[Hemodynamic studies for prediction of acute myocardial infarction outcomes].

Prediction of outcomes after acute myocardial infarction was initiated more than 40 years ago. Improvement of the management options significantly reduced mortality of patients with acute myocardial infarction. In the 1960s, the mortality rate of inpatients was around 25-30%, whereas in 2007, according to the guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes, issued by the European Society of Cardiology, hospital mortality in patients with ST-elevation acute myocardial infarction was 7%, while in patients with non-ST-elevation acute coronary syndrome just 5%, but at 6 months, mortality rates were very similar in both conditions (12% vs.

[Aortic dissection].

Aortic dissection is an acute lesion of the aortic wall accompanied by separation of the media due to rupture or intramural hematoma. The incidence rate of aortic dissection is 5 to 30 cases per million people a year. Acute aortic dissection is a highly lethal cardiovascular emergency with an incidence of 2000 new cases per year in the United States and 3000 in Europe.

Assessment of validity for EuroSCORE risk stratification system.

Unlabelled: Prognostic scoring helps doctors, patients and their families to weigh the risks and benefits of medical care and clarifies their expectations.

Objective: We aimed to analyze the risk stratification performance of the EuroSCORE system because of its common use in Lithuania.

Design: EuroSCORE performance is assessed in terms of sensitivity, specificity, accuracy and area under the receiver operating characteristic (ROC) curve (AUC).

[Trends in morbidity from acute myocardial infarction, risk factors and risk of ischemia].

The Aim: To assess the linkages of trends between the mean values of main risk factors of ischemic heart disease, the overall high risk of coronary within 10 years and morbidity from acute myocardial infarction in Kaunas population aged 35-64 years during the period from 1983 to 2002.

Material And Methods: Data sources were four cross-sectional surveys (1983-1984, 1986-1987, 1992-1993, 2001-2002) and population-based ischemic heart disease register (1983-2001) of Kaunas population aged 35-64 years. Data collection was conducted according to the method using in the Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) project.

Trends in main cardiovascular risk factors among middle-aged Kaunas population between 1983 and 2002.

Objective Of The Study: To evaluate dynamics in prevalence of main risk factors of cardiovascular diseases among middle-aged Kaunas population between 1993 and 2002.

Material And Methods: Four independent surveys in 1983-1984, 1986-1987, 1992-1993, and 2001-2002 were carried out in random samples of men and women aged 35-64 involving 2413, 1762, 1231 and 1403 persons respectively. The risk factors were defined within the framework of the WHO MONICA study (Multinational Monitoring of Trends and Determinants in Cardiovascular Disease).

[The prevalence and trends of the smoking habits among middle-aged Kaunas population during 20 years and their relation with sociodemographic status].

The Aim: To evaluate the prevalence and time trends of smoking habits among middle-aged Kaunas population during 20 years and its relation with sociodemographic status.

Material And Methods: Four cross-sectional surveys were carried out according to the WHO MONICA protocol in 1983-1985, 1986-1987, 1992-1993, and 2001-2002. During these surveys, 2,450, 1,762, 1,238, and 1,404 persons aged 35-64 years, respectively, were screened.