About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Risk of Death 30 Percent Lower in Diabetics Who Opt for Bypass Surgery Instead of Stent

by Kathy Jones on September 15, 2013 at 8:05 PM
Font : A-A+

 Risk of Death 30 Percent Lower in Diabetics Who Opt for Bypass Surgery Instead of Stent

A new study has found that diabetic patients who undergo coronary artery bypass surgery and not stenting have a 30 percent reduced risk of death.

The findings are significant and have public health implications because of the sheer size of the difference in outcomes, according to the researchers at St. Michael's Hospital. Heart disease is the No. 1 killer of people with diabetes, and diabetics represent one-quarter of all patients who undergo coronary artery procedures. The number of people with diabetes is rising steadily as the population ages and becomes more sedentary. "Although bypass surgery is more invasive than stenting, it is imperative that physicians and patients realize that long term mortality reduction is best achieved with bypass surgery," said Dr. Subodh Verma, a cardiac surgeon and principal author of the paper.

Advertisement

Whether diabetics fare better under coronary artery bypass surgery, known as CABG, or the angioplasty-stent procedure known as percuataneous coronary intervention, or PCI, has been the topic of intense debate, particularly from a scientific, social and financial perspective. Therefore, Dr. Verma and Dr. Jan Friedrich, an intensivist at St. Michael's, decided to conduct a meta-analysis of all existing randomized control trials comparing the two procedures. Their results appeared online in the journal Lancet Diabetes and Endocrinology on Friday. It's not known exactly why diabetic patients live longer after bypass surgery compared to stents, even in the contemporary age of "drug-eluting stents," which are coasted with medication that is slowly released to help prevent the growth of scar tissue in the artery lining. Dr. Verma said it may be related to the fact that diabetics have extensive and diffuse blockages that are best treated by bypassing those areas altogether.

They also found that while patients with diabetes did better with CABG, the procedures was associated with an increased risk of non-fatal strokes. They said this may be related to the fact the heart has to be stopped during the procedure. "The study represents an important call to action for physicians and patients," Dr. Verma said. "Physicians must disclose this benefit to the patient to truly obtain informed consent." He noted that the decision to recommend whether diabetic patients undergo one procedure rather than the other usually resides with the cardiologist, who performs stenting. Bypasses are performed by cardiac surgeons. "Despite guidelines from the American Heart Association and the American College of Cardiology advocating for bypasses over stents, until joint decision-making between a cardiologist and cardiac surgeon is facilitated, these findings will be difficult to translate into clinical practice." The European Society of Cardiology supports the concept of a Heart Team, whereby a surgeon, interventionalist, cardiologist and other specialties work together to decide on needed treatment.



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Contraceptive Pills in Polycystic Ovary Syndrome (PCOS) Curtail Type 2 Diabetes Risk
Mushroom May Help Cut Down the Odds of Developing Depression
How to Battle Boredom during COVID
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Diabetes - Self-Monitoring of Blood Glucose (SMBG) Cardiac Catheterization Diabetes and Exercise Coronary Artery Bypass Grafting Mitral Valve Stenosis And Mitral Valve Replacement Death Facts Glycemic Index Bereavement Type 2 Diabetes Diabetes Facts and Figures 

Recommended Reading
Type 2 Diabetes
Globalization and changing lifestyles has made diabetes very common in developing countries so much ...
Remedies to Treat Diabetes Naturally
An article about the natural remedies available at home to treat diabetes effectively and ......
Diabetes Screening
Diabetes screening is done using blood tests like fasting blood sugar and hemoglobin A1c levels. ......
Bereavement
Bereavement refers to grief, pain and sadness following the loss of a loved one, especially during t...
Cardiac Catheterization
Cardiac catheterization is a radiological procedure for both diagnosis and treatment of heart condit...
Coronary Artery Bypass Grafting
Coronary artery bypass grafting (CABG) or heart bypass surgery is an open heart surgery to relieve t...
Diabetes - Self-Monitoring of Blood Glucose (SMBG)
Self-Monitoring Of Blood Glucose (SMBG) is one of the greatest advancements in the management of Di...
Diabetes and Exercise
Regular exercise especially in type II diabetes not only helps reduce the sugar but also reduces the...
Glycemic Index
GLYCEMIC INDEX (GI) is a scale which helps to rank carbohydrate- rich foods, depending on how they a...
Mitral Valve Stenosis And Mitral Valve Replacement
Mitral valve replacement is a surgical heart procedure to correct either the narrowing (stenosis) or...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use