Mnemonic to assist in the treatment of NSTE-ACS Hussein, Mohamed El; Hakkola, Jonah Hussein, Mohamed El; Hakkola, Jonah Less The Nurse Practitioner. 45(11):48-55, November 2020. Show More Show Less Acute care NPs are in an ideal position to diagnose and manage non-ST-segment elevation (NSTE)-acute coronary syndrome (ACS) by implementing guideline-driven medical interventions. Utilizing mnemonics improves efficiency of clinicians in practice. This article introduces a mnemonic to assist NPs in their response to patients with NSTE-ACS. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Acute care NPs are in an ideal position to diagnose and manage non-ST-segment elevation (NSTE)-acute coronary syndrome (ACS) by implementing guideline-driven medical interventions. Utilizing mnemonics improves efficiency of clinicians in practice. This article introduces a mnemonic to assist NPs in their response to patients with NSTE-ACS. Buy
Low voltage on the 12-lead ECG: A warning sign Dzikowicz, Dillon J. Dzikowicz, Dillon J. Less The Nurse Practitioner. 45(9):33-40, September 2020. Show More Show Less A 12-lead ECG showing low voltage should be a red flag to providers and can be caused by several serious conditions. A case reported is included that describes how an NP correctly treated a patient with low voltage on an ECG by discerning and managing the underlying causes. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: A 12-lead ECG showing low voltage should be a red flag to providers and can be caused by several serious conditions. A case reported is included that describes how an NP correctly treated a patient with low voltage on an ECG by discerning and managing the underlying causes. Go to Full Text of this Article Free
Uncommon diagnosis in a patient with near syncope and abnormal ECG Persaud, Harrynauth; Brugna, Robert A. Persaud, Harrynauth; Brugna, Robert A. Less The Nurse Practitioner. 45(9):10-13, September 2020. Favorites PDF Get Content & Permissions Buy
Understanding the most commonly billed diagnoses in primary care: Hyperlipidemia Rogers, Julia; Baker, Manisa Rogers, Julia; Baker, Manisa Less The Nurse Practitioner. 45(8):42-48, August 2020. Show More Show Less This installment in the series on the most commonly billed diagnoses in primary care focuses on hyperlipidemia. This article discusses the pathophysiologic processes of hyperlipidemia as well as how the clinical manifestations and treatments are linked to the pathogenesis of disease. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: This installment in the series on the most commonly billed diagnoses in primary care focuses on hyperlipidemia. This article discusses the pathophysiologic processes of hyperlipidemia as well as how the clinical manifestations and treatments are linked to the pathogenesis of disease. Buy
The ABCs of atrial fibrillation El Hussein, Mohamed Toufic; Kilfoil, Lauren El Hussein, Mohamed Toufic; Kilfoil, Lauren Less The Nurse Practitioner. 45(8):28-33, August 2020. Show More Show Less This article provides an outline of the diagnosis and pathogenesis of atrial fibrillation. A mnemonic is introduced for atrial fibrillation treatment guidelines based on recent evidence. Mnemonics use has been associated with improved learning and task organization. Articles using mnemonics to inform clinical practice have been well-received and implemented. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: This article provides an outline of the diagnosis and pathogenesis of atrial fibrillation. A mnemonic is introduced for atrial fibrillation treatment guidelines based on recent evidence. Mnemonics use has been associated with improved learning and task organization. Articles using mnemonics to inform clinical practice have been well-received and implemented. Go to Full Text of this Article Free Take the CE Test
Understanding the most commonly billed diagnoses in primary care: Atherosclerotic cardiovascular disease Rogers, Julia; Baker, Manisa Rogers, Julia; Baker, Manisa Less The Nurse Practitioner. 45(7):35-41, July 2020. Show More Show Less Atherosclerotic cardiovascular disease (ASCVD) contributes to acute coronary syndrome, angina, stroke, transient ischemic attack, and peripheral arterial disease. This second article describes the pathophysiologic processes of ASCVD as well as how the clinical manifestations and treatments are linked to the pathogenesis of the disease. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Atherosclerotic cardiovascular disease (ASCVD) contributes to acute coronary syndrome, angina, stroke, transient ischemic attack, and peripheral arterial disease. This second article describes the pathophysiologic processes of ASCVD as well as how the clinical manifestations and treatments are linked to the pathogenesis of the disease. Buy
Understanding the most commonly billed diagnoses in primary care: Hypertension Rogers, Julia Rogers, Julia Less The Nurse Practitioner. 45(6):50-55, June 2020. Show More Show Less This first article in a series about the most commonly billed diagnoses in primary care settings explores the pathophysiology, diagnostic evaluation, and management of hypertension. Relevant billing issues are addressed. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: This first article in a series about the most commonly billed diagnoses in primary care settings explores the pathophysiology, diagnostic evaluation, and management of hypertension. Relevant billing issues are addressed. Buy
Pediatric hypertension: A guideline update Benenson, Irina; Waldron, Frederick A.; Porter, Sallie Benenson, Irina; Waldron, Frederick A.; Porter, Sallie Less The Nurse Practitioner. 45(5):16-23, May 2020. Show More Show Less The prevalence of pediatric hypertension is growing. Hypertension during childhood remains a major risk factor for adverse cardiovascular events later in life. NPs should be aware of current guidelines on screening, diagnosis, and treatment of hypertension in children to improve care for this patient population. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: The prevalence of pediatric hypertension is growing. Hypertension during childhood remains a major risk factor for adverse cardiovascular events later in life. NPs should be aware of current guidelines on screening, diagnosis, and treatment of hypertension in children to improve care for this patient population. Go to Full Text of this Article Free Take the CE Test
Takotsubo syndrome: The great imposter Cantey, Christina Cantey, Christina Less The Nurse Practitioner. 45(5):6-10, May 2020. Favorites PDF Get Content & Permissions Buy
SPRINT to reach BP goals: The connections among hypertension, cognition, and brain health Less The Nurse Practitioner. 45(3):9-12, March 2020. Favorites PDF Get Content & Permissions Buy
Diabetes-associated cardiac autonomic neuropathy Wooton, Angela K.; Melchior, Lynne Wooton, Angela K.; Melchior, Lynne Less The Nurse Practitioner. 45(2):24-31, February 2020. Show More Show Less Cardiac autonomic neuropathy (CAN) is an under diagnosed cardiovascular complication associated with diabetes. As the incidence of diabetes increases in an aging population, NPs can help prevent complications associated with diabetes and CAN. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Cardiac autonomic neuropathy (CAN) is an under diagnosed cardiovascular complication associated with diabetes. As the incidence of diabetes increases in an aging population, NPs can help prevent complications associated with diabetes and CAN. Go to Full Text of this Article Free Take the CE Test
Under pressure: Acute cardiac tamponade Chen, Leon L. Chen, Leon L. Less The Nurse Practitioner. 45(2):5-7, February 2020. Favorites PDF Get Content & Permissions Buy
Hypertension management in patients with chronic kidney disease Liddell, Toddra S.; Bassett, Robin; Link, Denise K. Liddell, Toddra S.; Bassett, Robin; Link, Denise K. Less The Nurse Practitioner. 44(12):34-40, December 2019. Show More Show Less Managing hypertension, especially when accompanied by chronic kidney disease, is challenging. These different but related conditions are complicated by differing guidelines. NPs can safely prescribe antihypertensive treatments, which reduce hypertension and the risk of associated comorbidities, such as kidney failure, stroke, myocardial infarction, and vascular disease. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Managing hypertension, especially when accompanied by chronic kidney disease, is challenging. These different but related conditions are complicated by differing guidelines. NPs can safely prescribe antihypertensive treatments, which reduce hypertension and the risk of associated comorbidities, such as kidney failure, stroke, myocardial infarction, and vascular disease. Go to Full Text of this Article Free Take the CE Test
Heart disease prevention in women: The NP's role Wood, Jennie; Gordon, Patricia Wood, Jennie; Gordon, Patricia Less The Nurse Practitioner. 44(10):10-17, October 2019. Show More Show Less More women die from heart disease than any other illness. This article focuses on risk factors and their prevalence in women along with strategies for preventing this disease. Armed with this information, the NP can play a major role in preventing cardiovascular deaths in women. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: More women die from heart disease than any other illness. This article focuses on risk factors and their prevalence in women along with strategies for preventing this disease. Armed with this information, the NP can play a major role in preventing cardiovascular deaths in women. Go to Full Text of this Article Free Take the CE Test
