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Specialty: Primary Care
Condition: Pregnancy

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Total 35 results found since Jan 2013.

The risk of fatal stroke in Finnish postmenopausal hormone therapy users before and after the Women's Health Initiative: A cohort study
Stroke is the third most common cause of death and the most common cause of prolonged disability in women worldwide[1]. Therefore, the American Heart and Stroke Association recently published strict new guidelines for the prevention of stroke in women [2]. These guidelines acknowledge a number of female gender-related risk factors for stroke, such as migraine, pregnancy, pre-eclampsia, atrial fibrillation, obesity, metabolic syndrome, living alone -status and consequent delay in thrombolysis, and longevity.
Source: Maturitas - April 13, 2015 Category: Primary Care Authors: Pauliina Tuomikoski, Heli Lyytinen, Pasi Korhonen, Fabian Hoti, Pia Vattulainen, Mika Gissler, Olavi Ylikorkala, Tomi S. Mikkola Source Type: research

First-Ever Guidelines Issued on Stroke Prevention in Women (FREE)
By Amy Orciari Herman The American Heart Association and American Stroke Association have issued the first stroke-prevention guidelines that focus on women's unique risks.Among the recommendations: -- Pregnant women with chronic …
Source: Physician's First Watch current issue - February 7, 2014 Category: Primary Care Source Type: news

Risk of Cardiovascular Disease Among Postmenopausal Women with Prior Pregnancy Loss: The Women's Health Initiative.
CONCLUSIONS: Pregnancy loss was associated with CHD but not ischemic stroke. Women with a history of 1 or more stillbirths or 1 or more miscarriages appear to be at increased risk of future CVD and should be considered candidates for closer surveillance and/or early intervention; research is needed into better understanding the pathophysiologic mechanisms behind the increased risk of CVD associated with pregnancy loss. PMID: 25024237 [PubMed - in process]
Source: Annals of Family Medicine - July 1, 2014 Category: Primary Care Authors: Parker DR, Lu B, Sands-Lincoln M, Kroenke CH, Lee CC, O'Sullivan M, Park HL, Parikh N, Schenken RS, Eaton CB Tags: Ann Fam Med Source Type: research

Cardiovascular Risk Factors and Disease in Women
Coronary artery disease and stroke predominantly affect older women as opposed to younger women, but the risk factors that contribute to atherosclerotic cardiovascular disease risk often start in young women. Young women with polycystic ovary syndrome (PCOS), with migraine, and who use oral contraceptive pills (OCPs) have short-term increases in thrombotic complications that can result in coronary events or stroke. Attention should be focused on risk reduction in women of all ages. Screening for and discussing diabetes, hypertension, obesity, smoking, migraine, PCOS, and pregnancy complication history and discussing the pr...
Source: Medical Clinics of North America - March 6, 2015 Category: Primary Care Authors: Sharon K. Gill Source Type: research

Cerebrovascular Dysfunction in Preeclamptic Pregnancies
Abstract Preeclampsia is a hypertensive, multisystem disorder of pregnancy that affects several organ systems, including the maternal brain. Cerebrovascular dysfunction during preeclampsia can lead to cerebral edema, seizures, stroke, and potentially maternal mortality. This review will discuss the effects of preeclampsia on the cerebrovasculature that may adversely affect the maternal brain, including cerebral blood flow (CBF) autoregulation and blood-brain barrier disruption and the resultant clinical outcomes including posterior reversible encephalopathy syndrome (PRES) and maternal stroke. Potential long-term...
Source: Current Hypertension Reports - June 30, 2015 Category: Primary Care Source Type: research

The functions of estrogen receptor beta in the female brain: A systematic review
Non-communicable diseases including neurological disorders constitute a significant and increasing public health problem [1]. The highest prevalence of many of the most common neurological disorders, including stroke, dementia, Parkinson ’s disease, and depression are found in the female population [2]. Women are more prone to neurological disorders due to additional and unique risk factors: hypercoagulable states in relation to pregnancy and hormonal contraceptives, as well as longer lifespan predisposing women to Alzheimer’s d isease (AD) and stroke [3].
Source: Maturitas - June 2, 2016 Category: Primary Care Authors: Kris G. Vargas, Jelena Milic, Asija Zaciragic, Ke-xin Wen, Loes Jaspers, Jana Nano, Klodian Dhana, Wichor M. Bramer, Bledar Kraja, Ed van Beeck, M. Arfan Ikram, Taulant Muka, Oscar H. Franco Tags: Review article Source Type: research

