Clinical Topics


Cardiology

Mental Health Diagnoses Increase Coronary Artery Disease Risks in Women Veterans

BOSTON — Depression and anxiety can be debilitating on their own. For women veterans, the conditions raise an additional concern: They significantly increase the risk of coronary artery disease (CAD)—the leading cause of death in the United States.

Cardiology

Using EMR to Improve Statin Adherence in MHS

DURHAM, NC — Even though HMG-CoA reductase inhibitors (statins) lower cholesterol and prevent cardiovascular disease, nearly half of patients stop taking statin medications one year after they are prescribed. A study published by PLoS One noted... View Article

Cardiology

Aspirin Appears to Be Safe for Some Heart Failure Patients

SAN FRANCISCO – Does use of aspirin increase heart failure (HF) hospitalization or risk of death in patients with reduced ejection fraction receiving an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB)? That was the question... View Article

Cardiology

Veterans With Heart Failure, Methamphetamine Use Present Growing Challenges for VA

The rate of heart failure associated with methamphetamine (meth) use appears to be on the upswing in veterans, according to preliminary research presented at the American Heart Association's Scientific Sessions 2017.

Cardiology

All-Cause Mortality Reduced in Heart Failure Patients with Lower Discharge Heart Rate

WASHINGTON — Although a lower heart rate is known to be linked with better outcomes in patients with heart failure (HF) with reduced ejection fraction (EF), not as much research is available on the association in... View Article

Cardiology

Aspirin Appears to Be Safe for Some Heart Failure Patients

SAN FRANCISCO – Does use of aspirin increase heart failure (HF) hospitalization or risk of death in patients with reduced ejection fraction receiving an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB)? That was the question... View Article

Cardiology

All-Cause Mortality Reduced in Heart Failure Patients with Lower Discharge Heart Rate

WASHINGTON – Although a lower heart rate is known to be linked with better outcomes in patients with heart failure (HF) with reduced ejection fraction (EF), not as much research is available on the association in... View Article

Cardiology

Veterans With Heart Failure, Methamphetamine Use Present Growing Challenges for VA

ANAHEIM, CA – The rate of heart failure associated with methamphetamine (meth) use appears to be on the upswing in veterans, according to preliminary research presented at the American Heart Association’s Scientific Sessions 2017. The... View Article

Cardiology

Dorn VAMC Nurse Is National Spokesperson for ‘Go Red for Women’ Campaign

Beverly Buchanan’s symptoms didn’t immediately set off any red flags in her mind.

Cardiology

Cleveland VA Pharmacy Clinic Shows Promise in Heart Failure Pilot

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.

Cardiology

How Effective Are Implantable Cardioverter Defibrillators in Heart Failure?

It is not clear whether implantable cardioverter defibrillator (ICD) therapy improves survival

Cardiology

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... View Article

Cardiology

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... View Article

Cardiology

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... View Article

Cardiology

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... View Article

Cardiology

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... View Article

Cardiology

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... View Article

Cardiology

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... View Article

Cardiology

Metformin Appears Safe for Heart Failure, Other Diabetes Co-Morbidities

DURHAM, NC – While recent changes to the U.S. Food and Drug Administration boxed warning for metformin are likely to increase the common diabetes drug’s use in patients with historical contraindications or precautions, prescribers are... View Article

Cardiology

Cardiorespiratory Fitness Inversely Linked to Heart Failure in Veterans

PALO ALTO, CA — Cardiorespiratory fitness (CRF) is inversely associated with cardiovascular and all-cause mortality. A new study published in the journal Circulation: Heart Failure, took that a step further, however, to determine whether CRF... View Article

Cardiology

Post-Discharge Clinic at VA Increases Heart Failure Medication Adherence

LOS ANGELES – Adherence to heart failure (HF) medications has shown improvement with disease management programs, leading a new study to pose the question: How much would it help to have a comprehensive multidisciplinary HF... View Article

Cardiology

Heart Failure Patients Have Impaired Taste for Salt

NEW YORK – Do heart failure patients lose their taste for salt? A new study published in the Journal of Cardiac Failure suggests that is a possibility. Background information in the article pointed out that... View Article

Cardiology

Antiretrovirals Lower Risk of Heart Failure in HIV-Infected Veterans

SAN FRANCISCO – Despite higher risk of chronic kidney disease, most human immunodeficiency virus(HIV)-infected patients in the United States take the antiretroviral medication tenofovir disoproxil fumarate (TDF). A study published in the Journal of the... View Article

Cardiology

White Patients Have Higher Mortality Risks from Heart Failure

LOS ANGELES — The proportion of hospitalizations for heart failure with preserved ejection fraction (HFpEF) has increased over the last decade. A new study published in JACC: Heart Failure examined whether the short- and long-term outcomes differ... View Article

Cardiology

PTSD Impairs Blood Vessel Function, Increases Cardiovascular Disease Risks

SAN FRANCISCO — The relationship between post-traumatic stress disorder (PTSD) and elevated risk for cardiovascular disease and mortality has been well documented in recent years. How PTSD specifically affects heart health, however, has been less clear.

Cardiology

Few Veterans with Heart Failure Participate in Cardiac Rehabilitation

SAN FRANCISCO—Despite evidence that cardiac rehabilitation reduces morbidity and mortality, few patients with heart failure undertake it, including veterans who often have difficulty accessing center-based programs.

Cardiology

Systolic BP Variation Linked to Poor Outcomes

Within individual patients, blood pressure (BP) fluctuates dynamically over time, and previous clinical studies have suggested an adverse link between greater visit-to-visit variability in systolic blood pressure (SBP) and various outcomes, according to a new study.

Cardiology

Walter Reed Researchers Seek to Improve Accuracy in CVD Risk Scoring

Primary care physicians and cardiologists increasingly rely on risk factor-based scores to determine who should start preventive therapy for atherosclerotic cardiovascular disease.

Cardiology

Bleeding Risk Greater for Veterans on Warfarin Than Previously Expected

Worried that a fall might lead to traumatic intracranial bleeding, many physicians are wary of prescribing warfarin to older adults with atrial fibrillation (AFib).

               
           

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