Category: Cardiovascular Disease

Should Digoxin Be Prescribed for Atrial Fibrillation?

Should Digoxin Be Prescribed for Atrial Fibrillation?

VA Study Latest in Debate about Old Drug’s Safety By Brenda L. Mooney PALO ALTO, CA – A new study is calling into question the practice of treating atrial fibrillation with digoxin, finding that patients on the digitalis derivative were… Read More

Milwaukee VA Develops Reversal Protocol for Novel Oral Anticoagulants

Milwaukee VA Develops Reversal Protocol for Novel Oral Anticoagulants

By Annette M. Boyle MILWAUKEE – Many patients prefer the devil they know. When asked whether they want to go on or switch to a novel oral anticoagulant (NOAC) that requires little monitoring, has few drug-drug or food interactions, appears… Read More

Stroke Kills Young American Indian/Alaska Natives at Twice Rate of Whites

Stroke Kills Young American Indian/Alaska Natives at Twice Rate of Whites

By Annette M. Boyle ATLANTA – While three-quarters of stroke patients are older than 65, a “brain attack” can affect people of any age. For young American Indians and Alaskan Natives (AI/AN), that information is especially significant because they have… Read More

Black Servicemembers At More Hypertension Risk, Despite Equitable Healthcare

Black Servicemembers At More Hypertension Risk, Despite Equitable Healthcare

SILVER SPRING, MD — Military research is raising a new question about an old issue: Why do African-Americans have higher incidence rates of hypertension compared with servicemembers of other races and ethnicities despite equitable access to healthcare within the armed forces?

Greater Pharmacist Intervention Tested to Increase Anticoagulant Adherence Rates

Greater Pharmacist Intervention Tested to Increase Anticoagulant Adherence Rates

By Annette M. Boyle PALO ALTO, CA — Medication is only effective if taken, yet how to make sure patients maintain adherence with anticoagulants and many other long-term medications for chronic diseases poses one of the greatest dilemmas for healthcare… Read More

VA, Army Clinicians Rapidly Increase Prescribing of Novel Anticoagulants

VA, Army Clinicians Rapidly Increase Prescribing of Novel Anticoagulants

WASHINGTON — Use of novel anticoagulants has risen sharply both at the VA and in the Army in the last three years, freeing more atrial fibrillation patients from food restrictions and regular checks for coagulation time, as required when using warfarin.

Female Veterans Develop CVD Risk Factors at Younger Ages

Female Veterans Develop CVD Risk Factors at Younger Ages

By Annette M. Boyle BOSTON — During the past 15 years, female veterans have developed risk factors for cardiovascular disease (CVD) at ever-younger ages, challenging many providers’ concept of the population at risk for heart disease. “Historically, the focus in… Read More

PTSD Linked to Increased Myocardial Ischemia

SAN FRANCISCO — A new study adds to the growing evidence that patients with post-traumatic stress disorder (PTSD) also have increased risks for developing myocardial ischemia.

Pharmacist Monitoring Increases Veteran Adherence to ACS Therapy

Pharmacist Monitoring Increases Veteran Adherence to ACS Therapy

DENVER — Personalized attention from a pharmacist increases medication adherence in patients to nearly 90% in the year following hospitalization for acute coronary syndrome (ACS), according to a recent study.

For Veterans, Acute Kidney Injuries Are More Lethal than Heart Attacks

For Veterans, Acute Kidney Injuries Are More Lethal than Heart Attacks

WASHINGTON — Veterans discharged with a diagnosis of acute kidney injury (AKI) have twice the mortality rate of those diagnosed with myocardial infarction (AMI), yet a lack of awareness and treatment options limit physicians’ ability to manage the condition.

Testosterone Therapy Increased Cardiac Events in Veterans after Angiography

By Brenda L. Mooney P. Michael Ho, MD, PhD DALLAS — When considering prescribing androgen deficiency treatment, VA physicians should take into consideration a new study finding that testosterone replacement therapy increased risks of death, heart attack or ischemic stroke… Read More

Too Little Sleep Raises Women’s Risk of Coronary Events

SAN FRANCISCO – Too little sleep, especially early awakening, plays a significant role in raising unhealthy levels of inflammation among women with coronary heart disease, according to a new study. Interestingly, the elevated inflammation affected only women, not men, even… Read More

New Research Shows Increased Cardiovascular Risks for TBI, PTSD Patients

By Brenda L. Mooney ANN ARBOR, MI – New research on short- and long-term cardiovascular risks from traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) could present significant challenges for the VA and the Military Health System. More than… Read More

VA Study Links Statins to Musculoskeletal Conditions, Injuries

By Brenda L. Mooney DALLAS — Adverse effects from statin therapy go beyond just muscle pain and weakness, also increasing risks of musculoskeletal conditions, arthropathies and injuries, according to a new VA study using a large military medical database. The… Read More

Atrial Fibrillation Treatment Varies in VA by Who Is Providing Care

By Annette M. Boyle Mintu Turakhia, MD PALO ALTO, CA – Cardiologists may overtreat veterans newly diagnosed with atrial fibrillation and atrial flutter, while primary care physicians may undertreat them, according to research recently published in the American Heart Journal.1… Read More

For example, battlefield conditions ranging from sun exposure to crowded living conditions to chafing and sweating caused by body armor can create hard-to-manage dermatologic issues. This year’s Compendium discusses the unexpectedly high rate of medical evacuations of troops from war… Read More

Introduction by Brenda L. Mooney, Editorial Director, U.S. Medicine

“An army is a minature of the society which produces it.”- C.L.R. James Brenda L. Mooney, Editorial Director On a recent road trip to enjoy the spring weather, my husband and I stopped at a convenience store near the Georgia-South… Read More

Newly-Approved Anticoagulants Offer More Options, Different Risks

Annette M. Boyle Dr. Alan Jacobson, MD, Director of the anti-coagulation services at the Loma Linda, CA, Veterans Administration Medical Center BOSTON – While newer anticoagulants provide options for many patients with atrial fibrillation (AF) who are at risk for… Read More

By Heart Disease Measures, Current Troops Might Be Healthier Than Ever

Annette M. Boyle Maj. Bryant Webber, MD BETHESDA, MD — Despite concerns about unhealthy lifestyles and rising obesity among recruits, the U.S. military might be in better shape than ever, as measured by cardiovascular disease markers. That’s according to a… Read More

Exercise Plus Statins for Heart Disease: Determining How Much Is Too Much

Annette M. Boyle “…low-fit patients who were not taking statins had 2 to 2.5 times the risk of the patients in the highest fit group who were not on statins.” — Peter Kokkinos, PhD, Director, LIVe Program, Washington DC VAMC… Read More