The definition of hypertension was recently changed by the American College of Cardiology – American Heart Association to a systolic arterial pressure of more than 130 mm Hg, a diastolic pressure of more than 80 mm Hg, or both. Continue reading “New Diagnostic and Treatment Criteria for Hypertension in Adults”
Latent autoimmune diabetes in adults (LADA) accounts for 2%-12% of all cases of diabetes. Patients are typically diagnosed after 35 years of age and are often misdiagnosed as type II Diabetes Mellitus (DM). Glycemic control is initially achieved with sulfonylureas but patients eventually become insulin dependent more rapidly than with type II DM patients.
Continue reading “Diagnostic Criteria of Latent Autoimmune Diabetes in Adults (LADA)”
“Prediabetes” is the term used for individuals with impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT) and indicates an increased risk for the future development of diabetes. IFG and IGT should not be viewed as clinical entities in their own right but rather risk factors for diabetes and cardiovascular disease (CVD). IFG and IGT are associated with obesity (especially abdominal or visceral obesity), dyslipidemia with high triglycerides and/or low HDL cholesterol, and hypertension.
Continue reading “Criteria for Testing for Diabetes or Prediabetes in Asymptomatic Adults”
Obstructive sleep apnea syndrome (OSAS) is defined as repeated episodes of obstructive apneas and hypopneas during sleep, frequently followed by transient hemoglobin desaturation (hypoxemia) and unconscious (EEG) arousals.
Continue reading “Diagnosis of Obstructive Sleep Apnea (OSA) in Adults and Children”
Clinical Criteria for Brain Death in Adults and Children
- Absence of motor responses
- Absence of pupillary responses to light and pupils at midposition with respect to dilatation (4–6 mm)
- Absence of corneal reflexes
- Absence of caloric responses
- Absence of gag reflex
- Absence of coughing in response to tracheal suctioning
- Absence of sucking and rooting reflexes
- Absence of respiratory drive at a PaCO2 that is 60 mm Hg or 20 mm Hg above normal base-line values*
- Interval between two evaluations, according to patient’s age Continue reading “Criteria for Brain Death in Adults and Children”
The classification is based on the average of two or more properly measured, seated blood pressure readings on each of two or more office visits.
Continue reading “JNC-VII Classification and management of blood pressure for adults”