Sunday September 22, 2019

Metabolic Surgery may Significantly Reduce Risk of Death from Heart Complications

The striking results that we saw after metabolic surgery may be related to the patients' substantial and sustained weight loss

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Metabolic Surgery, Death, Heart
The surgery also help patients with Type-2 diabetes and obesity in controlling the condition and in treatment of cardiovascular diseases compared with people undergoing usual medical care, according to the findings. Pixabay

In addition to reducing weight, bariatric or metabolic surgery may significantly reduce risk of death from heart complications, says a study.

The surgery also help patients with Type-2 diabetes and obesity in controlling the condition and in treatment of cardiovascular diseases compared with people undergoing usual medical care, according to the findings.

“The striking results that we saw after metabolic surgery may be related to the patients’ substantial and sustained weight loss,” said the study’s lead author Ali Aminian, a bariatric surgeon at Cleveland Clinic, Ohio, the USA.

“There is a growing body of evidence to suggest beneficial metabolic and hormonal changes after the surgical procedures that are independent of weight loss,” Aminian said.

Metabolic Surgery, Death, Heart
In addition to reducing weight, bariatric or metabolic surgery may significantly reduce risk of death from heart complications, says a study. Pixabay

The study compared nearly 2,300 patients who underwent metabolic surgery with 11,500 patients with similar characteristics but under usual medical care.

Patients underwent one of the four types of weight-loss surgery — gastric bypass, sleeve gastrectomy, adjustable gastric banding, or duodenal switch.

The primary endpoint of the study was occurrence of death due to one of the five major complications associated with obesity and diabetes — coronary artery events, cerebrovascular issues, heart failure, atrial fibrillation and kidney disease.

Over an eight-year period, it was found that patients of metabolic surgery were 40 per cent less likely to experience one of these events than those receiving usual medical care.

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Patients in the surgical group were 41 per cent less likely to die from any of these causes and had 15 per cent greater weight loss and lower blood sugar levels. They used less medication, including insulin, and less heart medications, like blood pressure and cholesterol therapies, compared with the non-surgery group.

The results were presented at the European Society of Cardiology Congress in Paris, France, and also published in the Journal of the American Medical Association (JAMA). (IANS)

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Flu Vaccines Reduce Death Rates For BP Patients

Influenza vaccination in patients with high blood pressure is associated with 18 per cent reduced risk of death during the flu season

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Flu Vaccine, Death, BP patient
influenza vaccination may improve cardiovascular outcomes in patients with hypertension. Pixabay

Influenza vaccination in patients with high blood pressure is associated with 18 per cent reduced risk of death during the flu season, according to a new study.

“Vaccination is safe, cheap, readily available and decreases influenza infection. On top of that, our study suggests that it could also protect against fatal heart attacks and strokes and deaths from other causes,” said study first author Daniel Modin from the University of Copenhagen in Denmark.

The study used Danish nationwide healthcare registers to identify 608,452 patients aged 18 to 100 years with hypertension during nine consecutive influenza seasons (2007-2016).

The researchers followed patients over each season and tracked how many died.

In particular, they recorded death from all causes such as cardiovascular, heart attack or stroke.

Finally, they analysed the association between receiving a vaccine before flu season and the risk of death during flu season.

Transdermal, Optical Imaging, Blood Pressure
Influenza vaccination in patients with high blood pressure is associated with 18 per cent reduced risk of death during the flu season. Pixabay

The analysis controlled for patient characteristics that could impact the likelihood of dying such as age, comorbidities, medications, and socioeconomic status.

After adjusting for patient differences, in a given influenza season, vaccination was associated with 18 per cent relative reduction in the risk of dying from all causes, 16 per cent relative reduction in the risk of dying from any cardiovascular cause, and 10 per cent from a heart attack or stroke.

ALSO READ: Heart Disease, Stroke-related Deaths on Rise Due to Obesity: Study

The study shows that influenza vaccination may improve cardiovascular outcomes in patients with hypertension.

Regarding how flu and cardiovascular disease might be connected, the researchers noted that when the influenza virus infects the body, it triggers a strong immune reaction and subsequent inflammation.

These responses fight the infection and clear the virus from the body. (IANS)