Friday, February 28, 2014

Cause and Effect

Tooth extraction prior to cardiac surgery may increase risk of adverse outcomes
Cardiac surgeon Joseph A. Dearani, MD, along with anesthesiologists Mark M. Smith, MD and Kendra J. Grim, MD, and colleagues from the Mayo Clinic in Rochester, Minn., evaluated the occurrence of major adverse outcomes in 205 patients who underwent at least one dental extraction prior to planned cardiac surgery from 2003 to 2013. The median time from dental extraction to cardiac surgery was 7 days (average 35 days).

"Guidelines from the American College of Cardiology and American Heart Association label dental extraction as a minor procedure, with the risk of death or non-fatal heart attack estimated to be less than 1%," explained Dr. Smith. "Our results, however, documented a higher rate of major adverse outcomes, suggesting physicians should evaluate individualized risk of anesthesia and surgery in this patient population."

In this study, patients who underwent dental extraction prior to cardiac surgery experienced an 8% incidence of major adverse outcomes, including new heart attack, stroke, kidney failure and death. Overall, 3% of patients died after dental extraction and before the planned cardiac surgery could be performed.
As I posted recently-  the majority of invasive dental procedures result in immediate bacteremia.   And dental microbes in the bloodstream CAUSE heart disease... not to mention immune shock reactions.

I'm pretty sure a variation of this is creating a whole lot of cardiac problems.  People go on Medicare and can finally afford dental work- and within a year they need to have some emergency stents put in.
Would explain a few people I know, anyway...