Abstract:
: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 history, noninvasive tests and angiography are all helpful in determining who will benefit most from medical therapy, percutaneous revascularization or coronary artery bypass surgery. Surgery improves morbidity and mortality in a well-defined group of patients with left ventricular dysfunction and left main coronary artery disease or triple-vessel disease. Patients with proximal left anterior descending artery disease and moderate or severe ischemia benefit from surgery as well. In all other patients, definitive treatment includes aspirin, beta-adrenergic blockers and lipid-lowering agents. Percutaneous revascularization should be considered primarily a palliative measure, because it has never been shown to improve mortality more than medical therapy.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Zanger DR,Solomon AJ,Gersh BJsubject
Has Abstractpub_date
1999-12-01 00:00:00pages
2543-52issue
9eissn
0002-838Xissn
1532-0650journal_volume
60pub_type
杂志文章,评审abstract::Health care-associated infections cause approximately 75,000 deaths annually, in addition to increasing morbidity and costs. Over the past decade, a downward trend in health care-associated infections has occurred nationwide. Basic prevention measures include administrative support, educating health care personnel, an...
journal_title:American family physician
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更新日期:2014-09-15 00:00:00
abstract::Relactation means reestablishment of a milk supply and nursing after the cessation of nursing for a variable period. Induced nonpuerperal lactation means establishing a milk supply in a woman who has never been pregnant. When motivation and the breasts have both been carefully examined, preparation includes breast sti...
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abstract::Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with men. Methamphetamine use produce...
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journal_title:American family physician
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journal_title:American family physician
pub_type: 杂志文章,已发布勘误,评审
doi:
更新日期:2014-08-01 00:00:00
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journal_title:American family physician
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journal_title:American family physician
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