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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><issn pub-type="epub">3033-8344</issn><publisher><publisher-name>РостГМУ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21886/2712-8156-2023-4-4-14-21</article-id><article-id custom-type="elpub" pub-id-type="custom">therapeutic-418</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>Выбор метода коронарной реваскуляризации в зависимости от коморбидной патологии</article-title><trans-title-group xml:lang="en"><trans-title>The choice of coronary revascularization method depending on comorbid pathology</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6461-0612</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Базилевич</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bazilevich</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Базилевич Анна Вадимовна– ассистент кафедры хирургических болезней №2, врач-сердечно-сосудистый хирург кардиохирургического отделения клиники.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Anna V. Bazilevich – Assistant of surgery department №2, cardiovascular surgeon of cardiosurgery department, Rostov State Medical University.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">bazya14@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8411-1554</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сидоров</surname><given-names>Р. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sidorov</surname><given-names>R. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сидоров Роман Валентинович - д.м.н., доцент, профессор кафедры хирургических болезней №2, руководитель Центра кардиологии и сердечно-сосудистой хирургии клиники, заведующий кардиохирургическим отделением клиники.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Roman V. Sidorov – Dr. Sci. (Med.)., assistant professor, Professor of surgery department №2, Chief of Cardiology and Cardiovascular surgery Center, Rostov State Medical University.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">romas-64@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каплуновская</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaplunovskaya</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Каплуновская Милена Андреевна – студентка.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Milena A. Kaplunovskaya – Student, Rostov State Medical University.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">milena.kaplunovskaya@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хаишева</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Haisheva</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хаишева Лариса Анатольевна - д.м.н., профессор кафедры внутренних болезней №4 ФПК и ППС.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Larisa A. Haisheva - Dr. Sci. (Med.), professor of Internal Disease department №4, Rostov State Medical University.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">katelnitskay@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/0000-0003-3070-8424</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шлык</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shlyk</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шлык Сергей Владимирович - д.м.н., профессор, ректор.</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Sergey V. Shlyk - Dr. Sci. (Med.), professor, Rector, Rostov State Medical University.</p><p>Rostov-on-Don</p></bio><email xlink:type="simple">shlyk_sw@rostgmu.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>30</day><month>11</month><year>2023</year></pub-date><volume>4</volume><issue>4</issue><fpage>14</fpage><lpage>21</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Базилевич А.В., Сидоров Р.В., Каплуновская М.А., Хаишева Л.А., Шлык С.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Базилевич А.В., Сидоров Р.В., Каплуновская М.А., Хаишева Л.А., Шлык С.В.</copyright-holder><copyright-holder xml:lang="en">Bazilevich A.V., Sidorov R.V., Kaplunovskaya M.A., Haisheva L.A., Shlyk S.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" 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/418">https://www.therapeutic-j.ru/jour/article/view/418</self-uri><abstract><p>Ишемическая болезнь сердца (ИБС) имеет ведущую роль в статистике мировой смертности. Несмотря на очевидный прогресс в разработке новых схем медикаментозного лечения, хирургическое лечение остаётся важной составляющей. Широкое распространение и сложность лечения пациентов с ИБС и коморбидной патологией, в особенности с сахарным диабетом и хронической болезнью почек, заставляет задумываться исследователей о правильных подходах к терапии таких пациентов. Решение о выполнении реваскуляризации принимается по согласованию со всеми участниками Heart Team, учитывая результаты инвазивного исследования, наличие жалоб у пациента и его «ответа» на медикаментозную терапию. Чрескожные коронарные вмешательства (ЧКВ) приводят к рестенозам и повторным реваскуляризациям пока ещё статистически чаще, чем открытые операции. Альтернативным методом, соединяющим в себе плюсы коронарного шунтирования и ЧКВ и уменьшающим риски неблагоприятных осложнений обеих процедур, является гибридная реваскуляризация миокарда. Выбор оптимальной стратегии хирургического лечения у пациентов с коморбидной патологией требует особого внимания.</p></abstract><trans-abstract xml:lang="en"><p>Coronary heart disease plays a leading role in global mortality statistics. Despite the obvious progress in the development of new drug regimens, surgical treatment remains an important component. The high prevalence and complexity of treatment of patients with CHD and comorbid pathology, especially diabetes mellitus and chronic kidney disease, make researchers think about proper approaches to therapy of such patients. The decision to perform revascularization is made in consultation with all Heart Team members, taking into account the results of the invasive study, the presence of complaints in the patient and his "response" to drug therapy. Percutaneous coronary interventions (PCI) are still statistically more likely to result in restenosis and repeat revascularizations than open surgery. Hybrid myocardial revascularization is an alternative method combining the advantages of coronary artery bypass and PCI and reducing the risks of both procedures adverse complications. The choice of the optimal strategy of surgical treatment in patients with comorbid pathology requires special attention.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ишемическая болезнь сердца</kwd><kwd>сахарный диабет</kwd><kwd>хроническая болезнь почек</kwd><kwd>реваскуляризация миокарда</kwd><kwd>коронарное шунтирование</kwd><kwd>гибридная реваскуляризация миокарда</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ischemic heart disease</kwd><kwd>diabetes mellitus</kwd><kwd>chronic kidney disease</kwd><kwd>myocardial revascularization</kwd><kwd>coronary artery bypass</kwd><kwd>hybrid myocardial revascularization</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">Российское кардиологическое общество. Стабильная ишемическая болезнь сердца. Клинические рекомендации 2020. Российский кардиологический журнал. 2020;25(11):4076. 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