Focused Update on Pharmacologic Management of Hypertensive Emergencies
AbstractPurpose of ReviewHypertensive emergency is defined as a systolic blood pressure>  180 mmHg or a diastolic blood pressure>  120 mmHg with evidence of new or progressive end-organ damage. The purpose of this paper is to review advances in the treatment of hypertensive emergencies within the last 5 years.Recent FindingsNew literature and recommendations for managing hypertensive emergencies in the setting of pregnancy, stroke, and heart failure have been published.SummaryOral nifedipine is now considered an alternative first-line therapy, along with intravenous hydralazine and labetalol for women presenti...
Source: Current Hypertension Reports - June 8, 2018 Category: Primary Care Source Type: research

Health maintenance in women.
Abstract The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling and contraception as needed, and all women planning or capable of pregnancy should take 400 to 800 mcg of folic acid per day. High-risk sexually active women should be counseled on reducing the risk of sexually transmitted infections, and screened for chlamydia, gonorrhea, and syphilis. All women should be screened for huma...
Source: American Family Physician - January 1, 2013 Category: Primary Care Authors: Riley M, Dobson M, Jones E, Kirst N Tags: Am Fam Physician Source Type: research

Growing old and gasping for air
Ambient air pollution is a major risk factor for disease burden globally. It is estimated that 3.1 million deaths worldwide and 3.1% of global disability-adjusted life years can be attributed to ambient particulate matter air pollution [1]. A variety of adverse health outcomes are associated with ambient air pollution, including respiratory and cardiovascular disease, as well as premature death [2,3]. There is also a growing body of evidence that supports a role for ambient air pollution in stroke [4], metabolic diseases [5], and adverse pregnancy outcomes [6], as well as an emerging literature on the association between a...
Source: Maturitas - April 7, 2015 Category: Primary Care Authors: Jaime Madrigano Source Type: research

Antiphospholipid antibody syndrome: The difficulties of diagnosis
This article reviews screening, diagnosis, and management of APS with a focus on the prevention of long-term complications.
Source: Journal of the American Academy of Physician Assistants - November 30, 2017 Category: Primary Care Tags: CME: Hematology Source Type: research

Postpartum Hypertension
AbstractPurpose of ReviewHypertension affects approximately 10% of pregnancies and may persist in the postpartum period. Furthermore, de novo hypertension may present after delivery, but its exact prevalence is not verified. Both types of hypertension expose the mother to eventually severe complications like eclampsia, stroke, pulmonary edema, and HELLP (hemolysis, elevated liver enzymes, low platelet) syndrome.Recent FindingsUntil today, there are limited data regarding the risk factors, pathogenesis, and pathophysiology of postpartum hypertensive disorders. However, there is certain evidence that preeclampsia may in larg...
Source: Current Hypertension Reports - August 5, 2020 Category: Primary Care Source Type: research

Multiple Gestations and Hypertensive Disorders of Pregnancy: What Do We Know?
AbstractPurpose of ReviewThe occurrence of hypertensive disorders of pregnancy (HDP) including gestational hypertension, chronic hypertension, preeclampsia, and eclampsia is proportional to the number of fetuses: singletons 6.5%, twins 12.7%, and triplets 20.0%. Literature on HDP in multifetal gestation is sparse compared with singletons. We aim to summarize the current evidence on HDP, specifically in twins.Recent FindingsHDP occurs more frequently, at an earlier gestational age, and can present more severely and atypically in twin pregnancies. HDP in twins carries a higher risk of maternal/fetal morbidity and mortality i...
Source: Current Hypertension Reports - November 18, 2020 Category: Primary Care Source Type: research

Evidence-Based Contraception: Common Questions and Answers
Am Fam Physician. 2022 Sep;106(3):251-259.ABSTRACTPrimary care clinicians are uniquely situated to reduce unintended pregnancy in the context of a patient's medical comorbidities, social circumstance, and gender identity. New evidence regarding contraception use has emerged in recent years. The copper intrauterine device is the most effective option for emergency contraception, with similar effectiveness found for the levonorgestrel-releasing intrauterine system, 52 mg, and both offer extended future contraception. Ulipristal given within 120 hours after unprotected intercourse is the most effective oral emergency contrace...
Source: American Family Physician - September 20, 2022 Category: Primary Care Authors: Scott L Paradise Corinne A Landis David A Klein Source Type: research