Weight Loss Surgery May Reduce the Risk of Stroke and Heart Attack

Weight Loss Surgery pic
Weight Loss Surgery
Image: webmd.com

An emergency medicine physician practicing in Southern California, Zachary Lutsky, MD, has several years of experience working in trauma centers, including Cedars-Sinai Medical Center, Santa Clara Medical center and Harbor UCLA. At such facilities, Dr. Zachary Lutsky has diagnosed and treated patients experiencing strokes and heart attacks.

According to recent research, obesity surgery for patients with type-2 diabetes dramatically reduces their risk of strokes and heart attacks. In fact, weight loss surgery is linked to a 40 percent decrease in the chance of having a stroke or heart attack in the first five years following the procedure.

Researchers discovered this link by tracking roughly 20,000 patients who were severely obese and had type-2 diabetes. These patients were found in records from four major health care systems in the United States: Kaiser Permanente in Northern California, Southern California, and Washington, and HealthPartners in Minnesota. They all had a body mass index (BMI) of at least 35, and researchers attempted to group them together by age, gender, blood sugar levels, and other factors.

Of the total group, over 5,300 patients underwent surgery and roughly 15,000 patients received the regular care of insulin or diabetes medicines. Those who had surgery experienced fewer strokes and heart attacks than patients who received regular diabetes care.

Although researchers cannot prove a cause-and-effect relationship between weight loss surgery and the risk of stroke and heart attack, the suggestion that the two may be related indicates that weight loss surgery should at least be a more frequent discussion among patients and their physicians.

Treating a Gunshot Wound


Zachary Lutsky
Zachary Lutsky

Dr. Zachary Lutsky worked at Cedars-Sinai Medical Center in Los Angeles, California, a level 1 trauma Center, where he was an attending physician. In this role, Dr. Zachary Lutsky handled all manner of emergency medical issues, including the treatment of gunshot wounds.

Due to its unusual and unpredictable nature, a gunshot wound requires significant care in treatment, and no two are ever quite alike. They can change significantly due to location, projectile size, and projectile speed. Initial care for gunshot wounds, before surgical options begin, must pay attention to these issues.

Positioning the patient appropriately can help save a life. If the gunshot wound is above the waist but not in the arm, the patient’s legs should not be elevated, as this can increase bleeding. Patients should be in a comfortable position if conscious or be placed in the recovery position if unconscious or unresponsive. They should also avoid eating or drinking once injured.

At the hospital, gunshot wounds will generally be treated like other puncture wounds, barring complications from related injuries such as broken bones or bullet fragments. The patient should be in an ambulance or at a medical facility within 10 minutes of the injury.