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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">therapeutic</journal-id><journal-title-group><journal-title xml:lang="ru">Южно-Российский журнал терапевтической практики</journal-title><trans-title-group xml:lang="en"><trans-title>South Russian Journal of Therapeutic Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2712-8156</issn><publisher><publisher-name>РостГМУ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21886/2712-8156-2022-3-2-32-40</article-id><article-id custom-type="elpub" pub-id-type="custom">therapeutic-231</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Ингибиторы PCSK9: роль в снижении сердечно-сосудистой заболеваемости</article-title><trans-title-group xml:lang="en"><trans-title>PCSK9 inhibitors: role in reducing cardiovascular diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1522-1466</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маляревская</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Malyarevskaya</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ольга Владимировна Маляревская, кардиолог кардиологического отделения № 1</p><p>SPIN-код 1213-0046</p><p>Краснодар</p></bio><bio xml:lang="en"><p>Olga V. Malyarevskaya, cardiologist of the Department of Emergency Cardiology № 1</p><p>Krasnodar</p></bio><email xlink:type="simple">olga.malyarevskaya@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5866-506X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намитоков</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Namitokov</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алим Муратович Намитоков, к. м. н., заведующий отделением экстренной кардиологии № 2</p><p>Краснодар</p></bio><bio xml:lang="en"><p>Alim M. Namitokov, PhD, Head of the Department of Emergency Cardiology № 2</p><p>Krasnodar</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7538-0437</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кручинова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kruchinova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>София Владимировна Кручинова, кардиолог кардиологического отделения № 1</p><p>Краснодар</p></bio><bio xml:lang="en"><p>Sofia V. Kruchinova, cardiologist of the Department of Emergency Cardiology № 1</p><p>Krasnodar</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8600-0199</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Космачева</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosmacheva</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Дмитриевна Космачева, д. м. н., проф., заместитель главного врача по медицинской части</p><p>Краснодар</p></bio><bio xml:lang="en"><p>Elena D. Kosmacheva, M.D, Deputy Chief Physician for Medical Care</p><p>Krasnodar</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ГБУЗ «Научно-исследовательский институт – Краевая клиническая больница № 1 им. С. В. Очаповского»<country>Россия</country></aff><aff xml:lang="en">S. V. Ochapovsky Scientific institution – Regional Clinical Hospital № 1<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>19</day><month>06</month><year>2022</year></pub-date><volume>3</volume><issue>2</issue><fpage>32</fpage><lpage>40</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Маляревская О.В., Намитоков А.М., Кручинова С.В., Космачева Е.Д., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Маляревская О.В., Намитоков А.М., Кручинова С.В., Космачева Е.Д.</copyright-holder><copyright-holder xml:lang="en">Malyarevskaya O.V., Namitokov A.M., Kruchinova S.V., Kosmacheva E.D.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.therapeutic-j.ru/jour/article/view/231">https://www.therapeutic-j.ru/jour/article/view/231</self-uri><abstract><p>В данном обзоре будет представлен разбор механизмов влияния PCSK9 на липидный обмен и его роль в развитии сердечно-сосудистой патологии, оценка эффективности и безопасности ингибиторов PCSK9, место ингибиторов PCSK9 в клинических рекомендациях Европейского, Российского кардиологического общества и Американской коллегии сердца.</p></abstract><trans-abstract xml:lang="en"><p>This review will present an analysis of the mechanisms of PCSK9 influence on lipid metabolism and its role in the development of cardiovascular pathology, an assessment of the effectiveness and safety of PCSK9 inhibitors, the place of PCSK9 inhibitors in the clinical recommendations of the European, Russian Cardiological Society and the American College of the Heart.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>PCSK9</kwd><kwd>эволокумаб</kwd><kwd>алирокумаб</kwd><kwd>рецептор-ЛПНП</kwd><kwd>липопротеин(a)</kwd></kwd-group><kwd-group xml:lang="en"><kwd>PCSK9</kwd><kwd>evolocumab</kwd><kwd>alirocumab</kwd><kwd>LDL receptor</kwd><kwd>lipoprotein(a)</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. 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