Diagnosis and management of heart failure in the outpatient setting.

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 patients throughout the spectrum of heart failure, from identifying patients at increased risk to managing the final stages of the disease. New understandings of heart failure pathophysiology have led to more effective treatments aimed at blocking neurohormonal pathways. There is still much to be learned about the pathophysiology and treatment of diastolic heart failure, and rapidly expanding knowledge of heart failure is likely to lead to better treatment in the coming years.

journal_name

Prim Care

journal_title

Primary care

authors

Wilbur J,James P

doi

10.1016/j.pop.2005.09.005

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1115-29, ix

issue

4

eissn

0095-4543

issn

1558-299X

pii

S0095-4543(05)00080-1

journal_volume

32

pub_type

杂志文章,评审
  • Patellofemoral pain syndrome: evaluation and treatment.

    abstract::Patellofemoral pain syndrome is common among athletes and non-athletes. It results from an imbalance of forces acting on the patellofemoral joint, which leads to increased strain on the peripatellar soft tissues, increased patellofemoral joint stress, or both. The most important risk factors are overuse, quadriceps we...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2004.07.006

    authors: LaBella C

    更新日期:2004-12-01 00:00:00

  • Patient Engagement.

    abstract::As the health system shifts toward population health approach, there is increasing attention to decreasing costs and improving quality. Measuring and improving patient engagement will become a requisite core competency for health systems and care providers. Approximately 70% of deaths and 40% of costs are attributable...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2019.07.007

    authors: Murali NS,Deao CE

    更新日期:2019-12-01 00:00:00

  • Mosquito-Borne Diseases.

    abstract::Mosquito-borne diseases have become more common as previously geographically isolated diseases have spread globally. Chikungunya, dengue, Japanese encephalitis, malaria, West Nile, yellow fever, and Zika are a few of the common and emerging viral diseases spread by mosquitoes. A thorough patient history, physical, and...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2018.05.001

    authors: Lee H,Halverson S,Ezinwa N

    更新日期:2018-09-01 00:00:00

  • Hypertension in blacks.

    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:

    authors: Saunders E

    更新日期:1991-09-01 00:00:00

  • The elbow: diagnosis and treatment of common injuries.

    abstract::This article deals with common injuries to the elbow. Elbow anatomy is reviewed. Diagnosis and treatment of pronator syndrome,lateral epicondylitis (tennis elbow), radial tunnel syndrome, posterior interosseous nerve syndrome, medial epicondylitis (golfer's elbow), ulnar collateral ligament injury, cubital tunnel synd...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2004.11.001

    authors: Sellards R,Kuebrich C

    更新日期:2005-03-01 00:00:00

  • Juvenile rheumatoid arthritis.

    abstract::The nature and treatment of the three major types of juvenile rheumatoid arthritis--systemic, polyarticular, and pauciarticular--are presented. ...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Alepa FP

    更新日期:1984-06-01 00:00:00

  • Cleaning and disinfection of lower gastrointestinal endoscopes.

    abstract::Cleaning and disinfection are two necessary and equally important steps to prevent transmission of infection from patient to patient by the endoscope and accessories. There is no evidence that complete sterility is necessary; high-level disinfection is recommended. Controversy remains as to how "high level" this disin...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Tremain SC

    更新日期:1995-09-01 00:00:00

  • Atopic dermatitis.

    abstract::Atopic dermatitis is a complex, chronic inflammatory skin disease. Affected individuals, particularly those with moderate to severe disease, often suffer from significant morbidity, such as sleep loss, skin infections, and school or work disruption. Treatment for these patients can be especially challenging. Restoring...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2007.09.006

    authors: Ong PY,Boguniewicz M

    更新日期:2008-03-01 00:00:00

  • Winning the cancer fight: a look at the future.

    abstract::Early in the 21st century, control of cancer is considered a major public health issue. Research advances are rapidly unraveling molecular genetic changes, which are the basis of human cancer. These advances are changing the way primary care providers will practice in the future. New genetic screening tools, early det...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2009.07.003

    authors: Eyre HJ

    更新日期:2009-12-01 00:00:00

  • Care of cataracts.

