Heart Surgery Risks Baltimore MD

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 Baltimore has found.

Luis Anibal Queral, MD
(410) 332-9404
301 Saint Paul St Fl 5
Baltimore, MD
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Male
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Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1974

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Michael Peter Lilly, MD
(410) 328-5840
22 S Greene St
Baltimore, MD
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Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1978

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Marshall Edward Benjamin, MD
(410) 328-5840
22 S Greene St
Baltimore, MD
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Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1987

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Luis Queral
(410) 332-9404
301 St Paul Place
Baltimore, MD
Specialty
General Surgery, Vascular Surgery

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David Gutherz Neschis, MD
(410) 328-5840
22 S Greene St Rm N4W66
Baltimore, MD
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Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1992

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Nancy S Clark
(410) 554-6400
3333 N Calvert St
Baltimore, MD
Specialty
General Surgery, Vascular Surgery

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Elliott Michael Badder, MD
(410) 332-9696
301 Saint Paul St
Baltimore, MD
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Male
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Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1967
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Hospital: Mercy Med Ctr, Baltimore, Md
Group Practice: University Of Maryland Assoc

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Nancy Sue Clark, MD
(410) 559-6400
3333 N Calvert St Ste 570
Baltimore, MD
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Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1991

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Frank J Criado, MD
(410) 554-6400
3333 N Calvert St
Baltimore, MD
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Medical School: Univ De La Republica, Fac De Med, Montevideo, Uruguay
Graduation Year: 1974

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Paul Lucas
(410) 332-9404
301 Saint Paul St
Baltimore, MD
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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