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.

Michael Peter Lilly, MD
(410) 328-5840
22 S Greene St
Baltimore, MD
Gender
Male
Education
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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Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1987

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Richard J Wilkerson
(410) 332-9404
301 St Paul Place
Baltimore, MD
Specialty
General Surgery, Vascular Surgery

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

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Paul Lucas
(410) 332-9404
301 Saint Paul St
Baltimore, MD
Specialty
General Surgery, Vascular Surgery

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Seyed-Mojtaba Gashti
(410) 554-2950
3333 N Calvert St
Baltimore, MD
Specialty
General Surgery, Vascular Surgery

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Stephen Thomas Bartlett, MD
(410) 328-8407
22 S Greene St # N4E40
Baltimore, MD
Gender
Male
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1979
Hospital
Hospital: University Of Maryland Med Sys, Baltimore, Md
Group Practice: University Of Maryland Med Ctr

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

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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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Safuh Attar, MD, FACC
(410) 328-5843
Fourth Flr Ste N494
Baltimore, MD
Specialties
Cardiology, Vascular Surgery, Thoracic Surgery
Gender
Male
Education
Graduation Year: 2007

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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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