Re: Incidence of kidney damage associated with coronary artery bypass surgery has increased significantly

Jan Drew wrote:
> http://www.news-medical.net/?id=20551
>
> Incidence of kidney damage associated with coronary artery bypass surgery
> has increased significantly
> Excerpts:
> The incidence of kidney damage associated with coronary artery bypass
> surgery has increased significantly over the past 16 years in the United
> States, but the rate of death from such damage has decreased significantly
> during the period, according to a new analysis.
> In their analysis of more than 5 million discharges from hospitals across
> the United States, the researchers at Duke University Medical Center found
> that the incidence of acute renal failure associated with coronary artery
> bypass surgery increased almost five-fold during the study period. The
> researchers estimate that approximately 20,000 cases of the disorder occur
> nationwide each year.
>
> The rate of death from acute renal failure caused by bypass surgery dropped
> almost three-fold during the study period, the researchers said. Still,
> patients with the disorder tend to have higher death rates, and also to
> require longer hospital stays, than patients who do not experience kidney
> damage after surgery.
>
> The findings suggest that current strategies used to prevent acute renal
> failure following bypass surgery may not be as effective as previously
> thought, the researchers said.
>
>
>
> More than 467,000 bypass procedures are performed each year in the United
> States.
>
> Most cases of kidney injury after bypass surgery are transient and cause no
> serious damage, according to Madhav Swaminathan, M.D., an anesthesiologist
> and senior member of the study team. But up to 2 percent of affected
> patients will require kidney dialysis, and 60 percent of those patients will
> die before hospital discharge, he said.
>
> On average, bypass patients without complications spend about five days in
> the hospital, while patients with acute renal may spend 20 days, Swaminathan
> said.
>
>
>
> How bypass surgery causes kidney damage is not exactly known, the
> researchers said, but several possible culprits have been suggested. Damage
> may be caused by alterations in blood flow that occur as a result of being
> placed on a heart-lung machine during surgery, or damage may occur when tiny
> bits of plaque break off of the walls of blood vessels, travel to the
> kidneys, and block its tiny blood vessels.
>
> Drugs used during the coronary artery bypass surgery also may also
> contribute to the phenomenon, and recent Duke research has hinted at a
> genetic susceptibility, the researchers added.
>
> Nor do scientists fully understand the supposed benefits of the various
> strategies currently used to protect the kidneys during and after surgery,
> Swaminathan said.
>
> "During surgery, we try to maintain hydration in the kidneys and keep them
> flushed," he said. "After surgery, we adjust medication dosages to the level
> of changing kidney function.
>
> But, he added, there have been few randomized trials conducted testing drugs
> to protect the kidneys. However, Swaminathan said, no single strategy or
> drug has proved superior to standard therapy in reducing the incidence of
> renal dysfunction after cardiac surgery.
>
> http://mc.duke.edu

The problem is the ever increasing incidence of the following two
things that damage kidneys years before the bypass surgery:

(1) Type-2 Diabetes.

(2) Prior history of angioplasty with stenting.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).

http://groups.google.com/group/sci.m...ad7fe68478acf?

"Andrew B. Chung, MD/PhD" <love12@thetruth.com> wrote in message
news:1161592135.143826.219560@m7g2000cwm.googlegro ups.com...
> Jan Drew wrote:
>> http://www.news-medical.net/?id=20551
>>
>> Incidence of kidney damage associated with coronary artery bypass surgery
>> has increased significantly
>> Excerpts:
>> The incidence of kidney damage associated with coronary artery bypass
>> surgery has increased significantly over the past 16 years in the United
>> States, but the rate of death from such damage has decreased
>> significantly
>> during the period, according to a new analysis.
>> In their analysis of more than 5 million discharges from hospitals across
>> the United States, the researchers at Duke University Medical Center
>> found
>> that the incidence of acute renal failure associated with coronary artery
>> bypass surgery increased almost five-fold during the study period. The
>> researchers estimate that approximately 20,000 cases of the disorder
>> occur
>> nationwide each year.
>>
>> The rate of death from acute renal failure caused by bypass surgery
>> dropped
>> almost three-fold during the study period, the researchers said. Still,
>> patients with the disorder tend to have higher death rates, and also to
>> require longer hospital stays, than patients who do not experience kidney
>> damage after surgery.
>>
>> The findings suggest that current strategies used to prevent acute renal
>> failure following bypass surgery may not be as effective as previously
>> thought, the researchers said.
>>
>>
>>
>> More than 467,000 bypass procedures are performed each year in the United
>> States.
>>
>> Most cases of kidney injury after bypass surgery are transient and cause
>> no
>> serious damage, according to Madhav Swaminathan, M.D., an
>> anesthesiologist
>> and senior member of the study team. But up to 2 percent of affected
>> patients will require kidney dialysis, and 60 percent of those patients
>> will
>> die before hospital discharge, he said.
>>
>> On average, bypass patients without complications spend about five days
>> in
>> the hospital, while patients with acute renal may spend 20 days,
>> Swaminathan
>> said.
>>
>>
>>
>> How bypass surgery causes kidney damage is not exactly known, the
>> researchers said, but several possible culprits have been suggested.
>> Damage
>> may be caused by alterations in blood flow that occur as a result of
>> being
>> placed on a heart-lung machine during surgery, or damage may occur when
>> tiny
>> bits of plaque break off of the walls of blood vessels, travel to the
>> kidneys, and block its tiny blood vessels.
>>
>> Drugs used during the coronary artery bypass surgery also may also
>> contribute to the phenomenon, and recent Duke research has hinted at a
>> genetic susceptibility, the researchers added.
>>
>> Nor do scientists fully understand the supposed benefits of the various
>> strategies currently used to protect the kidneys during and after
>> surgery,
>> Swaminathan said.
>>
>> "During surgery, we try to maintain hydration in the kidneys and keep
>> them
>> flushed," he said. "After surgery, we adjust medication dosages to the
>> level
>> of changing kidney function.
>>
>> But, he added, there have been few randomized trials conducted testing
>> drugs
>> to protect the kidneys. However, Swaminathan said, no single strategy or
>> drug has proved superior to standard therapy in reducing the incidence of
>> renal dysfunction after cardiac surgery.
>>
>> http://mc.duke.edu
>
> The problem is the ever increasing incidence of the following two
> things that damage kidneys years before the bypass surgery:
>
> (1) Type-2 Diabetes.
>
> (2) Prior history of angioplasty with stenting.
>
> Prayerfully in Christ's amazing love,
>
> Andrew <><
> --
> Andrew B. Chung
> Cardiologist, Atlanta, Georgia, USA
> http://HeartMDPhD.com/HolySpirit
>
> As for knowing who are the very elect, these you will know by the
> unconditional love they have for everyone including their enemies
> (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
>
> http://groups.google.com/group/sci.m...ad7fe68478acf?
>
Wonderful to hear from a man of God.

Blessings,

Jan Drew

Jan Drew wrote:
> Andrew wrote:
> > Jan Drew wrote:
> >> http://www.news-medical.net/?id=20551
> >>
> >> Incidence of kidney damage associated with coronary artery bypass surgery
> >> has increased significantly
> >> Excerpts:
> >> The incidence of kidney damage associated with coronary artery bypass
> >> surgery has increased significantly over the past 16 years in the United
> >> States, but the rate of death from such damage has decreased
> >> significantly
> >> during the period, according to a new analysis.
> >> In their analysis of more than 5 million discharges from hospitals across
> >> the United States, the researchers at Duke University Medical Center
> >> found
> >> that the incidence of acute renal failure associated with coronary artery
> >> bypass surgery increased almost five-fold during the study period. The
> >> researchers estimate that approximately 20,000 cases of the disorder
> >> occur
> >> nationwide each year.
> >>
> >> The rate of death from acute renal failure caused by bypass surgery
> >> dropped
> >> almost three-fold during the study period, the researchers said. Still,
> >> patients with the disorder tend to have higher death rates, and also to
> >> require longer hospital stays, than patients who do not experience kidney
> >> damage after surgery.
> >>
> >> The findings suggest that current strategies used to prevent acute renal
> >> failure following bypass surgery may not be as effective as previously
> >> thought, the researchers said.
> >>
> >>
> >>
> >> More than 467,000 bypass procedures are performed each year in the United
> >> States.
> >>
> >> Most cases of kidney injury after bypass surgery are transient and cause
> >> no
> >> serious damage, according to Madhav Swaminathan, M.D., an
> >> anesthesiologist
> >> and senior member of the study team. But up to 2 percent of affected
> >> patients will require kidney dialysis, and 60 percent of those patients
> >> will
> >> die before hospital discharge, he said.
> >>
> >> On average, bypass patients without complications spend about five days
> >> in
> >> the hospital, while patients with acute renal may spend 20 days,
> >> Swaminathan
> >> said.
> >>
> >>
> >>
> >> How bypass surgery causes kidney damage is not exactly known, the
> >> researchers said, but several possible culprits have been suggested.
> >> Damage
> >> may be caused by alterations in blood flow that occur as a result of
> >> being
> >> placed on a heart-lung machine during surgery, or damage may occur when
> >> tiny
> >> bits of plaque break off of the walls of blood vessels, travel to the
> >> kidneys, and block its tiny blood vessels.
> >>
> >> Drugs used during the coronary artery bypass surgery also may also
> >> contribute to the phenomenon, and recent Duke research has hinted at a
> >> genetic susceptibility, the researchers added.
> >>
> >> Nor do scientists fully understand the supposed benefits of the various
> >> strategies currently used to protect the kidneys during and after
> >> surgery,
> >> Swaminathan said.
> >>
> >> "During surgery, we try to maintain hydration in the kidneys and keep
> >> them
> >> flushed," he said. "After surgery, we adjust medication dosages to the
> >> level
> >> of changing kidney function.
> >>
> >> But, he added, there have been few randomized trials conducted testing
> >> drugs
> >> to protect the kidneys. However, Swaminathan said, no single strategy or
> >> drug has proved superior to standard therapy in reducing the incidence of
> >> renal dysfunction after cardiac surgery.
> >>
> >> http://mc.duke.edu
> >
> > The problem is the ever increasing incidence of the following two
> > things that damage kidneys years before the bypass surgery:
> >
> > (1) Type-2 Diabetes.
> >
> > (2) Prior history of angioplasty with stenting.
>
> Wonderful to hear from a man of God.

Laus Deo ! ! :-)

May GOD in HIS infinite grace and mercy continue to heal our hearts
with HIS living water, dear sister Jan whom I love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).

http://groups.google.com/group/sci.m...ad7fe68478acf?

"Andrew B. Chung, MD/PhD" <love12@thetruth.com> wrote in message
news:1161592135.143826.219560@m7g2000cwm.googlegro ups.com...
> Jan Drew wrote:
>> http://www.news-medical.net/?id=20551
>>
>> Incidence of kidney damage associated with coronary artery bypass surgery
>> has increased significantly


Those who have bypass surgery are already on high (dangerous) doses of
statins and other kidney / liver killing meds. If they weren't they are
immediately after (EVEN IF THEIR CHOLESTEROL IS ALREADY LOW)