Cardiac stress testing review for the primary care provider Daniels, Karen J. Daniels, Karen J. Less The Nurse Practitioner. 44(6):48-55, June 2019. Show More Show Less Various modes of cardiac stress testing are conducted in outpatient practices today. This article presents information on the current methods of testing to help primary care providers gain confidence in test selection, the testing process, and interpreting results. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Various modes of cardiac stress testing are conducted in outpatient practices today. This article presents information on the current methods of testing to help primary care providers gain confidence in test selection, the testing process, and interpreting results. Buy
Preeclampsia and future stroke risk in women: What NPs need to know Davis, Melissa; Sanders, Bethany Davis, Melissa; Sanders, Bethany Less The Nurse Practitioner. 44(4):50-54, April 2019. Show More Show Less Preeclampsia is a complication of pregnancy that affects approximately 4% of pregnancies. Preeclampsia is defined as new-onset hypertension after 20 weeks gestation often accompanied by new-onset proteinuria. Women who experience preeclampsia during pregnancy are at an increased risk for hypertension and stroke later in life. Healthcare providers should screen women appropriately to minimize risk. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Preeclampsia is a complication of pregnancy that affects approximately 4% of pregnancies. Preeclampsia is defined as new-onset hypertension after 20 weeks gestation often accompanied by new-onset proteinuria. Women who experience preeclampsia during pregnancy are at an increased risk for hypertension and stroke later in life. Healthcare providers should screen women appropriately to minimize risk. Buy
Early diagnosis and treatment of familial hypercholesterolemia Elkins, J. Casey; Fruh, Sharon Elkins, J. Casey; Fruh, Sharon Less The Nurse Practitioner. 44(2):18-24, February 2019. Show More Show Less If undiagnosed and untreated, familial hypercholesterolemia can lead to serious cardiac complications, such as premature atherosclerotic cardiovascular disease. NPs should be familiar with the clinical presentation of this inherited metabolic disease to diagnose patients as early as possible and promptly begin treatment that may include lifestyle changes, statin therapy, and/or nonstatin therapy. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: If undiagnosed and untreated, familial hypercholesterolemia can lead to serious cardiac complications, such as premature atherosclerotic cardiovascular disease. NPs should be familiar with the clinical presentation of this inherited metabolic disease to diagnose patients as early as possible and promptly begin treatment that may include lifestyle changes, statin therapy, and/or nonstatin therapy. Buy Take the CE Test
Managing dyslipidemia for CVD prevention: A review of recent clinical practice guidelines Less The Nurse Practitioner. 44(1):16-17, January 2019. Favorites PDF Get Content & Permissions Free
Hypertriglyceridemia: A review of the evidence Elkins, Casey; Friedrich, Debra Elkins, Casey; Friedrich, Debra Less The Nurse Practitioner. 43(10):22-29, October 2018. Show More Show Less Elevated triglycerides are independently associated with increased atherosclerotic cardiovascular disease risk. Hypertriglyceridemia is often a polygenic condition that can be affected by numerous interventions. Primary care NPs are well positioned to appropriately evaluate and manage hypertriglyceridemia, improving overall health outcomes. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: Elevated triglycerides are independently associated with increased atherosclerotic cardiovascular disease risk. Hypertriglyceridemia is often a polygenic condition that can be affected by numerous interventions. Primary care NPs are well positioned to appropriately evaluate and manage hypertriglyceridemia, improving overall health outcomes. Go to Full Text of this Article Free Take the CE Test
