Rokas Serpytis

Rokas Serpytis
Vilnius University Hospital Santariškių Klinikos · Cardiology and Angiology Center

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25
Publications
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197
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Publications

Publications (25)
Article
Background: Myocardial infarction with non-obstructive coronary arteries (MINOCA) remains an unresolved challenge. Many different diagnostic approaches are often required to diagnose, confirm, and evaluate MINOCA. The prevalence can be as high as 13 % of all acute MI patients indicating that this condition is not rare. At this time, there have bee...
Article
Pirmasis miokardo infarktas aprašytas kone prieš 80 metų, tačiau miokardo infarktas, nesant vainikinių arterijų obstrukcijos (toliau – MINOVA), nustatytas dar neseniai. MINOVA pasireiškia 6-8 proc. pacientų, kuriems diagnozuotas ūmus miokardo infarktas (toliau – ŪMI). Šią pacientų grupę dažniau sudaro moterys (vidutiniškai apie 55 metų), tačiau, ly...
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Background: Little is known about clinical outcomes of patients with acute myocardial infraction (AMI) complicated by cardiogenic shock (CS) requiring mechanical ventilation (MV). The aim of this study was to identify the characteristics, risk factors, and outcomes associated with the provision of MV in this specific high-risk population. Methods...
Article
Background: After early revascularisation, restoration of macrocirculatory perfusion parameters is the primary objective in the management of cardiogenic shock complicated acute myocardial infarction. Nevertheless, vital organ perfusion may be compromised at the systemic microcirculatory level, even in patients with preserved macrohaemodynamics. M...
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Darbo tikslas. Įvertinti mirtingumo dėl kraujotakos sistemos ligų ir savižudybių ryšį Europos Sąjungos (toliau – ES) valstybėse. Darbo metodika. Atliktas epidemiologinis analitinis mirtingumo dėl išeminės širdies ligos (I20-I25, TLK- 10AM) bei kitų širdies ligų formų (I30-I52, TLK- 10AM) ir mirtingumo dėl savižudybių (X60-X84, TLK-10AM) tyrimas. At...
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Background: The data on long-term outcomes for elderly patients with coronary artery disease who undergo invasive treatment is limited. This study aimed to assess long-term outcomes and risk factors for patients over 80 years of age who underwent revascularisation. Methods: This single-centre retrospective study included ≥80-year-old patients wh...
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Background: Among patients with heart disease, depression and anxiety disorders are highly prevalent and persistent. Both depression and anxiety play a significant role in cardiovascular disease progression and are acknowledged to be independent risk factors. However, there is very little gender-related analysis concerning cardiovascular diseases...
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Objective: Atrial fibrillation is the most common cardiac arrhythmia and a known risk factor for cerebrovascular stroke. Atrial fibrillation and long standing hypertension may produce ischemic lesions leading to progressive cognitive impairment. The impact of atrial fibrillation alone on cognitive impairment has not been evaluated. Our objective w...
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Miokardo infarktas – pagrindinė mirties priežastis daugelyje pasaulio šalių. Į klinikinę praktiką įvedus laboratorinį troponinų tyrimą, pagerėjo miokardo išemijos, įvykusios ne dėl vainikinių kraujagyslių stenozės, diagnostika. 2007 m. universalaus miokardo infarkto apibrėžimo tarptautinio susitarimo dokumente buvo išskirti 5 miokardo infarkto tipa...
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Įvadas: nėra būdingų klinikinių simptomų, fizinio ištyrimo ir laboratorinių tyrimų duomenų, kurie patikimai atmestų plaučių arterijos trombinę emboliją. Klinikinį ligonio, kuriam įtariama PATE, įvertinimą gali palengvinti klinikinės PATE tikimybės skalės. Tikslas: nustatyti ūminės plaučių arterijos trombinės embolijos (PATE) D-dimerų koncentracijos...
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Prieširdžių virpėjimas (PV) – tai dažniausiai pasitaikantis širdies ritmo sutrikimas. Vienas iš PV gydymo būdų – elektrinė kardioversija. Ši procedūra padidina trombembolijų riziką, todėl pacientai 3 savaites prieš ir 4 savaites po kardioversijos turi vartoti antikoaguliantus. Tyrimo tikslas - įvertinti naujojo antikoagulianto – dabigatrano – saugu...
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Aims: Whereas haemodynamic and echocardiographic studies suggest benefits for left ventricular (LV) function and cardiac output following reduction in LV preload by interventional edge-to-edge repair for mitral regurgitation (MR), there is limited data on volumetric and functional LV and right ventricular (RV) changes using cardiac magnetic resona...
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Rupture of the ventricular septum complicates acute myocardial infarction in 0.2% of cases in the thrombolytic era. Ventricular septal defect (VSD) has a mortality of 90-95% in medically managed and 19-60% in surgically treated patients. A retrospective analysis was performed of 41 patients, 26 females (63.4%) and 15 males (36.6%), average age 67.5...
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Three methods are used to identify dysglycaemia: fasting plasma glucose (FPG), 2-h post-load plasma glucose (2hPG) from the oral glucose tolerance test (OGTT), and glycated haemoglobin A1c (HbA1c). The aim was to describe the yield and concordance of FPG, HbA1c, and 2hPG alone, or in combination, to identify dysglycaemia in patients with coronary a...
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MitraClipTM-implantation has been shown to significantly reduce mitral regurgitation (MR) in patients with high surgical risk. Whereas hemodynamic and echocardiographic studies suggest a reduction in left ventricular (LV) volumes and an increase in cardiac output following the intervention, there is very limited data on assessment of volumetric and...
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Background: The overall evidence base regarding delirium has been growing steadily over the past few decades. There has been considerable analysis of delirium concerning, for example, mechanically ventilated patients, patients in the general intensive care unit (ICU) setting, and patients with exclusively postoperative delirium. Nevertheless, ther...
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Remigijus Sipavičius1, Aleksejus Zorinas1, Dalia Drobelytė2, Rokas Šerpytis2, Vytautas Sirvydis1. 1 Vilniaus universiteto Širdies ir kraujagyslių ligų klinikos Širdies chirurgijos centras, Santariškių g. 2, LT-08661 Vilnius 2 Vilniaus universiteto Medicinos fakultetas, M. K. Čiurlionio g. 21, LT-03101 Vilnius El. paštas: remigijus.sipavicius@gmail....

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