Abstract:
:Evidence for the effectiveness of lipid-lowering therapy in reducing CHD risk continues to emerge. In primary prevention, clinical trials have demonstrated a benefit for middle-aged, high-risk men with high LDL cholesterol and, more recently, for men and women with "average" LDL and low HDL cholesterol. Although low HDL cholesterol, small dense LDL particles, elevated lipoprotein (a), elevated apolipoprotein B, and the dyslipidemia of the metabolic syndrome pose an increased in CHD risk in some patients, the risk reduction with lipid-lowering therapy has not been fully investigated. The CHD risk of isolated hypertriglyceridemia remains uncertain. Very high triglyceride levels, however, should be treated to prevent pancreatitis. A lipid-lowering diet and other appropriate lifestyle changes constitute safe advice for all patients with dyslipidemia. In initiating pharmacologic therapy, physicians should view potential risk reduction in the context of a patient's overall CHD risk. The selection of particular medications can be individualized, considering effectiveness evidence from clinical trials, lipid-lowering potency, adverse effects, drug interactions, costs, and patient preferences.
journal_name
Prim Carejournal_title
Primary careauthors
Green MLdoi
10.1016/s0095-4543(03)00095-2keywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
641-69issue
4eissn
0095-4543issn
1558-299Xpii
S0095-4543(03)00095-2journal_volume
30pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract::Palliative care begins with establishing goals of care based on estimated prognosis in end-stage renal disease (ESRD). Patients with ESRD are increasingly characterized by older age and multiple comorbid illnesses, and have a mortality rate 8 times higher than the general Medicare population. Dialysis patients are app...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2011.03.009
更新日期:2011-06-01 00:00:00
abstract::An individual may present with a multitude of symptoms following an acute loss. Helping the patient go through the essential "grief work" may prevent prolonged and serious alterations in social adjustment as well as potential medical disease. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract::Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.07.001
更新日期:2017-12-01 00:00:00
abstract::There can be no question that smoking is a modern version of plague; that, as Camus points out, the public does not comprehend its true nature. As in the metaphorical community in Camus' narrative, the struggle of individuals against the pestilence (including official obstruction) is imperative. Physicians have multip...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1992-09-01 00:00:00
abstract::An adverse drug reaction relates to an undesired response to administration of a drug. Type A reactions are common and are predictable to administration, dose response, or interaction with other medications. Type B reactions are uncommon with occurrences that are not predictable. Appropriate diagnosis, classification,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.04.005
更新日期:2016-09-01 00:00:00
abstract::The major differences that have been recognized between black and white hypertensives are primarily epidemiologic, with hypertension being more prevalent, having an earlier onset, and having more severe sequelae in the black population. The cause of the problem in both black and white people remains obscure, but it ap...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 00:00:00
abstract::Multidisciplinary management in the diagnosis and management of patients with ocular inflammatory disease is often critical. The workup of uveitis or scleritis may reveal an underlying systemic disease. Recognition of inflammation by the primary care physician can facilitate prompt referral to a uveitis specialist and...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.05.003
更新日期:2015-09-01 00:00:00
abstract::All patients with pain must be taken seriously, and both organic and emotional factors investigated. Cultural aspects, early developmental experience, and highly personal meanings may influence the individual's perception of and reaction to pain; specific psychiatric pain states may be identified as well. Treatment is...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract::Heart failure is a clinical syndrome that results in diminished tissue perfusion and volume overload. Because of increasing population age and improved survival after myocardial infarction, the prevalence of heart failure is likely to increase dramatically. Primary care physicians are in an ideal position to care for ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2005.09.005
更新日期:2005-12-01 00:00:00
abstract::Sexually transmitted disease poses an increasing challenge for the clinician in the 1980s, with increasing numbers of pathogens and diseases. This article discusses the diagnosis and outpatient management of gonorrhea, herpes virus type II, chlamydia trachomatis, and condyloma accuminatum. In addition, the diagnosis a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1988-09-01 00:00:00
abstract::Kidney transplant recipients (KTRs) commonly present with complex medical issues that are best managed jointly by both their primary care physician and the kidney transplant center. Hypertension, diabetes, dyslipidemias, and obesity are frequently present in the KTR population and the successful management of these co...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.08.009
更新日期:2014-12-01 00:00:00
abstract::This article discusses alternative therapies for secondary prevention and treatment of major cardiac disorders: congestive heart failure, hypertension, dyslipidemias, and peripheral vascular disease. The role of various therapies (eg, herbal and botanic preparations, supplements, mind/body interventions, other alterna...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2010.02.010
更新日期:2010-06-01 00:00:00
abstract::When prescribing drugs for patients who are pregnant or lactating, a clinician needs to ask the following questions: (1) Is pharmacotherapy necessary? (2) What drug can be used that has the lowest potential toxicity according to current knowledge? (3) What pharmacokinetic parameters does the drug follow during pregnan...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1990-09-01 00:00:00
