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.

William Rogers Flinn, MD
(401) 328-5840
22 S Greene St
Baltimore, MD
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1973

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

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Michael Peter Lilly
(443) 552-2900
821 N Eutaw St
Baltimore, MD
Specialty
Vascular Surgery

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

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Stephen Thomas Bartlett, MD
(410) 328-8407
22 S Greene St # N4E40
Baltimore, MD
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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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Luis Anibal Queral, MD
(410) 332-9404
301 Saint Paul St Fl 5
Baltimore, MD
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Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1974

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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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Frank J Criado
(410) 554-6400
3333 N Calvert St
Baltimore, MD
Specialty
General Surgery, Vascular Surgery

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