Carvedilol: the new role of beta blockers in congestive heart failure.

Abstract:

:The prognosis remains poor for patients with congestive heart failure (CHF), despite reduced mortality rates resulting from the addition of angiotensin converting enzyme inhibitors to traditional treatment regimens. Because much of the myocardial damage that occurs in patients with CHF may be related to sympathetic activation, interest in the use of beta blockers has grown. Recent studies have shown the benefits of beta blocker therapy in many patients with heart failure. Carvedilol, the first beta blocker labeled in the United States specifically for the treatment of heart failure, has been shown to improve left ventricular ejection fraction and may reduce mortality.

journal_name

Am Fam Physician

authors

Vanderhoff BT,Ruppel HM,Amsterdam PB

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

1627-34, 1641-2

issue

7

eissn

0002-838X

issn

1532-0650

journal_volume

58

pub_type

杂志文章,评审
  • Preventing stroke in atrial fibrillation.

    abstract::Atrial fibrillation, a common cardiac arrhythmia, is now recognized as a powerful risk factor for stroke. Previously, atrial fibrillation was thought to predispose persons to stroke only in the presence of rheumatic heart disease with mitral stenosis. The significant impact of nonvalvular atrial fibrillation on stroke...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wolf PA,Singer DE

    更新日期:1997-12-01 00:00:00

  • Shoulder instability in young athletes.

    abstract::The term "shoulder instability" constitutes a spectrum of disorders that includes dislocation, subluxation and laxity. Anterior instability is the most common form of glenohumeral instability and may be associated with nerve injury. The diagnosis of anterior, posterior or multidirectional instability is based on a tho...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Mahaffey BL,Smith PA

    更新日期:1999-05-15 00:00:00

  • Continuous ambulatory peritoneal dialysis.

    abstract::During the past decade, continuous ambulatory peritoneal dialysis has emerged as a successful alternative to hemodialysis in the treatment of chronic renal failure. Performed continuously, peritoneal dialysis achieves total transfer comparable to hemodialysis and removes peptides faster. Studies have shown that surviv...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Maher JF,Maher AT

    更新日期:1989-11-01 00:00:00

  • Restless legs syndrome.

    abstract::Patients with restless legs syndrome often have difficulty describing their symptoms. Three features characterize the classic syndrome: an unusual, almost indescribable sensation in the lower extremities; an irresistible urge to move the legs, and the exclusive occurrence of the symptoms at rest, with their relief by ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Fox GN

    更新日期:1986-01-01 00:00:00

  • Differential diagnosis and treatment of hearing loss.

    abstract::Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be categorized as conductive, sensorineura...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Isaacson JE,Vora NM

    更新日期:2003-09-15 00:00:00

  • Acute knee effusions: a systematic approach to diagnosis.

    abstract::Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most common traumatic causes of knee effus...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Johnson MW

    更新日期:2000-04-15 00:00:00

  • Evaluation and treatment of childhood obesity.

    abstract::The prevalence of childhood obesity in the United States has risen dramatically in the past several decades. Although 25 to 30 percent of children are affected, this condition is underdiagnosed and undertreated. Hormonal and genetic factors are rarely the cause of childhood obesity; unnecessary diagnostic evaluations ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Moran R

    更新日期:1999-02-15 00:00:00

  • Weight loss maintenance.

    abstract::Successful long-term weight loss maintenance can be achieved by various means. A combination of dietary and physical activity interventions, along with one or more behavioral approaches, has proven successful in some persons, as documented by the National Weight Control Registry, but is limited by adherence to a consi...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Grief SN,Miranda RL

    更新日期:2010-09-15 00:00:00

  • Parathyroid hyperplasia as a cause of recurrent hyperparathyroidism.

    abstract::Parathyroid hyperplasia is second only to adenoma as the most common cause of hyperparathyroidism. Symptoms are most likely to result from elevated serum calcium levels. Symptoms include nephrocalcinosis and nephrolithiasis. Studies that may help confirm a suspected diagnosis include ultrasonography, computed tomograp...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Kinney TB,Deluca SA

