Papestiev, Vasil
Preferred name
Papestiev, Vasil
Official Name
Papestiev, Vasil
Translated Name
Васил Папестиев
Alternative Name
Papestiev, V
V. Papestiev
Васил Папестиев
Папестиев, В
Vasil Papestiev
В. Папестиев
Main Affiliation
Email
papestiev@gmail.com
20 results
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Item type:Publication, Capecitabine-induced Cardiotoxicity Complicated with Acute Coronary Syndrome and Acute Heart Failure: A Case Report and Review of Scientific Data(Medicinska Naklada d.o.o., 2025-04); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Predicting Post-operative Atrial Fibrillation in Cardiac Surgery – The Added Value of Echocardiography(Scientific Foundation Spiroski (publications), 2021-12-30); ; INTRODUCTION: Post-operative atrial fibrillation (POAF) is a frequent rhythmic complication in cardiac surgery with the potential to cause sudden hemodynamic instability and catastrophic thromboembolic complications. Despite vast scientific research, it is still hard to predict and prevents its occurrence. AIM: The aim of this study was to determine whether selected pre-operative and intraoperative echocardiographic variables would be of added value in POAF prediction. МАTERIAL AND METHODS: This prospective observational follow-up study included 178 cardiac surgery patients undergoing coronary artery bypass graft intervention. Demographic as well as echocardiographic variables of interest were examined to detect significant independent predictors for POAF. RESULTS: POAF was detected in 90 (50.56%) patients versus 88 (49.44%) patients without POAF. Patients who developed POAF were significantly older and burdened with multiple comorbidities. In multiple regression analysis pre-operative echocardiographic variables-diastolic dysfunctions, enlarged left atrial (LA) volume indexed for body surface area, mitral annular calcification, and secondary mitral regurgitation were predictive of POAF. LA appendage flow velocity obtained by intraoperative transesophageal echocardiography was also a significant intraoperative predictor for POAF. CONCLUSION: The results of this study confirmed that two-dimensional echocardiography is a valuable diagnostic and prognostic tool in relation to POAF. The addition of the aforementioned echocardiographic independent predictors to traditional demographic variables could be a solid foundation of a new predictive model for POAF. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Therapeutic Resistance In Synchronous Endometrioid Carcinomas: A Case Report With A Pathogenic Germline Mutation In PMS2(Elsevier BV, 2025-02); ; ; ; The occurrence of synchronous malignancies, particularly endometrial and ovarian cancers, presents a notable clinical challenge, with studies indicating that approximately 2-10% of women diagnosed with ovarian cancer also present with endometrial carcinoma. Mismatch repair (MMR) genes, including PMS2, play a crucial role in the pathogenesis of these cancers, as mutations in MMR genes are associated with increased susceptibility to various malignancies. Understanding these genetic factors is essential for effective treatment approaches. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The significance of nutritional status in postoperative management in cardiac surgery(2024); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE SIGNIFICANCE OF THE ELECTROCARDIOGRAPHIC SCREENING USED IN PREVENTION AND DETECTION OF PATHOLOGICAL CHANGES IN HEARTS OF ATHLETES(Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2022); ; ; ; Abstract Changes in the structure and function of the heart that occur as a result of engaging in professional amateur training can be detected in a timely manner by using 12-channel electrocardiography (ECG) as one of the non-invasive methods used for cardiovascular screening in athletes.. The aim of the study is to promptly detect and diagnose cardiovascular conditions that can cause sudden cardiac death in athletes. In this prospective cross-sectional study conducted during 2016/2017, 285 examinees-athletes aged 9-38 years of both sexes were included (62,1% men and 37,9% women). An ECG was performed on all of them and a personal, sports and family history was taken. According to the ECG changes and in accordance with international recommendations for its interpretation, the examinees were divided into 4 groups. The results showed that physiological changes in the ECG were found in 51,9% of examinees, borderline changes in the ECG in 21,4%, while abnormal in 7,7%. Due to the possibility of timely identification and detection of heart changes due to physical activity or congenital, and could cause sudden cardiac death, the use of 12-channel electrocardiography is necessary in the evaluation of athletes. Key words: electrocardiography, sudden cardiac death, screening for cardiovascular disease, athletes - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Diagnosis and Management of Acquired von Willebrand Disease in Heart Disease: A Review of