A Primary Care Approach to the Patient with Claudication - American Family Physician
Feb 15, 2000 - Peripheral arterial occlusive disease occurs in about 18 percent of persons over 70 years of age. Usually, patients who have this disease present with intermittent claudication with pain in the calf, thigh or buttock that is elicited by exertion and relieved with a few minutes of rest. ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0215/p1027.html
ACC Statement on Preparticipation Cardiovascular Screening for Competitive Athletes - ...
Aug 1, 2005 - The American College of Cardiology (ACC) has released new eligibility guidelines for competitive athletes with cardiovascular abnormalities and clinical guidelines for preparticipation screening.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2005/0801/p523.html
Acute Coronary Syndrome: Diagnostic Evaluation - American Family Physician
Feb 1, 2017 - Myocardial infarction (MI), a subset of acute coronary syndrome, is damage to the cardiac muscle as evidenced by elevated cardiac troponin levels in the setting of acute ischemia. Coronary artery disease is the leading cause of mortality in the United States. Chest pain is a common ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0201/p170.html
Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...
Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2014/0415/od2.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
Can ECG Rule Out ACS if Performed While the Patient Is Having Chest Pain? - AFP Journal...
Nov 15, 2010 - Is negative ECG performed while the patient is having chest pain good at ruling out acute coronary syndrome? Although this study says yes, other higher-quality studies say it does not rule out cardiac disease. Observational studies are not ideal for testing some hypotheses.
American Family Physician : AFP Journal Club
https://www.aafp.org/afp/2010/1115/p1185.html
Cardiovascular Screening of Student Athletes - American Family Physician
Aug 15, 2000 - Each year, a number of children and adolescents die suddenly from cardiac problems that are associated with a small subgroup of disorders and high-risk behaviors. While sudden cardiac death in any child or adolescent is distressing, it can be particularly devastating when it occurs in a...
American Family Physician : Article
https://www.aafp.org/afp/2000/0815/p765.html
Contemporary Management of Angina: Part I. Risk Assessment - American Family Physician
Dec 1, 1999 - Ischemic heart disease is one of the most common disorders managed by family physicians. Stratifying patients according to risk is important early in the course of the disease to identify patients who require invasive (percutaneous or surgical) treatment. Physical examination, clinical ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1201/p2543.html
Diagnosing the Cause of Chest Pain - American Family Physician
Nov 15, 2005 - Chest pain presents a diagnostic challenge in outpatient family medicine. Noncardiac causes are common, but it is important not to overlook serious conditions such as an acute coronary syndrome, pulmonary embolism, or pneumonia. In addition to a thorough history and physical ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1115/p2012.html
Diagnosis of Acute Coronary Syndrome - American Family Physician
Jul 1, 2005 - The term 'acute coronary syndrome' encompasses a range of thrombotic coronary artery diseases, including unstable angina and both ST-segment elevation and non-ST-segment elevation myocardial infarction. Diagnosis requires an electrocardiogram and a careful review for signs and symptoms ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0701/p119.html
Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...
Oct 1, 2013 - The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed a guideline...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/1001/p469.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
Essentials of the Diagnosis of Heart Failure - American Family Physician
Mar 1, 2000 - Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0301/p1319.html
Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician
May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2017/0501/p580.html
Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...
Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1052.html
Evaluation of Syncope - American Family Physician
Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0915/p640.html
Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician
Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0801/p558.html
Imaging of Abdominal Aortic Aneurysms - American Family Physician
Apr 15, 2002 - Given the high rate of morbidity and mortality associated with abdominal aortic aneurysms (AAAs), accurate diagnosis and preoperative evaluation are essential for improved patient outcomes. Ultrasonography is the standard method of screening and monitoring AAAs that have not ruptured. ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0415/p1565.html
New AHA Recommendations for Blood Pressure Measurement - Practice Guidelines - American...
Oct 1, 2005 - The American Heart Association (AHA) has published a new set of recommendations for the measurement of blood pressure to increase accuracy of clinic readings, and in recognition of major changes over the past 10 years (including the prohibition of mercury in many countries).
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2005/1001/p1391.html
Noninvasive Cardiac Imaging - American Family Physician
Apr 15, 2007 - Noninvasive cardiac imaging can be used for the diagnostic and prognostic assessment of patients with suspected or known coronary artery disease. It is central to the treatment of patients with myocardial infarction, coronary artery disease, or acute coronary syndromes with or without ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0415/p1219.html
Palpitations: Evaluation in the Primary Care Setting - American Family Physician
Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p784.html
Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the...
Dec 15, 2014 - J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/1215/p859.html
Postexercise Systolic Blood Pressure Response: Clinical Application to the Assessment ...
Oct 1, 1998 - Stress test parameters indicating the presence and extent of coronary artery disease have traditionally included such variables as exercise duration, and the blood pressure and ST-segment responses to exercise. The three-minute systolic blood pressure ratio, another important indicator ...
American Family Physician : Article
https://www.aafp.org/afp/1998/1001/p1126.html
Preoperative Evaluation for Noncardiac Surgery - Point-of-Care Guides - American Family...
Apr 15, 2004 - Guidelines from the American College of Physicians (ACP) and the American College of Cardiology/American Heart Association (ACC/AHA) address the preoperative evaluation of patients for noncardiac surgery.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2004/0415/p1977.html
Preparation of the Cardiac Patient for Noncardiac Surgery - American Family Physician
Mar 1, 2007 - Approximately 20 to 40 percent of patients at high risk of cardiac-related morbidity develop myocardial ischemia perioperatively. The preferred approach to diagnostic evaluation depends on the interactions of patient-specific risk factors, surgery-specific risk factors, and exercise ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p656.html