    更新日期:1991-10-01 00:00:00

  • Infantile colic.

    abstract::Defined as three hours of crying per day occurring more than three days in any one week, colic affects 10 to 20 percent of infants during the first three to four months of life. Food allergy, parental attitude, flatulence, maternal medication and parental smoking have been implicated. Dietary modification, pharmacothe...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Leung AK

    更新日期:1987-09-01 00:00:00

  • Endometrial Biopsy: Tips and Pitfalls.

    abstract::Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in postmenopausal women. Pregnancy is the onl...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Williams PM,Gaddey HL

    更新日期:2020-05-01 00:00:00

  • Pseudomonas aeruginosa infections of the skin.

    abstract::Otitis externa, green nail syndrome, toe web infections, hot tub folliculitis, superinfections in chronic antibiotic-treated acne and infectious eczematoid dermatitis are examples of mild cutaneous infections due to Pseudomonas aeruginosa. These may occur in otherwise healthy persons. In persons with lowered resistanc...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Greene SL,Su WP,Muller SA

    更新日期:1984-01-01 00:00:00

  • Ginger: an overview.

    abstract::Ginger (Zingiber officinale) is one of the more commonly used herbal supplements. Although often consumed for culinary purposes, it is taken by many patients to treat a variety of conditions. Ginger has been shown to be effective for pregnancy-induced and postoperative nausea and vomiting. There is less evidence to su...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: White B

    更新日期:2007-06-01 00:00:00

  • Nursing home myths.

    abstract::Adverse publicity about nursing homes increases the anguish of many people as they face the decision of placing a loved one in a nursing home. It is true that there are shortcomings in some nursing homes: poorly trained staff, unesthetic environment, little privacy, few activities and loss of identity. Nevertheless, i...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Retsinas J

    更新日期:1987-04-01 00:00:00

  • New recommendations for prophylaxis after HIV exposure.

    abstract::Early prophylaxis after exposure to human immunodeficiency virus (HIV) can reduce the risk of HIV infection 10-fold and should be recommended or offered after all parenteral exposures. The current recommendations from the Centers for Disease Control and Prevention call for the use of two nucleoside antiretroviral drug...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Perlmutter BL,Harris BR

    更新日期:1997-02-01 00:00:00

  • Exercise-induced amenorrhea.

    abstract::Strenuous exercise may cause menstrual abnormalities, including amenorrhea. The hypoestrogenemia that accompanies amenorrhea has been associated with a low bone mineral content and an increased incidence of stress fractures. With the resumption of menses, which usually occurs soon after female athletes decrease the in...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Olson BR

    更新日期:1989-02-01 00:00:00

  • Left ventricular hypertrophy and antihypertensive therapy.

    abstract::Left ventricular hypertrophy is more common in hypertensive individuals than in normotensive persons. Its presence in hypertensive patients is associated with an increased incidence of ventricular arrhythmias, myocardial infarction, congestive heart failure, stroke and cardiovascular mortality. Echocardiography is mor...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Graettinger WF,Weber MA

    更新日期:1992-08-01 00:00:00

  • Fallopian tube cancer.

    abstract::Primary carcinoma of the fallopian tube is a rare disease and has traditionally been managed in the same manner as epithelial ovarian cancer. However, unlike ovarian cancer, fallopian tube cancer is not routinely suspected and treatment may be delayed. The clinical presentations of seven cases of fallopian tube cancer...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Kimmel KD,Chamberlain DH,Bostrom SG,Christman JE

    更新日期:1988-11-01 00:00:00

  • Endometrial cancer.

    abstract::Endometrial cancer is the fourth most common cancer in women, accounting for approximately 6,000 deaths per year in the United States. It is more common in women who are older, white, affluent obese and of low parity. Hypertension and diabetes mellitus are also predisposing factors. Because any condition that increase...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Canavan TP,Doshi NR

    更新日期:1999-06-01 00:00:00

  • Diagnosis and Management of Adnexal Masses.