the Literature(Thieme, 2020-04) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Changes in left ventricular function after coronary artery bypass grafting in patient with left ventricular dysfunction(Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2020); ; ; ; Sokarovski, Marjan - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Caseous Calcification of the Mitral Annulus: From Asymptomatic Lesion to Embolic Complication- Case Report(ClinMed International Library, 2022-01-24); ; Mitashova, VesnaCaseous calcification of the mitral annulus (CCMA) is a rare form of mitral annular calcification with a prevalence of 0.06% in the general population [1]. It is considered a benign condition, but in some cases it carries a risk for cardiovascular and cerebrovascular events. There is no consensus regarding treatment strategy and surgery is recommended for mitral valve dysfunction or thromboembolic events [2]. We present a case of surgical management of caseous mass of the posterior commissures of the mitral annulus with rapid dynamics from asymptomatic lesion to embolic complication. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PERIOPERATIVE CHARACTERISTICS IN DIABETIC VS. NON DIABETIC PATIENTS UNDERGOING CORONARY ARTERY BYPASS SURGERY(SHMSHM / AAMD, 2020); ; ; Objectives: This study aims to compare the perioperative clinical, angiographic and operative characteristics and early complications of diabetic patients with non-diabetic patients, undergoing isolated CABG at the University Hospital for Cardiac Surgery in Skopje. Methods: During the period from October 2017 to October 2018, ninety one consecutive patients undergoing CABG were enrolled in this prospective observational study. This population was then divided into those with DM and those without DM. For these groups, preoperative clinical, angiographic, intraoperative characteristics and postoperative complications were evaluated. Results: In our cohort, 48, 4% of the patients were diabetic. Except for smoking, all other risk factor were evenly distributed between the two groups. Patients with DM had similar SYNTAX score like non-diabetic patients (31, 7±5, 5 vs. 30, 3±7, 2, p=0,312). Patients with DM had higher No of diseased vessels (2, 9±0, 7 vs. 2, 5±0, 6, p=0,020), less LM disease (22, 7% vs. 42, 6% p=0,036). There was no statistical difference between the two groups in terms of intubation time (p=0,137), inotropic support (p=0,774) and vasopressor support (p=0,076). Diabetic patients had less re-sternotomies (p=0,066) than non-diabetic patients. Postoperative AF, perioperative MI, stroke, sternal wound infection and leg wound infection were similar in both groups. Length of hospital stay was 9 days in both groups. Conclusion: Our data do not support the conclusions by other authors who found diabetes to be a risk factor for significantly adverse early morbidity following CABG. In our study DM was not risk factor for perioperative complications and preoperative characteristic of diabetic patients were not different than in no diabetic - Some of the metrics are blocked by yourconsent settings
Item type:Publication, CORONARY ARTERY BYPASS GRAFTING PORTENDS DECREASED RIGHT VENTRICULAR FUNCTION(Macedonian Association od Anatomists, 2020-07-03); ; ; Lazovski, NDecreased right ventricular (RV) function is a frequently observed phenomenon after coronary artery bypass grafting (CABG) that often implicated poor long term prognosis. The aim of this study was to assess the existence of RV dysfunction 4 to 6 months after CABG using echocardiographic Assessment of tricuspid annular plane systolic motion (TAPSE) and RV free wall longitudinal strain (RVFWS) using speckle tracking. During the period from October 2017 to October 2018, forty-seven consecutive patients undergoing CABG were enrolled in this prospective study. 2D transthoracic echocardiography was performed within one week before CABG as well as 4 to 6 months after surgery. All measurements were made by a single experienced investigator.4-6 months after CABG right atrial (RA)and RV dimensions were significantly increased although the mean value stayed in reference margins. TAPSE was significantly reduced (p=0.0001) as well as RVFWS (p=0.015) which showed fewer negative results implicating decrement in RV function after surgery. Patients with abnormal postoperative RVFWS had insignificantly larger preoperative end-diastolic and end-systolic volume index as well as worse left ventricular (LV)function manifested with lower LV ejection fraction (LVEF), lower systolic volume index (SVI) and more positive LV global longitudinal strain.We could not find any significant difference among preoperative values of RA and RV dimension as well as TAPSE and PAPs between patients with normal vs. abnormal postoperative RVFWS. Our study showed depressed RV function 4-6 months after CABG. We suggest that RV free wall strain could be obtained and should be applied along with other conventional markers in the assessment of RV function after CABG.