstract One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years (strength of recommendation [SOR]: A, systematic reviews and meta-analyses of multiple randomized controlled trials [RCTs]). Taking low-dose aspirin for primary prevention shows no clear mortality benefit. A benefit for primary prevention of stroke is less certain. Although no evidence establishes increased risk of hemorrhagic stroke from daily low-dose aspirin, one gastrointestinal hemorrhage will occur for every 72 to 357 adults who take aspirin for longer than 10 years (SOR: A, system...
Source: The Journal of Family Practice - April 1, 2018 Category: Practice Management Authors: Mutter J, Grandy R, Hulkower S, Stigleman S Tags: J Fam Pract Source Type: research

Hot Topics in Primary Care: Cardiovascular Safety of Medications for Type 2 Diabetes Mellitus.
Abstract Besides vascular events, which include myocardial infarction and stroke, patients with diabetes are at a high risk for developing heart failure and heart failure-related death, with a 15% increase in the risk of heart failure for every 1% increase in glycated hemoglobin (HbA1c) above 7.5%. PMID: 28375403 [PubMed - in process]
Source: The Journal of Family Practice - April 1, 2017 Category: Practice Management Authors: Butler J Tags: J Fam Pract Source Type: research

Statin prescribing for people with severe mental illnesses: a staggered cohort study of 'real-world impacts
Conclusions We found that statin prescribing to people with SMI in UK primary care was effective for lipid modification but not CVD events. The latter finding may reflect insufficient power to detect a smaller effect size than that observed in randomised controlled trials of statins in people without SMI.
Source: BMJ Open - March 6, 2017 Category: Journals (General) Authors: Blackburn, R., Osborn, D., Walters, K., Falcaro, M., Nazareth, I., Petersen, I. Tags: Open access, Cardiovascular medicine, Epidemiology, General practice / Family practice, Mental health Research Source Type: research

Comparison of self-perceived cardiovascular disease risk among smokers with Framingham and PROCAM scores: a cross-sectional analysis of baseline data from a randomised controlled trial
Conclusions Among smokers, misperception of their 10-year cardiovascular risk is common, with one-fifth underestimating it. These findings may help physicians target patients with such characteristics to help them change their health behaviour and adherence to risk-reduction therapy. Trial registration number NCT00548665; Post-results.
Source: BMJ Open - January 5, 2017 Category: Journals (General) Authors: Desgraz, B., Collet, T.-H., Rodondi, N., Cornuz, J., Clair, C. Tags: Open access, Cardiovascular medicine, Epidemiology, General practice / Family practice, Smoking and tobacco Research Source Type: research

Brain imaging suggests link between stress and cardiovascular events
Stress seems to be a strong driver of cardiovascular events, including heart attack, stroke, and even death. For the first time, brain imaging has confirmed a link that has long been suspected:...
Source: Family Practice News - March 24, 2016 Category: Primary Care Source Type: news

Association of self-rated health with multimorbidity, chronic disease and psychosocial factors in a large middle-aged and older cohort from general practice: a cross-sectional study
Conclusions: Self-rated health provides a simple, integrative patient-centred assessment for evaluation of illness in the context of multiple chronic disease diagnoses. Those registering in general practice in particular men with three or more diseases or those with cardiovascular comorbidities and with poorer self-rated health may warrant further assessment and intervention to improve their physical and subjective health.
Source: BMC Family Practice - November 25, 2014 Category: Primary Care Authors: Nahal MavaddatJose ValderasRianne van der LindeKay KhawAnn Kinmonth Source Type: research

Prevalence and predictors of resistant hypertension in a primary care setting: a cross-sectional study
We examined the control of blood pressure in a randomly selected sample of patients with hypertension in a primary care clinic. Demographic data, blood pressure and anti-hypertensive drug use were captured from patient records at the end of 2007. Resistant hypertension is defined as failure to achieve target blood pressure of
Source: BMC Family Practice - July 5, 2014 Category: Primary Care Authors: Yook ChiaSiew Ching Source Type: research

An evidence-based shared decision making programme on the prevention of myocardial infarction in type 2 diabetes: protocol of a randomised-controlled trial
In this study the efficacy of the programme is evaluated in the setting of a diabetes clinic. Methods: A single blinded randomised-controlled trial is conducted to compare the shared decision making programme with a control-intervention. The intervention consists of an evidence-based patient decision aid on the prevention of myocardial infarction and a corresponding counselling module provided by diabetes educators. Similar in duration and structure, the control-intervention targets nutrition, sports, and stress coping. A total of 154 patients between 40 and 69 years of age with type 2 diabetes and no previous diagnosis of...
Source: BMC Family Practice - October 19, 2013 Category: Primary Care Authors: Susanne BuhseTabitha HellerJürgen KasperIngrid MühlhauserUlrich MüllerThomas LehmannMatthias Lenz Source Type: research

Vascular Outcomes in Patients With Screen-Detected or Clinically Diagnosed Type 2 Diabetes: Diabscreen Study Follow-up.
CONCLUSIONS Opportunistic targeted screening for type 2 diabetes detected patients with higher CVD morbidity at baseline when compared with clinical diagnosis but showed similar CVD mortality and major CVD morbidity after 7.7 years. Opportunistic targeted screening and guided care appears to improve vascular outcomes in type 2 diabetes in primary care. PMID: 23319502 [PubMed - in process]
Source: Annals of Family Medicine - January 1, 2013 Category: Primary Care Authors: Klein Woolthuis EP, de Grauw WJ, van Keeken SM, Akkermans RP, van de Lisdonk EH, Metsemakers JF, van Weel C Tags: Ann Fam Med Source Type: research