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American Family Physician July 1, 2005 Achar, Kundu & Norcross |
Diagnosis of Acute Coronary Syndrome Differentiating acute coronary syndrome from noncardiac chest pain is the primary diagnostic challenge. The initial assessment requires a focused history (including risk factor analysis), a physical examination, an ECG and, frequently, serum cardiac marker determinations. |
American Family Physician November 15, 2005 William E. Cayley |
Diagnosing the Cause of Chest Pain Distinguishing between serious and benign causes of chest pain is imperative, and diagnostic and prognostic questions are important in making this determination. |
American Family Physician November 15, 2002 Bernard M. Karnath |
Preoperative Cardiac Risk Assessment Heart disease is the leading cause of mortality in the United States. An important subset of heart disease is perioperative myocardial infarction, which affects approximately 50,000 persons each year. |
American Family Physician August 1, 2004 Wiviott & Braunwald |
Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part I. Initial Evaluation and Management, and Hospital Care Because of the scope of the problem, it is important for family physicians to understand the diagnosis, risk assessment, and treatment of this syndrome. |
American Journal of Nursing May 2009 Kristen J. Overbaugh |
Acute Coronary Syndrome Coronary artery disease, in which atherosclerotic plaque builds up inside the coronary arteries and restricts the flow of blood (and therefore the delivery of oxygen) to the heart, continues to be the number-one killer of Americans. |
American Family Physician March 1, 2007 Flood & Fleisher |
Preparation of the Cardiac Patient for Noncardiac Surgery Perioperative myocardial infarction (MI) is a major cause of morbidity and mortality in patients who have noncardiac surgery. |
Nursing March 2009 Kate J. Morse |
Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery. |
American Family Physician April 15, 2004 Mark H. Ebell, M.D., M.S. |
Preoperative Evaluation for Noncardiac Surgery The physician should assess the patient's preoperative risk factors and the risks associated with the planned surgery. |
American Family Physician August 1, 2004 Wiviott & Braunwald |
Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part II. Coronary Revascularization, Hospital Discharge, and Post-Hospital Care In patients hospitalized with UA/NSTEMI, one of the most important decisions is the early strategy of care regarding coronary angiography and revascularization. |
American Family Physician July 15, 2000 Mitchell S. King |
Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery... |
American Family Physician December 1, 2004 Steven A. Dosh |
Diagnosis of Heart Failure in Adults The evaluation of symptomatic patients with suspected heart failure is directed at confirming the diagnosis, determining the cause, identifying concomitant illnesses, establishing the severity of heart failure, and guiding therapy. |
American Family Physician October 15, 2005 Miller & Kruse |
Evaluation of Syncope Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or falling. |
American Family Physician June 15, 2005 Hanna & Wenger |
Secondary Prevention of Coronary Heart Disease in Elderly Patients A review of the scientific evidence for the secondary prevention of coronary heart disease in the elderly. |
American Family Physician November 15, 2001 Melvin D. Cheitlin |
Surgery for Chronic Aortic Regurgitation: When Should It Be Considered? This article discusses the pathophysiologic basis of the signs and symptoms of aortic regurgitation, with the purpose of providing practical recommendations to help physicians determine when surgical intervention is necessary |
Nurse Practitioner November 2011 Tracy Brazziel et al. |
Stopping the Wave of PAD Early detection and diagnosis of atherosclerotic disease is imperative. Here, learn the risk factors, screening and diagnosis for this disease. |
Nurse Practitioner September 2011 Wells & Kalman |
Women & Heart Disease: Symptoms and Treatment Guidelines Coronary heart disease is the leading cause of death for women. Nurse practitioners need to educate women about their risk and follow practice guidelines. |
Nurse Practitioner February 2012 Wood & Gordon |
Preventing CVD in women: The NP's role This article focuses on the new American Heart Association guidelines for preventing cardiovascular disease in women and the nurse practitioner's role in implementing them. |
American Family Physician June 1, 2004 Gutierrez & Blanchard |