abstract::The most common conditions of gastroenteritis in children and avoidance of errors in their management are emphasized in this article. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::Fecal occult blood testing, proctosigmoidoscopy, and digital rectal examination have been recommended as screening tests for colorectal cancer in asymptomatic people. This article evaluates the advisability of recommendations by applying accepted principles of screening to the case of colorectal cancer. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1988-03-01 00:00:00
abstract::Shoulder problems are extremely common reasons for visiting a primary care physician. To make a correct diagnosis, an appropriate physical examination must be performed. This article describes a systematic approach to the physical examination, correlating the various maneuvers and tests with the anatomy and pathology ...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2004.08.001
更新日期:2004-12-01 00:00:00
abstract::Eosinophilia is defined as elevation of eosinophils in the bloodstream (450-550 cell/μL). There are many reasons for eosinophilia to exist, including parasitic disease, allergic disease, autoimmune, connective tissue disease, rheumatologic disease, primary eosinophilia such as hypereosinophilic syndrome, and as part o...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.07.010
更新日期:2016-12-01 00:00:00
abstract::Urticaria and angioedema are common medical problems. This article presents a classification and review of the diverse etiologic factors that can trigger these problems. A practical approach to differential diagnosis and various therapeutic modalities are also explained. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1987-09-01 00:00:00
abstract::The relationships between oral health conditions, dietary practices and nutritional status, and general health status in the older American are complex, with many interrelating factors. Just as inadequate nutrition can affect oral health, poor oral health status affects food choices and, thus, nutritional status. It i...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract::Motivational approaches that build on the concepts of risk and harm reduction are new developments in the application of behavioral sciences to health promotion and disease prevention. This article develops a generic approach for helping practitioners motivate patients to change unhealthy behaviors. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract::An overview of pericarditis, cardiomyopathy, and acute myocarditis is presented. Clinical presentation, causes, physical signs, laboratory testing, and various imaging procedures are discussed. Established pharmacologic and mechanical therapies are reviewed. Short-term and long-term prognoses, when relevant, are discu...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.11.009
更新日期:2013-03-01 00:00:00
abstract::Although many complementary therapies are promoted for the treatment of obesity, few are truly therapeutic. Evidence suggests that food containing diacylglycerol oil, acupuncture, and hypnosis are the only evidence-based complementary therapies for the treatment of obesity, and, at best, these should be used as adjuva...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2009.01.011
更新日期:2009-06-01 00:00:00
abstract::Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, man...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.06.006
更新日期:2012-09-01 00:00:00
abstract::Musculoskeletal and connective tissue disorders are commonly encountered in primary care practice. These disorders include varieties of bursitis, tendinitis, myositis, arthritis, and related conditions. A certain group of these disorders lend themselves to diagnosis by needle aspiration or to treatment by injections. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1986-09-01 00:00:00
abstract::Because patients with HIV are living longer, health maintenance and disease prevention have become important aspects of care. Clinical use of CD4 cell counts and viral load assays to monitor disease progression is reviewed. This article discusses the effect malnutrition has on disease progression and interventions to ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-01 00:00:00
abstract::Chronic kidney disease is encountered by the primary care physician, in no small part owing to the high rates of hypertension and diabetes, the 2 most common etiologies of chronic kidney disease in the United States. As a primary care physician, it is important to understand the epidemiology, pathophysiology, and eval...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.08.001
更新日期:2020-12-01 00:00:00
abstract::Nearly all the topics considered by medical ethics generally present themselves to those caring for cancer patients. Although most attention may be given to questions of resource allocation and limiting treatment, other issues are of equal importance. Providing respect and compassion for patients may be even more impo...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::We have reviewed the current uses of ultrasound in obstetrics. The referring physician must have a clear understanding of the limitations and potential of obstetric ultrasound. The reason for requesting a particular examination should be conveyed to the ultrasonographer. Accurate dating of a particular pregnancy requi...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00
abstract::This chapter addresses key components of screening and preventive care for the older population. The older population is heterogeneous, ranging from the competent, active, well individual to the frail, demented individual. Certain preventive measures are important for all individuals such as counseling on exercise and...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/s0095-4543(02)00005-2
更新日期:2002-09-01 00:00:00
abstract::Depression is the most frequent psychiatric complication of serious medical illness, occurring in up to 20 per cent of cases. Criteria for its diagnosis and guidelines for its treatment are presented. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1987-12-01 00:00:00