    abstract::Adnexal masses can have gynecologic or nongynecologic etiologies, ranging from normal luteal cysts to ovarian cancer to bowel abscesses. Women who report abdominal or pelvic pain, increased abdominal size or bloating, difficulty eating, or rapid satiety that occurs more than 12 times per month in less than a year shou...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Biggs WS,Marks ST

    更新日期:2016-04-15 00:00:00

  • Childhood bullying: implications for physicians.

    abstract::Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can lead to serious academic, social, e...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Lyznicki JM,McCaffree MA,Robinowitz CB

    更新日期:2004-11-01 00:00:00

  • Synovial osteochondromatosis.

    abstract::Synovial osteochondromatosis is a benign disorder in which cartilaginous loose bodies develop about the large joints, usually the knee. It is caused by synovial metaplasia of unknown etiology. Symptoms are due either to mechanical problems caused by the loose bodies or to the degenerative arthritis that usually follow...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Alexander JE,Holder JC,McConnell JR,Fontenot E Jr

    更新日期:1987-02-01 00:00:00

  • Community screening for Tay-Sachs disease.

    abstract::Tay-Sachs disease is a fatal genetic disease affecting Jewish infants of eastern European ancestry. While the disease may go unrecognized until nearly one year of age, death occurs by age three or four. Community screening programs have been organized to detect carriers of this autosomal recessive trait. Prenatal diag...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Jackson LG,Nimoityn P,Faust HS,Glazerman LR

    更新日期:1976-04-01 00:00:00

  • Medical problems from cold exposure.

    abstract::Problems resulting from cold exposure can be successfully treated when a coordinated emergency medical transport system and appropriate equipment are available, as well as medical personnel knowledgeable in the management of frostbite and hypothermia. Clinical suspicion of these disorders is essential. Profoundly hypo...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Dembert ML

    更新日期:1982-01-01 00:00:00

  • Radiologic evaluation of hematuria: guidelines from the American College of Radiology's appropriateness criteria.

    abstract::Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram has been the mainstay of the hema...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Choyke PL

    更新日期:2008-08-01 00:00:00

  • Urinary incontinence in women: evaluation and management.

    abstract::Because the prevalence of urinary incontinence increases with age, a working knowledge of the diagnosis and treatment of the various types of urinary incontinence is fundamental to the care of women. As the population of the United States ages, primary care physicians can expect to see an increasing number of patients...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Culligan PJ,Heit M

    更新日期:2000-12-01 00:00:00

  • Peripheral nerve entrapment and injury in the upper extremity.

    abstract::Peripheral nerve injury of the upper extremity commonly occurs in patients who participate in recreational (e.g., sports) and occupational activities. Nerve injury should be considered when a patient experiences pain, weakness, or paresthesias in the absence of a known bone, soft tissue, or vascular injury. The onset ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Neal S,Fields KB

    更新日期:2010-01-15 00:00:00

  • Metabolic acidosis with an elevated anion gap.

    abstract::Determining the cause of metabolic acidosis with a high anion gap may present a diagnostic challenge. Possible causes include ketoacidosis, certain toxic ingestions, renal failure and lactic acidosis. Many of these entities present with nausea, vomiting and changes in mental status; however, there are specific hallmar...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Hertford JA,McKenna JP,Chamovitz BN

    更新日期:1989-04-01 00:00:00

  • Palmoplantar hyperhidrosis: a therapeutic challenge.

    abstract::Excessive sweating from the palms and soles, known as palmoplantar hyperhidrosis, affects both children and adults. Diagnosis of this potentially embarrassing and socially disabling condition is based on the patient's history and visible signs of sweating. The condition usually is idiopathic. Treatment remains a chall...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Thomas I,Brown J,Vafaie J,Schwartz RA

    更新日期:2004-03-01 00:00:00

  • Management of corneal foreign bodies.

    abstract::Optimal management of corneal foreign-body injuries includes an accurate history, thorough examination of both eyes, atraumatic removal of the foreign body, elimination of the rust ring, appropriate antibiotic prophylaxis and protective patching. Pitfalls to be avoided include using topical steroids, which may promote...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Newell SW

    更新日期:1985-02-01 00:00:00