Diastolic Heart Failure: Challenges of Diagnosis and Treatment The outcomes of ongoing clinical trials may provide much-needed information about diastolic heart failure to move from intuitive treatment to therapy based on evidence that matters: decreased morbidity and mortality and improved quality of life. |
American Journal of Nursing November 2011 Christine L. Cutugno |
The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population. |
American Family Physician February 1, 2002 Robert J. Nied & Barry Franklin |
Promoting and Prescribing Exercise for the Elderly Physicians play a key role in motivating older patients and advising them regarding their physical limitations and/or comorbidities. Motivating patients to begin exercise is best achieved by focusing on individual patient goals, concerns, and barriers to exercise... |
American Family Physician April 1, 2001 Joan Bedinghaus |
Coronary Artery Disease Prevention: What's Different for Women? Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk... |
American Family Physician June 1, 2001 Benjamin Shipton & Haney Wahba |
Valvular Heart Disease: Review and Update People with valvular heart disease are living longer, with less morbidity, than ever before. Advances in surgical techniques and a better understanding of timing for surgical intervention account for increased rates of survival... |
American Family Physician March 1, 2006 Satpathy et al. |
Diagnosis and Management of Diastolic Dysfunction and Heart Failure With early diagnosis and proper management the prognosis of diastolic dysfunction is more favorable than that of systolic dysfunction. Distinguishing diastolic from systolic heart failure is essential because the optimal therapy for one may aggravate the other. |
American Family Physician February 15, 2005 Allan V. Abbott |
Diagnostic Approach to Palpitations An increased or abnormal awareness of the heartbeat, palpitations are a common symptom in patients presenting to family physicians. Palpitations can be symptomatic of life-threatening cardiac arrhythmias. |
American Family Physician October 15, 2006 Mark H. Ebell |
Point-of-Care Guides Clinical Question: What is the prognosis and recommended initial evaluation for a patient with syncope?... Evidence Summary: Although syncope often is benign, it may have a serious underlying cause... |
American Family Physician April 15, 2005 Gabriel Gregoratos |
Indications and Recommendations for Pacemaker Therapy The indications for pacemaker therapy have expanded in the past 45 years and now include the treatment of bradyarrhythmias and the electrical therapy of tachyarrhythmias, certain types of syncope, and advanced heart failure. |
Nursing September 2010 Margaret M. Bolton |
Sounding the alarm about metabolic syndrome Any health problem that affects a third of American adults is sure to impact your nursing practice. Metabolic syndrome, a growing and commonly silent condition, poses a significant public health crisis. |
American Family Physician September 1, 2001 William E. Chavey |
Guideline for the Management of Heart Failure Caused by Systolic Dysfunction Part I: Guideline development, etiology and diagnosis... |
American Journal of Nursing March 2012 Corbridge et al. |
An Evidence-Based Approach to COPD: Part 1 This article, the first in a two-part series on COPD, outlines current guidelines and other evidence-based recommendations on diagnosing and managing stable COPD in the outpatient setting. |
Nursing Management August 2008 Jill R. Quinn |
Women and Heart Disease: An Update A look at statistics regarding coronary heart disease in women as well as related risk factors and prevention. |
Nursing December 2009 Vincent M. Vacca |
On the Alert for Pulmonary Arterial Hypertension Progressive and ultimately fatal, pulmonary arterial hypertension is a disease of the pulmonary arterial vasculature with no known cause. |
Nursing March 2011 Mink & Miller |
Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care. |
American Family Physician October 1, 2006 Freeman & Shulman |
Kawasaki Disease: Summary of the American Heart Association Guidelines Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries. The etiology of Kawasaki disease remains unknown, although an infectious agent is strongly suspected based on clinical and epidemiologic features. |
American Family Physician June 15, 2002 A. Kesh Hebbar |
Management of Common Arrhythmias: Part II. Ventricular Arrhythmias and Arrhythmias in Special Populations Patients with established heart disease and premature ventricular complexes have a higher likelihood of developing ventricular tachycardia or fibrillation. |
