Poposka, Lidija
Preferred name
Poposka, Lidija
Official Name
Poposka, Lidija
Main Affiliation
Email
lidija.poposka@medf.ukim.edu.mk
68 results
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Item type:Publication, Impact of renal impairment on atrial fibrillation: ESC-EHRA EORP-AF Long-Term General Registry(Wiley, 2022-06) ;Ding, Wern Yew ;Potpara, Tatjana S ;Blomström-Lundqvist, Carina ;Boriani, GiuseppeMarin, FranciscoAtrial fibrillation (AF) and renal impairment share a bidirectional relationship with important pathophysiological interactions. We evaluated the impact of renal impairment in a contemporary cohort of patients with AF. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, P1495ECG parameters as predictors of response to cardiac resynchronization therapy(Oxford University Press (OUP), 2017-06); ; ;Taleski, Jane ;Boskov, VladimirRisteski, D.Aim: Cardiac resynchronization has proven benefit as treatment modality in patients with heart failure. Unfortunately, the use of current selection criteria is associated with a failure to respond of approximately 30% cases. The aim of our study is to define more ECG criteria which can predict response to cardiac resynchronization. Methods and results: A total of 82 patients were enrolled in our study, and were followed for a mean of 25.6 months. Mean QRS duration in our group was 174ms, and 75% were LBBB, no patients with RBBB, 25% with wide QRS but undetermined BB morphology. To define if the patient is responder we used scoring system defined as: increase in LVEF more than 10% (1 point), lowering of NYHA class (1 point), QRS narrowing (1 point), hospitalization for heart failure in the follow-up period (-1 point). As non –responders were defined all patient with a score 0 or -1 (8 patients), and responders were all patients with the score 1-3 (74 patients). In the responder group we found significantly wider QRS (p=0,04), higher R6/S6 ratio (p=0,02), higher (S1+R6)-(S6+R1) (p=0,02), and higher R amplitude in V6 (p<0,01). When we divided the group of patients according to BB morphology the significance in LBBB patients was kept in R6/S6 ratio (p=0,03), (S1+R6)-(S6+R1) (p=0,02) and R amplitude in V6 (p<0,01). In undetermined BB morphology – group of patients we found significantly higher R amplitude in V6 (p=0,01) and significantly higher S amplitude in V6 (p<0,01). Conclusion: We conclude that we could engage more ECG criteria to predict response to cardiac resynchronization therapy, even in the LBBB patients, but also in patients with wide QRS and undetermined BB morphology. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, IMPORTANCE OF ADDITIONAL ECHOCARDIOGRAPHIC PARAMETERS IN SELECTING A CRT RESPONDER PATIENT(Wiley, 2013-05); ;Biljana Zafirovska; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Cardiac memory (t-wave memory) after ablation of posteroseptal accessory pathway(2008-07) ;Trajkov, I; ;Kovacevic, D ;Dobrkovic, LCardiac memory is a phenomenon characterized by transient T-wave abnormalities occurring during normal sinus rhythm, after a period of altered ventricular depolarization, where the T-wave vector has the same direction as the vector of the previously altered QRS complex (T-wave inversion). It is a form of electrical remodelling of the ventricular, where the T-wave follows ("remembers") a previously altered QRS vector. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Secondary Thromboprophylaxis in Hereditary Thrombophilia(SCIENCEDOMAIN International, 2018-02); ; ; Aims: The aim of this study is to show how the coagulation laboratory and clinical findings worked together in the management of a patient with hereditary thrombophilia and pulmonary embolism (PE) in terms of diagnosis, the choice of anticoagulation treatment and the duration of secondary thromboprophylaxis. Study Design: A case report with the presentation of clinical and laboratory findings, treatment and long-term follow up of the patient. Place and Duration of Study: Institute of Transfusion Medicine and University Clinics of Cardiology, St Cyril and Methodius University, Skopje, Macedonia in the period from February 2015 and December 2017. Case Presentation: Computer tomography confirmed the diagnosis of PE in a 32-year-old man who was admitted to the cardiology emergency department with D-dimer level of 5980 ng/mL after an episode of syncope. After the initial anticoagulation with unfractionated heparin 30.000i.e./24 h,enoxaparin 80 mg/12 h and acenocoumarol were introduced. The therapeutic INR rang could not be achieved so the acenocoumarol was switched to rivaroxaban 2x15 mg/day. One year later the anticoagulation with rivaroxaban 20 mg/day was discontinued. Thrombophilia testing included: prothrombin (PTB), Factor V Leiden and methylene tetrahydrofolate reductase (MTHFR) C677T gene mutation, as well as antiphospholipid antibodies, antithrombin, protein C and S. Results: The patient was homozygous for the