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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">10.21886/2712-8156-2024-5-4-15-22</article-id><article-id custom-type="elpub" pub-id-type="custom">therapeutic-557</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>Атеросклероз периферических артерий и сердечная недостаточность: обзор современного состояния проблемы</article-title><trans-title-group xml:lang="en"><trans-title>Peripheral arterial atherosclerosis and heart failure: state of the art review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5902-3803</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Генкель</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Genkel</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Генкель Вадим Викторович, к.м.н., доцент кафедры Пропедевтики внутренних болезней</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Vadim V. Genkel, Cand. Sci. (Med.), Associate Professor of Department of Propedeutics of Internal Medicine</p><p>Chelyabinsk</p></bio><email xlink:type="simple">henkel-07@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/0009-0006-0775-6355</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Латышева</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Latysheva</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Латышева Олеся Владимировна, главный врач</p><p>Агаповка</p></bio><bio xml:lang="en"><p>Olesya V. Latysheva, chief physician</p><p>Agapovka</p></bio><email xlink:type="simple">cynara84@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-6190-8940</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ершов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ershov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ершов Сергей Владимирович, врач-реаниматолог</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Sergey V. Ershov, intensive care physician</p><p>Chelyabinsk</p></bio><email xlink:type="simple">sergei.eee-ershov@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7954-2990</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедев</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedev</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедев Евгений Владимирович, к.м.н., доцент кафедры Пропедевтики внутренних болезней</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Evgeny V. Lebedev, Cand. Sci. (Med.), Associate Professor of Department of Propedeutics of Internal Medicine</p><p>Chelyabinsk</p></bio><email xlink:type="simple">evgueni.lebedev@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/0000-0002-1136-7284</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кузнецова Алла Сергеевна, к.м.н., доцент кафедры Госпитальной терапии</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Alla S. Kuznetsova, Cand. Sci. (Med.), Associate Professor of Department of Hospital therapy</p><p>Chelyabinsk</p></bio><email xlink:type="simple">kuzja321@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/0000-0003-3962-3662</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салашенко</surname><given-names>А. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Salashenko</surname><given-names>A. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салашенко Алексей Олегович, к.м.н., доцент кафедры Пропедевтики внутренних болезней</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Alexey O. Salashenko, Cand. Sci. (Med.), Associate Professor of Department of Propedeutics of Internal Medicine</p><p>Chelyabinsk</p></bio><email xlink:type="simple">salachenko@hotmail.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/0000-0002-7731-7730</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шапошник</surname><given-names>И. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Shaposhnik</surname><given-names>I. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шапошник Игорь Иосифович, д.м.н., профессор, заведующий кафедрой Пропедевтики внутренних болезней</p><p>Челябинск</p></bio><bio xml:lang="en"><p>Igor I. Shaposhnik, Dr. Sci. (Med.), Professor, Head of Department of Propedeutics of Internal Medicine</p><p>Chelyabinsk</p></bio><email xlink:type="simple">shaposhnik@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Южно-Уральский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>South-Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ «Районная больница с. Агаповка»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rural hospital of Agapovka</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГАУЗ ОТКЗ «Городская клиническая больница № 1 г. Челябинск»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Chelyabinsk City Clinical Hospital №1</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>26</day><month>11</month><year>2024</year></pub-date><volume>5</volume><issue>4</issue><fpage>15</fpage><lpage>22</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Генкель В.В., Латышева О.В., Ершов С.В., Лебедев Е.В., Кузнецова А.С., Салашенко А.О., Шапошник И.И., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Генкель В.В., Латышева О.В., Ершов С.В., Лебедев Е.В., Кузнецова А.С., Салашенко А.О., Шапошник И.И.</copyright-holder><copyright-holder xml:lang="en">Genkel V.V., Latysheva O.V., Ershov S.V., Lebedev E.V., Kuznetsova A.S., Salashenko A.O., Shaposhnik I.I.</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/557">https://www.therapeutic-j.ru/jour/article/view/557</self-uri><abstract><p>Сердечная недостаточность рассматривается как терминальный этап кардиоваскулярного континуума, начинающегося с экспозиции факторами риска с последующим развитием бессимптомного поражения сердечно-сосудистой системы, прогрессирующего до клинически манифестных заболеваний. Конвенциональные факторы риска, такие как артериальная гипертензия, дислипидемия, ожирение, сахарный диабет, с одной стороны напрямую обусловливают структурно-функциональное изменение сердца, с другой — способствуют развитию и прогрессированию атеросклероза. Несмотря на то, что мультифокальный характер атеросклероза является общеизвестным, данные исследований о роли атеросклероза периферических артерий в развитии сердечной недостаточности крайне ограничены. Изучение потенциальных взаимосвязей атеросклероза периферических артерий и сердечной недостаточности является актуальным во всех половозрастных группах пациентов.</p></abstract><trans-abstract xml:lang="en"><p>Heart failure is considered as a terminal stage of the cardiovascular continuum, beginning with exposure to risk factors followed by the development of asymptomatic cardiovascular damage, progressing to clinically manifest disease. Conventional risk factors such as arterial hypertension, dyslipidemia, obesity, and diabetes mellitus, on the one hand, directly cause structural and functional changes in the heart, and on the other hand, contribute to the development and progression of atherosclerosis. Despite the fact that the multifocal nature of atherosclerosis is well known, research data on the role of peripheral arterial atherosclerosis in the development of heart failure are extremely limited. The study of potential relationships between atherosclerosis of peripheral arteries and heart failure is relevant in all sex and age groups of patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сердечная недостаточность</kwd><kwd>атеросклероз периферических артерий</kwd><kwd>мультифокальный атеросклероз</kwd><kwd>структурно-функциональные изменения сердца</kwd><kwd>дисфункция левого желудочка</kwd></kwd-group><kwd-group xml:lang="en"><kwd>heart failure</kwd><kwd>atherosclerosis of peripheral arteries</kwd><kwd>polyvascular atherosclerosis</kwd><kwd>structural and functional changes of the heart</kwd><kwd>left ventricular dysfunction</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">Звартау Н.Э., Соловьева А.Е., Ендубаева Г.В., Медведев А.Э., Соловьев А.Е., Авдонина Н.Г. и др. 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