Clinical Topics

Visceral Metastases Predict Overall PC Survival in Veterans

DURHAM, NC—Visceral metastases (VMs) are generally believed to predict worse prognoses compared with bone and lymph metastases in men with metastatic castration-resistant prostate cancer (mCRPC). Still, a new study published in the journal European Urology Focus pointed out that not… Read More

Veterans With PTSD Fare Worse With Concurrent Prostate Cancer

EAST NORTHPORT, NY—Being diagnosed with prostate cancer can be difficult enough. But what happens when the patient also is a veteran with post-traumatic stress disorder (PTSD)? A presentation at the 2017 American Society of Clinical Oncology explored that question.1 A… Read More

Suicide Attempts in Army Units Appear to Be 'Contagious'

Suicide Attempts in Army Units Appear to Be ‘Contagious’

Study Finds Links Between Higher Individual, Unit Rates BETHESDA, MD—Are soldiers in specific Army units more likely to attempt suicide? A new study looks at that issue and explores what characteristics of the units might influence the decision to take… Read More

Biomarkers Different in Acute HF Patients With, Without Diabetes

GRONINGEN, THE NETHERLANDS – How diabetes affects pathophysiological processes among patients with acute heart failure (AHF) is unclear, according to a new study published in the European Journal of Heart Failure.1 To add to that information, a study team led by the… Read More

Cleveland VA Pharmacy Clinic Shows Promise in Heart Failure Pilot

CLEVELAND – A pilot evaluation of a pharmacist-led, multidisciplinary transitional care clinic for heart failure (HF) patients showed good results at the Louis Stokes Cleveland VAMC in Cleveland. The report, published in Progress in Cardiovascular Diseases, noted that transitions of… Read More

How Effective are Implantable Cardioverter Defibrillators in Heart Failure?

MINNEAPOLIS – While improvement in left ventricular ejection fraction (EF) to greater than 35% occurs in many patients with reduced EF at baseline, it is not clear whether implantable cardioverter defibrillator (ICD) therapy improves survival for these patients. A study… Read More

E-consults Drive Increased Involvement of VA Infectious Disease Specialists

E-consults Drive Increased Involvement of VA Infectious Disease Specialists

By Annette M. Boyle BOSTON—VA physicians in facilities across New England increasingly turn to infectious disease specialists at the VA Boston Healthcare System (VABHS) with questions about antibiotic resistance, Lyme disease and other issues, but the rise in demand has… Read More

Expedited ART Significantly Lowers Viral Load in HIV Patients

Expedited ART Significantly Lowers Viral Load in HIV Patients

By Brenda L. Mooney BETHESDA, MD—When it comes to treating acute HIV infection, sooner is better, noted a new study led by U.S. military researchers. The study, published in the Journal of the International AIDS Society, compared viral load in… Read More

VA Heart Failure Clinic Reduces Readmission Rates Nearly 85%

VA Heart Failure Clinic Reduces Readmission Rates Nearly 85%

By Annette M. Boyle LOS ANGELES—Appropriate and consistent use of medications markedly slows the progression of heart failure and reduces its mortality. Despite the clear benefits of medication, the number of heart failure patients who are nonadherent remains stubbornly high,… Read More

DoD Policies Ensure Sufficient Yellow Fever Vaccine Despite Global Shortage

DoD Policies Ensure Sufficient Yellow Fever Vaccine Despite Global Shortage

In mid-2016, Sanofi Pasteur announced that manufacturing issues could produce a YF-VAX shortage that might last for several months.

Is Aspirin Really a Wonder Drug for Cardiovascular Prevention?

Is Aspirin Really a Wonder Drug for Cardiovascular Prevention?

Since the mid-1980s, aspirin has been used as a preventive drug for cardiovascular disease. In fact, the U.S. Preventive Services Task Force (USPSTF) says that about 40% of American adults over 50 currently take a daily aspirin to prevent heart attacks or strokes.

Aggressive Therapy Doesn’t Always Lower Heart Rate in Heart Failure

BOSTON — A single heart rate (HR) measurement could be important in determining future prognosis of chronic heart failure with reduced ejection fraction (HFrEF). Still, according to a recent article in the American Journal of Cardiology, the importance of elevated HR across serial assessment… Read More

Centenarian Veterans Less Likely to Have Heart Failure

WASHINGTON – In general, older patients are more likely to have heart failure than younger ones. That is not true, however, with a group of men 100-years-old or older treated by the VA, according to a new study. Background information… Read More

How Do Long-Term Heart Failure Patients Differ from Recently-Diagnosed?

DURHAM, NC – How are long-term chronic heart failure (HF) survivors who are hospitalized for acute exacerbation different from patients with more recent HF diagnoses? A study led by Duke University and involving researchers from the San Francisco VAMC sought… Read More