PTB. His parents were heterozygous for the same mutation; his mother also being heterozygous for MTHFR C677T. His brother was compound heterozygote for PTB and MTHFR C677T and his sister was heterozygous for the PTB. Coagulation status monitoring showed hypercoagulability (APTT was 24-26 seconds) and increment of D-dimer (2100-2400 ng/ml) when rivaroxaban was discontinued and normal APTT (28-38 seconds) and Ddimer (< 500 ng/mL) when it was reintroduced. Conclusion: According to the laboratory findings and also having in mind that this was a second episode of a thrombotic event, we decided for an extended secondary thromboprophylaxis. Although it sometimes implies that it will be continued life-long we consider worthwhile to apply the patientoriented approach to the decision when and whether to terminate anticoagulation. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Correlating the Cholesterol Levels to Glucose for Men and Women(Ss. Cyril and Methodius University in Skopje, Faculty of Computer Science and Engineering, Republic of North Macedonia, 2020-05-08) ;Ilija Vishinov; ; Objectives: This paper explores the correlation between multiple cholesterol levels of the lipid profiles of patients and their diabetes regulation abilities in men and women. Methodology: The methodology includes the following techniques: i) Pearson correlation ii) Spearman rank correlation and iii) setting thresholds for certainty of class assumption. Data: The methods were applied on data from 161 patients of which 110 male and 41 female, analyzing the variables about patients’ age, height, weight, BMI, lipid profile (total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides), glycated hemoglobin levels with respective glucose regulation and diabetes classes, history of heart, diabetes and other chronic illnesses, habitual behaviors (smoking, alcohol consumption, physical activity), and medications intake (calcium channel blockers, BETA blockers, anti-arrhythmics, AKE/ARB inhibitors, diuretics, statins anti-aggregation medication and anticoagulants). Conclusion: Analyzing the correlations between the lipid profile and glucose regulation in patients led to different results when the analysis was done separately on men and women. Thus, better predictions and insights can be made dependent on gender. The research found no strong stand-alone correlation when analyzing all data, but when the data was segmented in male and female records, a strong negative linear (r=-0.52, p=0.001) and non-linear (r=-0.55, p=0.001) correlation was found for the HDL-C and glucose levels in female patients. In men, statistically significant negative correlations with HbA1c were assessed for Chol (r=-0.27, p=0.009), LDL-C (r=-0.33, p=0.002) and HDL-C (r=-0.23, p=0.026). - Some of the metrics are blocked by yourconsent settings
Item type:Publication, First Macedonian Registry on Atrial Fibrillation(Hrvatsko kardiološko društvo, 2013-09-23); ; ;Risteski, Dejan; Objectives: More than a half of the patients with atrial fibrillation (AF) are not adequately anti-coagulated, even though there is strong evidence in favor of the oral anticoagulant (OAC) therapy used in prevention of ischemic stroke in this patient-population. Most frequent factors causing this problem are: non-adherence to the Guidelines as well as the limitations like: difficulties in the maintenance of INR within therapeutic range, the necessity of monitoring and numerous interactions with food and other medications. Aim: Concerning non-adherence to the Guidelines all over the world in the treatment of the patients with AF, the aim of this Registry is to find the weak points in the treatment of these patients, and equilibrate the treatment all over the Country. Patients and Methods: More than 1,000 consecutive patients with AF in their electrocardiogram, diagnosed in the last year will be included in this Registry in the first year, from all over the country. All parameters concerning underlying cardiovascular disease will be listed and analyzed, also all co-morbidities. All diagnostic and interventional procedures, medications during this period will be analyzed, with special concern on anticoagulation therapy, type of anticoagulation, monitoring, and reason why, if not anti-coagulated. Analyses will be done in the way of treatment of the patient regarding the place of consultation: outpatient department, hospital, university clinic. Outcome points were defined as: cardiovascular death, death from other reason, ischaemic stroke, hemorrhagic stroke, transitory ischaemic attack, other major hemorrhage or thrombo-embolic complication. Results: Will be available at the end of the study; preliminary results will be due July 2013. Conclusion: General risk profile of patients with AF, frequency of anticoagulation, frequency of effective treatment and risks of bleeding will be evaluated. All outcome points will be analyzed, their independent predictors will be determined and the follow up will continue in the next 5 years. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Trends from Minimally Invasive to Non-invasive Glucose Measurements(IEEE, 2020-09-28); ; ;Guseva, E.; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Correlating Glucose Regulation with Lipid Profile(Springer International Publishing, 2020) ;Vishinov, Ilija; ; Objectives: The goal of this research was to detect the glucose regulation class by evaluating the correlation between the lipid profile of patients and their glucose regulation class. Methodology: The methods used in this research are: i) Point Biserial Correlation, ii) Univariate Logistic Regression iii) Multivariate Logistic Regression iv) Pearson Correlation and v) Spearman Rank correlation. Data: The dataset consists of the following features: age, BMI, gender, weight, height, total cholesterol (Chol), HDL cholesterol (HDL-C), LDL cholesterol (LDL-C), triglycerides (TG), glycated hemoglobin (HbA1C), glucose regulation and diabetes classes, history of diabetes, heart and other chronic illnesses, habitual behaviors (smoking, alcohol consumption, physical activity), and medications intake (calcium channel blockers, BETA blockers, anti-arrhythmic, AKE/ARB inhibitors, diuretics, statins anti-aggregation medication and anticoagulants). Conclusion: The methodologies that were worked through with our data in search for correlations of the lipid profile with HbA1c or the glucose regulation classes gave some significant correlations. Regarding the glucose regulation classes W and B the methods showed statistically significant negative correlations with Chol, HDL-C and LDL-C. When it comes to the correlations of the lipid profile with HbA1c, for all patients there were significant negative correlations with Chol (corr = −0.264, p = 0.002), LDL-C (corr = −0.297, p < 0.001) and HDL-C (corr = −0.28, p = 0.001) and a significant positive correlation with TG (corr = 0.178, p = 0.03). The correlations mentioned are the stronger ones that were found for linear relationships. For non-diabetic patients there was a stronger positive non-linear correlation for HbA1c and HDL-C (corr = 0.511, p = 0.006), and a slightly weaker linear correlation (corr = 0.393, p = 0.043). For prediabetic patients there were no significant correlations. For type 2 diabetes stronger significant negative non-linear correlations were found for HbA1c with LDL-C (corr = −0.299, p = 0.023) and HDL-C (corr = −0.438, p = 0.001). The linear relationships were again, slightly weaker with LDL-C (corr = −0.273, p = 0.038) and with HDL-C (corr = −0.391, p = 0.002). - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Outcomes of digoxin vs. beta blocker in atrial fibrillation: report from ESC–EHRA EORP AF Long-Term General Registry(Oxford University Press (OUP), 2021-10-19) ;Ding, Wern Yew ;Boriani, Giuseppe ;Marin, Francisco ;Blomström-Lundqvist, CarinaPotpara, Tatjana SAims The safety of digoxin therapy in atrial fibrillation (AF) remains ill-defined. We aimed to evaluate the effects of digoxin over beta-blocker therapy in AF. Methods and results Patients with AF who were treated with either digoxin or a beta blocker from the ESC–EHRA EORP AF (European Society of Cardiology–European Heart Rhythm Association EURObservational Research Programme Atrial Fibrillation) General Long-Term Registry were included. Outcomes of interest were all-cause mortality, cardiovascular (CV) mortality, non-CV mortality, quality of life, and number of patients with unplanned hospitalizations. Of 6377 patients, 549 (8.6%) were treated with digoxin. Over 24 months, there were 550 (8.6%) all-cause mortality events and 1304 (23.6%) patients with unplanned emergency hospitalizations. Compared to beta blocker, digoxin therapy was associated with increased all-cause mortality [hazard ratio (HR) 1.90 (95% confidence interval, CI, 1.48–2.44)], CV mortality [HR 2.18 (95% CI 1.47–3.21)], and non-CV mortality [HR 1.68 (95% CI 1.02–2.75)] with reduced quality of life [health utility score 0.555 (±0.406) vs. 0.705 (±0.346), P < 0.001] but no differences in emergency hospitalizations [HR 1.00 (95% CI 0.56–1.80)] or AF-related hospitalizations [HR 0.95 (95% CI 0.60–1.52)]. On multivariable analysis, there were no differences in any of the outcomes between both groups, after accounting for potential confounders. Similar results were obtained in the subgroups of patients with permanent AF and coexisting heart failure. There were no differences in outcomes between AF patients receiving digoxin with and without chronic kidney disease. Conclusion Poor outcomes related to the use of digoxin over beta-blocker therapy in terms of excess mortality and reduced quality of life are associated with the presence of other risk factors rather than digoxin per se. The choice of digoxin or beta-blocker therapy had no influence on the incidence of unplanned hospitalizations.