American Family Physician April 1, 2004 Nina Solenski |
Transient Ischemic Attacks: Part I. Diagnosis and Evaluation Transient ischemic attack (TIA) is no longer considered a benign event but, rather, a critical harbinger of impending stroke. |
Nurse Practitioner November 2010 Ronald Lee Tyson |
Diagnosis and treatment of abdominal angina Abdominal angina refers to pain or discomfort in the gut when the blood supply to the tissues and organs of digestion has been compromised in some manner |
American Family Physician April 15, 2005 Karnani, Reisfield & Wilson |
Evaluation of Chronic Dyspnea Chronic dyspnea is defined as dyspnea lasting more than one month. Information is presented on diagnosis, assessment and treatment for chronic dyspnea. |
Nursing Management January 2012 Lawrence et al. |
Type 2 Diabetes: Growing to Epic Proportions Affecting all age groups and all aspects of a person's life, diabetes is a major public health issue worldwide, requiring lifelong behavioral and lifestyle changes and support. |
American Family Physician November 1, 2006 Lyon & Clark |
Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment. |
Nurse Practitioner December 2011 |
Managing pain in obese patients Obesity-related pain conditions can limit the patient's efforts at increasing activity and limit quality of life. This article will offer information on these conditions and treatment options. |
American Family Physician May 1, 2006 Luma & Spiotta |
Hypertension in Children and Adolescents The prevalence and rate of diagnosis of hypertension in children and adolescents appear to be increasing. Most childhood hypertension, particularly in preadolescents, is secondary to an underlying disorder. |
Nurse Practitioner April 2012 Firestone et al. |
Optimizing fibromyalgia management This article summarizes current information regarding the etiology, pathophysiology, clinical presentation, diagnostic standards, and pharmacologic and non-pharmacologic treatments necessary to successfully manage FM. |
American Family Physician May 15, 2002 Robert H. Shackelford |
Diary from a Week in Practice Beware the "quiet child!"... It is important for every patient to feel comfortable with their health care professional and to have the choice of who they see... etc. |
American Family Physician July 15, 2000 Valerie Palda |
Editorials PRE-OPportunity Knocks: A Different Way to Think About the Preoperative Evaluation... |
Nursing May 2010 Debra Castner |
Understanding the stages of chronic kidney disease This article will help you to recognize CKD and understand its stages so you can help your patient to modify risk factors, prevent further kidney damage, and manage complications. First, consider the scope of the problem. |
American Family Physician January 15, 2002 Lori J. Mosca |
Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease in Women Elevated levels of low-density lipoprotein cholesterol and triglycerides and low levels of high-density lipoprotein cholesterol are significant risk factors for coronary heart disease. Abundant data show inadequate utilization of lipid-lowering therapy in women... |
American Family Physician September 15, 2000 Anne D. Walling, M.D. |
Family Practice International Notes from international family physicians' journals: Traumatic Coronary Artery Damage... Morton's Neuroma... Diagnosing Acute Dyspnea... |
Nurse Practitioner June 2011 Eva Hardy |
Gout Diagnosis and Management: What NPs Need to Know Because primary care providers diagnose and treat the vast majority of patients with gout, it is important that they understand current guidelines and evidence-based practice. |
American Family Physician June 15, 2004 Darwin Deen |
Metabolic Syndrome: Time for Action Family physicians can be more effective in helping patients to change their lifestyle behaviors by assessing each patient for the presence of specific risk factors, clearly communicating these risk factors to patients, identifying appropriate interventions to address specific risks, and assisting patients in identifying barriers to behavior change. |
American Family Physician August 1, 2006 McDermott & Mernitz |
Exercise and Older Patients: Prescribing Guidelines A combination of aerobic activity, strength training, and flexibility exercises, plus increased general daily activity can reduce medication dependence and health care costs while maintaining functional independence and improving quality of life in older adults. |