    abstract::Medical management may be beneficial for certain types of cataracts, depending on the visual needs of the patient and concomitant ocular or systemic conditions. Surgical intervention and postoperative visual rehabilitation with the use of glasses or contact lenses has a high success rate, although the patient should b...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Kolder HE

    更新日期:1982-12-01 00:00:00

  • Bending the cost curve and increasing revenue: a family medicine model that works!

    abstract::This article attempts to illustrate ways in which family physician practices are able to demonstrate high value, enhanced quality, and streamlined costs, essential components of practice sustainability. Specific examples are provided to assist practices to consider questions and information that allow for skillful eng...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2012.08.004

    authors: Katz BJ,Needham MR

    更新日期:2012-12-01 00:00:00

  • Respiratory and allergic diseases: from upper respiratory tract infections to asthma.

    abstract::Patients with asthma and allergic rhinitis may benefit from hydration and a diet low in sodium, omega-6 fatty acids, and transfatty acids, but high in omega-3 fatty acids (i.e., fish, almonds, walnuts, pumpkin, and flax seeds), onions, and fruits and vegetables (at least five servings a day). Physicians may need to be...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(01)00008-2

    authors: Jaber R

    更新日期:2002-06-01 00:00:00

  • Common sexually transmitted infections in adolescents.

    abstract::Adolescents are often at higher risk for acquiring sexually transmitted infections (STIs). Medical providers should be alert for both asymptomatic and symptomatic STIs, and follow appropriate screening guidelines. Moreover, providers need to know how to best administer adolescent-friendly confidential care, treatment,...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2014.05.011

    authors: Gibson EJ,Bell DL,Powerful SA

    更新日期:2014-09-01 00:00:00

  • Uveitis.

    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

    authors: Dunn JP

    更新日期:2015-09-01 00:00:00

  • Sexuality in the Older Adult.

    abstract::Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2017.04.004

    authors: Morton L

    更新日期:2017-09-01 00:00:00

  • Evaluation of persistent cough in children.

    abstract::Persistent or chronic cough is defined as a cough lasting more than 3 weeks. A systematic approach to the diagnosis and treatment of chronic cough involves a detailed history. The age of the child, descriptive qualities of the cough, and environmental exposures are particularly important. A thorough physical examinati...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/s0095-4543(05)70368-7

    authors: Meyer AA,Aitken PV

    更新日期:1996-12-01 00:00:00

  • Smoking cessation in office practice.

    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:

    authors: Houston TP

    更新日期:1992-09-01 00:00:00

  • ADHD in children, adolescents, and adults.

    abstract::Attention-deficit-hyperactivity disorder (ADHD) is a commonly occurring, heritable neurobehavioral disorder distributed worldwide that does not typically resolve after childhood. The significant impact of ADHD on an individual's family, relationships, educational performance, and performance at work is now well establ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2007.04.012

    authors: Katragadda S,Schubiner H

    更新日期:2007-06-01 00:00:00

  • Diagnosis and Management of Anorectal Disorders in the Primary Care Setting.

    abstract::Anorectal disorders are very common among a wide population of patients. Because patients may be embarrassed about the anatomic location of their symptoms, they may present to care late in the course of their illness. Care should be taken to validate patient concerns and normalize fears. This article discusses the dia...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2017.07.012

    authors: Davies D,Bailey J

    更新日期:2017-12-01 00:00:00

  • Cervical pain in the athlete: common conditions and treatment.

    abstract::In summary, it is important for physicians dealing with neck pain in an athletic population to understand the differences between serious and mild cervical injuries. This is best facilitated by a thorough understanding of the signs and symptoms of serious cervical injury, familiarity with the basic anatomy of the neck...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2004.11.005

    authors: Dorshimer GW,Kelly M

    更新日期:2005-03-01 00:00:00

  • Approaching Foot and Ankle Injuries in the Ambulatory Setting.

