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Cardiology

  • Creator:   The Nurse Practitioner
  • Updated:   4/5/2021
  • Contains:  26 items
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Mnemonic to assist in the treatment of NSTE-ACS

Hussein, Mohamed El; Hakkola, Jonah

The Nurse Practitioner. 45(11):48-55, November 2020.

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.

Low voltage on the 12-lead ECG: A warning sign

Dzikowicz, Dillon J.

The Nurse Practitioner. 45(9):33-40, September 2020.

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.

Understanding the most commonly billed diagnoses in primary care: Hyperlipidemia

Rogers, Julia; Baker, Manisa

The Nurse Practitioner. 45(8):42-48, August 2020.

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.

The ABCs of atrial fibrillation

El Hussein, Mohamed Toufic; Kilfoil, Lauren

The Nurse Practitioner. 45(8):28-33, August 2020.

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.

Understanding the most commonly billed diagnoses in primary care: Atherosclerotic cardiovascular disease

Rogers, Julia; Baker, Manisa

The Nurse Practitioner. 45(7):35-41, July 2020.

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.

Understanding the most commonly billed diagnoses in primary care: Hypertension

Rogers, Julia

The Nurse Practitioner. 45(6):50-55, June 2020.

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.

Pediatric hypertension: A guideline update

Benenson, Irina; Waldron, Frederick A.; Porter, Sallie

The Nurse Practitioner. 45(5):16-23, May 2020.

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.

Diabetes-associated cardiac autonomic neuropathy

Wooton, Angela K.; Melchior, Lynne

The Nurse Practitioner. 45(2):24-31, February 2020.

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.

Hypertension management in patients with chronic kidney disease

Liddell, Toddra S.; Bassett, Robin; Link, Denise K.

The Nurse Practitioner. 44(12):34-40, December 2019.

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.

Heart disease prevention in women: The NP's role

Wood, Jennie; Gordon, Patricia

The Nurse Practitioner. 44(10):10-17, October 2019.

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.

Cardiac stress testing review for the primary care provider

Daniels, Karen J.

The Nurse Practitioner. 44(6):48-55, June 2019.

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.

Preeclampsia and future stroke risk in women: What NPs need to know

Davis, Melissa; Sanders, Bethany

The Nurse Practitioner. 44(4):50-54, April 2019.

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.

Early diagnosis and treatment of familial hypercholesterolemia

Elkins, J. Casey; Fruh, Sharon

The Nurse Practitioner. 44(2):18-24, February 2019.

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.

Hypertriglyceridemia: A review of the evidence

Elkins, Casey; Friedrich, Debra

The Nurse Practitioner. 43(10):22-29, October 2018.

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.

Low health literacy: Implications for managing cardiac patients in practice

Hickey, Kathleen T.; Masterson Creber, Ruth M.; Reading, Meghan; More

The Nurse Practitioner. 43(8):49-55, August 2018.

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.

Hypertension management options: 2017 guideline

Scordo, Kristine Anne

The Nurse Practitioner. 43(6):33-37, June 11, 2018.

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.

Deciphering chest pain in women

Briggs, Linda A.

The Nurse Practitioner. 43(4):25-33, April 19, 2018.

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.

Detection and management of atrial fibrillation using remote monitoring

Hickey, Kathleen T.; Riga, Teresa C.; Mitha, Shazia A.; More

The Nurse Practitioner. 43(3):24-30, March 12, 2018.

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.

Non-fasting versus fasting cholesterol measurement

Dyce, Evan

The Nurse Practitioner. 43(2):16-20, February 16, 2018.

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.



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