Heart Surgery Risks Alexandria VA

People who suffer heart damage after vascular surgery face a higher risk of dying within the next few years, even if they show no symptoms of heart problems, a new study in Alexandria has found.

Paul Roger Cordts, MD
(703) 681-0104
5201 Brawner Pl
Alexandria, VA
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1984

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William Robert Rowley, MD FACS
(703) 549-7399
620 N Pitt St
Alexandria, VA
Gender
Male
Education
Medical School: Minnesota
Graduation Year: 1970

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Stanley Gramch Crossland, MD
611 S Carlin Springs Rd
Arlington, VA
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1971
Hospital
Hospital: Northern Virginia Community Ho, Arlington, Va
Group Practice: Stanley G Crossland Ltd

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Sydney Shuo-yi Guo
(703) 280-1473
2921 Telestar Ct
Falls Church, VA
Specialty
General Surgery, Vascular Surgery

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Behdad Aryavand
(703) 280-5858
2921 Telestar Ct
Falls Church, VA
Specialty
General Surgery, Vascular Surgery

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Paul Stephen Massimiano, MD
(703) 280-1473
4320 Seminary Rd
Alexandria, VA
Specialties
Cardiology, Vascular Surgery
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1978

Data Provided by:
Arun Chowla
(703) 922-7535
7598 Telegraph Rd
Alexandria, VA
Specialty
General Surgery, Vascular Surgery

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John Richard Garrett, MD
(703) 558-6491
1701 N George Mason Dr
Arlington, VA
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1979
Hospital
Hospital: Virginia Hospital Center -Arl, Arlington, Va
Group Practice: Cardiovascular & Thoracic Surgery Associates Pc

Data Provided by:
Homayoun A Hashemi
(703) 280-5858
2921 Telestar Ct
Falls Church, VA
Specialty
General Surgery, Vascular Surgery

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Maseer A Bade
(703) 280-5858
2921 Telestar Ct
Falls Church, VA
Specialty
General Surgery, Vascular Surgery

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Heart Surgery Risks

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FRIDAY, June 12 (HealthDay News) -- People who suffer heart damage after vascular surgery face a higher risk of dying within the next few years, even if they show no symptoms of heart problems, a new study has found.

Lack of symptoms is common, according to the researchers.

In the study, which involved 1,545 people who had elective vascular surgery, 284 were found to have heart damage after surgery. However, 75 percent of them were either asymptomatic or their symptoms were masked by postoperative pain or nausea, the study found.

The study was to be presented June 12 in Denver at the annual meeting of the Society for Vascular Surgery.

The researchers tested the cardiac troponin T (cTnT) levels of the study participants one, three and seven days after their surgery and when they were discharged. Elevated levels of cTnT, a protein key to cardiac muscle contraction, indicate heart damage.

After surgery, heart damage was found to have occurred in 213 people who showed no symptoms and 71 who had symptoms, according to the researchers.

"Patients undergoing major arterial vascular surgery because of atherosclerotic disease are at high-risk for cardiac complications in the perioperative period," Dr. Olaf Schouten of the Erasmus Medical Center of Rotterdam, the Netherlands, said in a news release from the society.

"It is estimated that one out of five patients undergoing major vascular surgery suffers cardiac damage around the time of the operation if patients are appropriately screened in the first week after surgery," Schouten added. "Screening is a valuable tool to determine how aggressive medical therapy should be for their long-term prognosis."

During 3.7 years of follow-up, 40 percent of those with asymptomatic cardiac damage died, compared with 13 percent of people without cardiac damage. After adjusting for the type of surgery and known risk factors such as diabetes, heart failure and heart attacks, people with cardiac damage had more than twice the risk of dying in the years shortly after surgery, the study reported..

"Asymptomatic cTnT release, without clinical symptoms or new ECG changes, is associated with an increased long-term mortality in patients undergoing vascular surgery," Schouten concluded.

More information

The Society for Vascular Surgery has more on vascular conditions and treatments.

SOURCE: Society for Vascular Surgery, news release, June 11, 2009

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