    abstract::Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of k...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2019.10.007

    authors: Albano AW Jr,Nelson V

    更新日期:2020-03-01 00:00:00

  • Common skin problems of infancy, childhood, and adolescence.

    abstract::Common dermatological problems as a frequent presenting complaint are stratified by infancy, childhood, and adolescence. The common manifestations and questions asked by parents are discussed. Both infectious and noninfectious rashes are included. Convenient treatment modalities are listed. ...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: O'Brien JM

    更新日期:1995-03-01 00:00:00

  • Shared decision making and determining decision-making capacity.

    abstract::Shared decision making respects patient autonomy and allows patients to select how much they wish to become involved in various health care decisions. Advance care planning allows a person to document preferences that can become operative at a later time when the person has lost decision-making capacity. Structured me...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2005.06.004

    authors: Brody H

    更新日期:2005-09-01 00:00:00

  • Violence against women.

    abstract::This article addresses two primary issues: partner violence and sexual assault. Partner violence refers to the infliction of harm by one intimate partner to the other, with the intention of causing pain or controlling the other's behavior. Sexual assault is sex without consent, obtained by force or threat. Sexual assa...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:

    authors: Burge SK

    更新日期:1997-03-01 00:00:00

  • Medical Care of the Homeless: An American and International Issue.

    abstract::Homeless persons die significantly younger than their housed counterparts. In many cases, relatively straightforward primary care issues escalate into life-threatening, expensive emergencies. Poor health outcomes driven by negative interactions between comorbid symptoms meet the definition of a health syndemic in this...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2016.09.009

    authors: Fleisch SB,Nash R

    更新日期:2017-03-01 00:00:00

  • Bacterial Skin Infections.

    abstract::Skin and soft tissue infections account for 0.5% of outpatient visits to primary care. Skin and soft tissue infections can usually be managed in an outpatient setting. However, there are certain circumstances as discussed in this article that require more urgent care or inpatient management. Primary care providers sho...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2015.08.001

    authors: Ibrahim F,Khan T,Pujalte GG

    更新日期:2015-12-01 00:00:00

  • Biofeedback and primary care.

    abstract::Biofeedback is a clinical modality in which technology or instrumentation is used to allow a patient to gain awareness of, and control over, physiologic processes. Successful treatment employing biofeedback can be beneficial for several stress-related and pain conditions, as well as other forms of somatic disturbance....

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2009.09.005

    authors: Glick RM,Greco CM

    更新日期:2010-03-01 00:00:00

  • Health risks and benefits of bottled water.

    abstract::Health and safety concerns have dramatically increased the consumption of bottled water in developed countries, including the United States. The economic and environmental impact of the many different bottled water products on the market is considerable, and the role and impact of bottled water for routine use is uncl...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:10.1016/j.pop.2008.07.008

    authors: Napier GL,Kodner CM

    更新日期:2008-12-01 00:00:00

  • Miscellaneous primary headache.

    abstract::There are many types of miscellaneous primary headache, but two groups have been selected for discussion: trigeminal autonomic cephalalgias (TAC) and cephalalgias without autonomic dysfunction(CWAD). TAC are strictly unilateral and CWAD are usually bilateral. Sudden onset and relatively short duration characterize mos...

    journal_title:Primary care

    pub_type: 杂志文章,评审

    doi:10.1016/j.pop.2004.02.006

    authors: Wheeler SD

    更新日期:2004-06-01 00:00:00

  • The radiology of lung cancer.

    abstract::Double reading of radiographs increases the likelihood of detecting pulmonary disease and, accordingly, physicians have an obligation to view the radiographic examinations performed on their patients, either with the radiologist or independently. It is also essential that the radiologist be proved with the clinical fi...

    journal_title:Primary care

    pub_type: 杂志文章

    doi:

    authors: Fennessy JJ

    更新日期:1976-03-01 00:00:00