Navigation Links
Adding Surgery to Meds May Help Diabetics With Heart Disease
Date:11/16/2010

By Amanda Gardner
HealthDay Reporter

TUESDAY, Nov. 16 (HealthDay News) -- Using surgical procedures to open clogged arteries in addition to standard drug therapy seems to work better at maintaining good blood flow in diabetics with heart disease, new research finds.

The analysis, being presented Tuesday at the American Heart Association's annual meeting in Chicago, is part of a larger randomized clinical trial deciphering how best to treat type 2 diabetics with heart disease.

In that study, the U.S. government-funded BARI 2D, all participants took cholesterol-lowering medications and blood pressure drugs. They were then were randomized either to continue on drugs alone or to undergo a revascularization procedure -- either bypass surgery or angioplasty.

The initial findings showed that patients fared equally well with either treatment strategy.

But this more recent analysis took things a step further and found that there did, in fact, appear to be an added benefit from artery-opening procedures by the end of one year.

More than 1,500 patients who had participated in the original trial underwent an imaging procedure called stress myocardial perfusion SPECT or MPS, which were then analyzed in this study.

"At one year, interestingly, we saw that patients who were randomized to revascularization had significantly less severe and less extensive and less severe myocardial perfusion [blood flow] abnormalities," said study author Leslee J. Shaw, professor of medicine at Emory University School of Medicine in Atlanta.

Shaw reported ties with different pharmaceutical and related companies.

"We also saw trends at this one year test towards greater effectiveness improvements in angina [heart disease-linked chest pain]," she added.

The study found that 59 percent of patients in the surgery arm had no apparent blockage of blood flow compared to 49 percent in the medication-only group.

Those with compromised blood flow (ischemia), not surprisingly, were more likely to have a heart attack or die, the researchers noted.

But, Shaw pointed out, the patients included in this study all had relatively good blood flow overall and were considered low risk for cardiac problems. "It remains to be seen [how the strategies fare] in patients with more extensive and moderate to severe ischemia," Shaw said.

Another trial is now being planned which will look at patients with moderate-to-severe ischemia.

Because this study was presented at a medical meeting, its data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

And one expert not involved in the trial said that the jury is still out on this issue.

Dr. Jeffrey S. Borer, chair of the department of medicine and of cardiovascular medicine at the State University of New York (SUNY) Downstate Medical Center in New York City, noted that the length of time patients were tracked in the study was not very long.

"This study is useful and the data is interesting . . . [but] what we really care about is longer term clinical results," he said.

More information

There's more on diabetes' link to heart disease at the U.S. National Institutes of Health.

SOURCES: Leslee J. Shaw, Ph.D, professor, medicine, Emory University School of Medicine, Atlanta; Jeffrey S. Borer, M.D, chair, department of medicine and of cardiovascular medicine, State University of New York (SUNY) Downstate Medical Center, New York City; Nov. 16, 2010, presentation, American Heart Association, Chicago


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Adding pharmacists to docs offices helps patient outcomes, study shows
2. Adding monounsaturated fats to a low-cholesterol diet can further improve levels
3. Adding Monounsaturated Fats to Diet May Boost Heart Health
4. Adding radiation to hormone therapy for prostate cancer treatment will increase survival chances
5. Adding topotecan to standard treatment for ovarian cancer does not improve progression-free survival
6. Adding Recess to the Workday Gains Backers
7. Ellsworth Adhesives Is Adding PRC Rapid Seal Product Line Offering
8. Adding Surgery to Meds May Improve Life With Parkinsons
9. Alzheimers Association Applauds Social Security Administration for Adding Early-Onset Alzheimers to Its Compassionate Allowances Initiative
10. Hospital for Special Surgery scientists share advances in lupus and related conditions
11. 5-year results show keyhole bowel cancer surgery is safe and effective
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Adding Surgery to Meds May Help Diabetics With Heart Disease
(Date:1/15/2017)... , ... January 15, 2017 , ... ... Community Outreach is a program that strives to better communities around the world ... locations’ community. It also provides the opportunity for team members to become involved ...
(Date:1/15/2017)... ... 2017 , ... Accreditation Commission for Health Care (ACHC) is ... services. Albertsons Companies is the largest national food and drug chain with ... Accreditation by ACHC reflects Albertsons Companies’ dedication and commitment to meeting national standards ...
(Date:1/15/2017)... ... January 15, 2017 , ... ... best physicians in eight Bay Area counties for 2017. Almost 1,000 nominations were ... company managing the award process. Results were announced the magazine’s January 2017 ...
(Date:1/15/2017)... ... ... The Gravity Vault Indoor Rock Climbing Gym is excited to announce the ... 14,000+ square foot climbing gym, the owners anticipate to open sometime in February 2017. ... two in New York. With this being its first location in Pennsylvania, The Gravity ...
(Date:1/14/2017)... MN (PRWEB) , ... January 14, 2017 , ... ... present the distinctions among their expanding line of activated charcoal products. With more ... the importance of categorizing their products according to how they cater to specific ...
Breaking Medicine News(10 mins):
(Date:1/16/2017)... , Jan. 16, 2017  This report by ... central catheters market for the period 2016–2024. The ... updates and information related to market opportunities in ... comprehensive market study demonstrates the various dynamics that ... future status of the global peripherally inserted central ...
(Date:1/16/2017)... , Jan. 16, 2017 Derek ... Potts Law Firm, was recently appointed Liaison Counsel in ... (JCCP) for all Xarelto cases. In this role, Potts ... parties and will actively assist the Court and Co ... with Milstein Adelman Jackson Fairchild & ...
(Date:1/16/2017)... 2017  According to Kalorama Information, the global ... at $4.9 billion for 2016.  The growing number ... aging population with significant diagnostic needs, along with ... the market for the modality.  The healthcare market ... focuses on the worldwide market, providing market size ...
Breaking Medicine Technology: