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:9/21/2017)... ... September 21, 2017 , ... Preora Diagnostics Inc. , ... tests, has received two prestigious recognitions that acknowledge the promise of its PWS ... Preora has been named a Top 100 Finalist for the 16th annual Chicago ...
(Date:9/21/2017)... ... September 21, 2017 , ... FlipBelt, the fitness brand that specializes in ... the athletic wear market with the launch of their FlipBelt Crops. , The new ... securely at their fingertips while at the gym, on the trail, or on-the-go. , ...
(Date:9/21/2017)... CO (PRWEB) , ... September 21, 2017 , ... ... Interview of the Month, Lewis and Clark College Emeritus Professor of Education Gregory ... Faith Boninger, co-author of Asleep at the Switch: Schoolhouse Commercialism, Privacy, and ...
(Date:9/20/2017)... ... September 20, 2017 , ... Collins ... System for clients that rely on safety and cleanliness. This unique flooring system ... Silver has been used for centuries for its antimicrobial properties. Unlike antibiotics, which ...
(Date:9/20/2017)... ... September 20, 2017 , ... Doctors on Liens has added the ... of medical professionals working on a personal injury lien basis. Founded by Dr. Wayne ... these esteemed doctors’ vast experience with orthopedic injuries to patients in the Inland Empire. ...
Breaking Medicine News(10 mins):
(Date:9/1/2017)... 2017  Explorers Like Us ( https://explorerslikeus.com/ ) is embarking ... — and deliver these experiences as part of Life Environments™, ... and heal better. ... While nothing beats a walk, jog or simply playing ... Environments™ is the next best thing when getting there isn’t ...
(Date:8/29/2017)... , Aug. 29, 2017 ivWatch, LLC, the leading ... IV infiltrations, announced it has been awarded an Innovative Technology contract ... in the country. ... monitoring device to aid in the early detection of peripheral IV ... The Innovative Technology ...
(Date:8/28/2017)... , Aug. 28, 2017   Aesculight ®, a division of ... surgical lasers. Built on over 20 years of American veterinary laser ... New and Exclusive VetScalpel®Features and Enhancements ... Duclos, DVM, is excising a tumor with his new VetScalpel laser. Dr. ... Lynnwood, WA. ...
Breaking Medicine Technology: