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Cardiology

  • Creator:   The Nurse Practitioner
  • Updated:   1/25/2022
  • Contains:  21 items
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Managing diabetes and hypertension in chronic kidney disease

Mead, Daniel; Dinh, Nhan; Wentworth, Danielle; More

The Nurse Practitioner. 46(11):50-55, November 2021.

Since 2020, several guidelines have been published to help health practitioners better manage hypertension and diabetes in patients with chronic kidney disease. Scrutiny on the inclusion of race in determining the estimated glomerular filtration rate (eGFR) as well as breakthrough research regarding the drug dapagliflozin for the treatment of patients with chronic kidney disease are discussed.

Approach to a patient with hypertensive urgency in the primary care setting

Benenson, Irina; Bradshaw, Molly J.

The Nurse Practitioner. 46(10):50-55, October 2021.

Patients who present to an outpatient office with hypertensive urgency—or severely elevated BP without evidence of acute target organ damage—can be safely treated in the ambulatory setting by initiating or reestablishing long-acting oral antihypertensive medications, addressing medication nonadherence, and reviewing precipitating factors.

Antihypertensive therapy in patients with moderate to severe aortic stenosis

El Hussein, Mohamed Toufic; Harvey, Giuliana; Bueckert, Alexi

The Nurse Practitioner. 46(9):14-22, September 2021.

Patients with aortic stenosis are at risk for developing hypertension. This article provides an overview of antihypertensives used in patients with aortic stenosis, focusing on renin-angiotensin system inhibitors, beta-blockers, diuretics, and vasodilators.

SGLT2 inhibitors: What role do they play in heart failure with reduced ejection fraction?

Lenahan, Christy McDonald; Harrington, Deedra; Stueben, Frances

The Nurse Practitioner. 46(7):30-37, July 2021.

Sodium-glucose cotransporter-2 (SGLT2) inhibitors can decrease risk for heart failure in patients with type 2 diabetes and can decrease risk of major cardiovascular events in patients with heart failure (HF) and diabetes. Specific SGLT2 inhibitors can also decrease major cardiovascular events in patients with HF only.

Hemodynamic monitoring with the CardioMEMS HF System

Falls, Candice

The Nurse Practitioner. 46(3):46-50, March 2021.

Heart failure readmission rates continue to rise and cause economic burden in the US. Advancements in hemodynamic monitoring offer the ability to monitor intracardiac pressures at home and provide data that are used to optimize outpatient management of heart failure, resulting in reduced hospitalization and mortality associated with heart failure.

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.



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