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Source: American Family Physician

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Total 225 results found since Jan 2013.

Anticoagulation: Updated Guidelines for Outpatient Management.
Abstract Anticoagulation therapy is recommended for preventing, treating, and reducing the recurrence of venous thromboembolism, and preventing stroke in persons with atrial fibrillation. Direct oral anticoagulants are first-line agents for eligible patients for treating venous thromboembolism and preventing stroke in those with nonvalvular atrial fibrillation. Vitamin K antagonists are recommended for patients with mechanical valves and valvular atrial fibrillation. Vitamin K antagonists inhibit the production of vitamin K-related factors and require a minimum of five days overlap with parenteral anticoagulants, ...
Source: American Family Physician - September 30, 2019 Category: Primary Care Authors: Wigle P, Hein B, Bernheisel CR Tags: Am Fam Physician Source Type: research

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation.
PMID: 31524354 [PubMed - in process]
Source: American Family Physician - September 14, 2019 Category: Primary Care Authors: Croke L Tags: Am Fam Physician Source Type: research

Short-Term Clopidogrel Plus Aspirin Prevents Second Ischemic Stroke Better Than Aspirin Alone.
PMID: 31414775 [PubMed - in process]
Source: American Family Physician - August 14, 2019 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

Dapagliflozin in High-Risk Type 2 Diabetes Reduces Hospitalization for Heart Failure But Does Not Reduce Death, Myocardial Infarction, or Stroke.
PMID: 31361104 [PubMed - in process]
Source: American Family Physician - July 31, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Heat-Related Illnesses.
Abstract Heat-related illnesses comprise a spectrum of syndromes resulting from disruption of thermoregulation in people exposed to high environmental heat. Symptoms range from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening heat stroke. Athletes, outdoor laborers, and military personnel are at greatest risk. Several intrinsic and extrinsic factors increase the risk of heat-related illness, including medical conditions, environmental factors, medication use, and inadequate acclimatization. Proper recognition and treatment are effective in prev...
Source: American Family Physician - April 14, 2019 Category: Primary Care Authors: Gauer R, Meyers BK Tags: Am Fam Physician Source Type: research

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD.
PMID: 30932459 [PubMed - in process]
Source: American Family Physician - March 31, 2019 Category: Primary Care Authors: Lax JW, Wood R, Jonas CE Tags: Am Fam Physician Source Type: research

Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA.
Abstract PMID: 30702260 [PubMed - in process]
Source: American Family Physician - February 1, 2019 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Routine Oxygen Supplementation After Acute Stroke Does Not Improve Functional Outcomes.
PMID: 29671498 [PubMed - in process]
Source: American Family Physician - April 15, 2018 Category: Primary Care Authors: Shrikant Kulkarni N Tags: Am Fam Physician Source Type: research

Heart Failure with Preserved Ejection Fraction: Diagnosis and Management.
Abstract 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 relaxation and passive ventricular compliance, leading to a decline in stroke volume and cardiac output. Heart failure with preserved ejection fraction should be suspected in patients with typical symptoms (e.g., fatigue, weakness, dyspnea, orthopnea, paroxysmal nocturnal dyspnea, edema) and signs (S3 heart sound, displaced apica...
Source: American Family Physician - November 1, 2017 Category: Primary Care Authors: Gazewood JD, Turner PL Tags: Am Fam Physician Source Type: research

Recurrent Ischemic Stroke: Strategies for Prevention.
Abstract Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, decreased alcohol use, and increased physical activity, are also important in the management of patients with a history of stroke or transient ischemic attack. Antiplatelet therapy is recommended to reduce the risk of recurrent ischemic stroke. The selection of antiplatelet therapy should be based on timing, safety, effectiveness, ...
Source: American Family Physician - October 1, 2017 Category: Primary Care Authors: Oza R, Rundell K, Garcellano M Tags: Am Fam Physician Source Type: research

Vitamin B12 Deficiency: Recognition and Management.
Abstract Vitamin B12 deficiency is a common cause of megaloblastic anemia, various neuropsychiatric symptoms, and other clinical manifestations. Screening average-risk adults for vitamin B12 deficiency is not recommended. Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years. Initial laboratory assessment should include a complete blood count ...
Source: American Family Physician - September 15, 2017 Category: Primary Care Authors: Langan RC, Goodbred AJ Tags: Am Fam Physician Source Type: research

Physical Fitness Training for Patients with Stroke.
PMID: 28671436 [PubMed - in process]
Source: American Family Physician - June 1, 2017 Category: Primary Care Authors: Arnold MJ Tags: Am Fam Physician Source Type: research

Severe Asymptomatic Hypertension: Evaluation and Treatment.
Abstract 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 diastolic) without symptoms of acute target organ injury. The short-term risks of acute target organ injury and major adverse cardiovascular events are low in this population, whereas hypertensive emergencies manifest as acute target organ injury requiring immediate hospitalization. Individuals with severe asymptomatic hypertensio...
Source: American Family Physician - April 15, 2017 Category: Primary Care Authors: Gauer R Tags: Am Fam Physician Source Type: research

The Risk of MI and Ischemic Stroke with Combined Oral Contraceptives.
PMID: 27929248 [PubMed - in process]
Source: American Family Physician - October 31, 2016 Category: Primary Care Authors: Nettleton W, King V Tags: Am Fam Physician Source Type: research

Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI.
PMID: 27929231 [PubMed - in process]
Source: American Family Physician - October 14, 2016 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research