Low health literacy: Implications for managing cardiac patients in practice Hickey, Kathleen T.; Masterson Creber, Ruth M.; Reading, Meghan; More Hickey, Kathleen T.; Masterson Creber, Ruth M.; Reading, Meghan; Sciacca, Robert R.; Riga, Teresa C.; Frulla, Ashton P.; Casida, Jesus M. Less The Nurse Practitioner. 43(8):49-55, August 2018. Show More Show Less There are limited data on racial and ethnic disparities related to quality of life (QoL) and health literacy in adults with multiple cardiac conditions. This article evaluates the relationship between health literacy and QoL among patients with cardiac conditions in a multiethnic community in New York City. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: There are limited data on racial and ethnic disparities related to quality of life (QoL) and health literacy in adults with multiple cardiac conditions. This article evaluates the relationship between health literacy and QoL among patients with cardiac conditions in a multiethnic community in New York City. Buy
Hypertension management options: 2017 guideline Scordo, Kristine Anne Scordo, Kristine Anne Less The Nurse Practitioner. 43(6):33-37, June 11, 2018. Show More Show Less The new hypertension guideline lowers the definition of high BP to 130/80 mm Hg. This means that millions of adults will now be diagnosed with hypertension and that many of those taking antihypertensive drugs are not at goal. The challenge is to communicate the change, the strength of evidence behind the change, and the options available to patients. Healthcare providers must be knowledgeable of the new guideline and ready to meet this challenge. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions Go to Full Text of this Article In Brief: The new hypertension guideline lowers the definition of high BP to 130/80 mm Hg. This means that millions of adults will now be diagnosed with hypertension and that many of those taking antihypertensive drugs are not at goal. The challenge is to communicate the change, the strength of evidence behind the change, and the options available to patients. Healthcare providers must be knowledgeable of the new guideline and ready to meet this challenge. Go to Full Text of this Article Free Take the CE Test
Deciphering chest pain in women Briggs, Linda A. Briggs, Linda A. Less The Nurse Practitioner. 43(4):25-33, April 19, 2018. Show More Show Less The causes of chest pain range from benign sources, such as muscle strain, to life-threatening diagnoses, such as aortic dissection and myocardial infarction. The likelihood and presentations of disorders causing chest pain are different between women and men. This article highlights important features in determining the correct diagnosis. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: The causes of chest pain range from benign sources, such as muscle strain, to life-threatening diagnoses, such as aortic dissection and myocardial infarction. The likelihood and presentations of disorders causing chest pain are different between women and men. This article highlights important features in determining the correct diagnosis. Buy
Detection and management of atrial fibrillation using remote monitoring Hickey, Kathleen T.; Riga, Teresa C.; Mitha, Shazia A.; More Hickey, Kathleen T.; Riga, Teresa C.; Mitha, Shazia A.; Reading, Meghan J. Less The Nurse Practitioner. 43(3):24-30, March 12, 2018. Show More Show Less Atrial fibrillation (AF) is the most common dysrhythmia encountered in the United States. Symptoms may be similar to those of other cardiac conditions, which can delay the timely detection, diagnosis, and management of AF. This article provides an overview of AF and modalities used in remote monitoring. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Atrial fibrillation (AF) is the most common dysrhythmia encountered in the United States. Symptoms may be similar to those of other cardiac conditions, which can delay the timely detection, diagnosis, and management of AF. This article provides an overview of AF and modalities used in remote monitoring. Buy
Non-fasting versus fasting cholesterol measurement Dyce, Evan Dyce, Evan Less The Nurse Practitioner. 43(2):16-20, February 16, 2018. Show More Show Less Fasting for cholesterol measurement has long been the accepted convention. Recent research expounded in clinical guidelines indicates that nonfasting cholesterol measurements predict outcomes at least as well as fasting cholesterol measurements. In most—but not all—clinical scenarios, fasting is not necessary. This article provides clinical recommendations based on the literature. Abstract Abstract In Brief In Brief Favorites PDF Get Content & Permissions In Brief: Fasting for cholesterol measurement has long been the accepted convention. Recent research expounded in clinical guidelines indicates that nonfasting cholesterol measurements predict outcomes at least as well as fasting cholesterol measurements. In most—but not all—clinical scenarios, fasting is not necessary. This article provides clinical recommendations based on the literature. Buy
