Heart Surgery Risks Arlington 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 Arlington has found.

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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Subodh Arora, MD
(202) 741-3210
2150 Pennsylvania Ave NW
Washington, DC
Gender
Male
Education
Medical School: Bj Med Coll, Univ Of Pune, Pune, Maharashtra, India
Graduation Year: 1982

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James Joseph McFarland, MD
(219) 736-0868
3 Washington Cir NW
Washington, DC
Gender
Male
Education
Medical School: Univ Di Bologna, Fac Di Med E Chirurgia, Bologna, Italy
Graduation Year: 1976

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Christopher E Attinger, MD
(202) 444-3059
3800 Reservoir Rd NW
Washington, DC
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1981

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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

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Joseph Martin Giordano, MD
(202) 741-3225
2150 Pennsylvania Ave NW
Washington, DC
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1967

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Subodh Arora
(202) 741-3260
2150 Pennsylvania Ave Nw
Washington, DC
Specialty
Vascular Surgery

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Richard Neville, MD
(202) 444-2255
3800 Reservoir Rd NW
Washington, DC
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1983

Data Provided by:
David Deaton
(202) 444-1265
3800 Reservoir Rd Nw
Washington, DC
Specialty
General Surgery, Vascular Surgery

Data Provided by:
Richard F Neville
(202) 444-2255
3800 Reservoir Rd Nw
Washington, DC
Specialty
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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