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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">evrazkar</journal-id><journal-title-group><journal-title xml:lang="ru">Евразийский Кардиологический Журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Eurasian heart journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2225-1685</issn><issn pub-type="epub">2305-0748</issn><publisher><publisher-name>Евразийская ассоциация кардиологов</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.38109/2225-1685-2024-2-6-76</article-id><article-id custom-type="elpub" pub-id-type="custom">evrazkar-6457</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>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Клинические рекомендации Евразийской Ассоциации Кардиологов (ЕАК)/ Национального общества по изучению сердечной недостаточности и заболеваний миокарда (НОИСН) по диагностике и лечению хронической сердечной недостаточности (2024)</article-title><trans-title-group xml:lang="en"><trans-title>Eurasian Association of Cardiology (EAC)/ National Society of Heart Failure And Myocardial Disease (NSHFMD) guidelines for the diagnosis and treatment of chronic heart failure (2024)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9234-6129</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терещенко</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tereshchenko</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Терещенко Сергей Николаевич, д.м.н., профессор, главный научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Sergey N. Tereshchenko, Dr. of Sci. (Med.), professor, chief scientific officer, the Department of myocardial diseases and heart failure</p><p>Moscow</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/0000-0002-4066-2661</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жиров</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhirov</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жиров Игорь Витальевич, д.м.н., ведущий научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Igor V. Zhirov, Dr. of Sci. (Med.), leading researcher, the Department of myocardial diseases and heart failure</p><p>Moscow</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/0000-0003-4318-0315</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ускач</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Uskach</surname><given-names>T. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ускач Татьяна Марковна, д.м.н., профессор, ведущий научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>ул. Академика Чазова, д. 15 а, г. Москва 121552</p></bio><bio xml:lang="en"><p>Tatiana M. Uskach, Dr. of Sci. (Med.), professor, leading researcher, the Department of myocardial diseases and heart failure</p><p>St. Academician Chazova, 15 a, Moscow 121552</p></bio><email xlink:type="simple">tuskach@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/0000-0002-3233-1862</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саидова</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Saidova</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саидова Марина Абдулатиповна, д.м.н., профессор, главный научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Marina A. Saidova, Dr. of Sci. (Med.), professor, chief scientific officer, the Department of Ultrasound Research Methods</p><p>Moscow</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/0000-0001-9913-9974</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Голицын</surname><given-names>С. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Golicyn</surname><given-names>S. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Голицын Сергей Павлович, д.м.н., профессор, главный научный сотрудник, отдел клинической электрофизиологии и рентгенхирургических методов лечения нарушений ритма сердца</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Sergey P. Golicyn, Dr. of Sci. (Med.), professor, chief scientific officer, the Department of Clinical Electrophysiology and X-ray Surgical Methods for the Treatment of cardiac Arrhythmias</p><p>Moscow</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/0000-0002-0063-5474</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Римская</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Rimskaya</surname><given-names>E. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Римская Елена Михайловна, к.м.н., старший научный сотрудник, отдел клинической электрофизиологии и рентгенхирургических методов лечения нарушений ритма сердца</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Elena M. Rimskaya, Cand. of Sci. (Med.), senior researcher, the Department of Clinical Electrophysiology and X-ray Surgical Methods for the Treatment of cardiac Arrhythmias</p><p>Moscow</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/0000-0002-0920-7417</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насонова</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nasonova</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Насонова Светлана Николаевна, к.м.н., старший научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Svetlana N. Nasonova, Cand. of Sci. (Med.), senior researcher, the Department of myocardial diseases and heart failure</p><p>Moscow</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/0000-0003-2960-0950</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нарусов</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Narusov</surname><given-names>O. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нарусов Олег Юрьевич, к.м.н., старший научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Oleg Yu. Narusov, Cand. of Sci. (Med.), senior researcher of the Department of myocardial diseases and heart failure</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3483-4698</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сафиуллина</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Safiullina</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сафиуллина Альфия Ахатовна, д.м.н., старший научный сотрудник, отдел заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Alfiya A. Safiullina, Dr. of Sci. (Med.), senior researcher, the Department of myocardial diseases and heart failure</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терещенко</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tereshchenko</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Терещенко Андрей Сергеевич, к.м.н., старший научный сотрудник, отдел рентгенэндоваскулярных методов диагностики и лечения</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Andrey S. Tereshchenko, Cand. of Sci. (Med.), senior researcher, the Department of X-ray endovascular methods of diagnosis and Treatment</p><p>Moscow</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/0000-0001-8377-2388</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стукалова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stukalova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стукалова Ольга Владимировна, к.м.н., старший научный сотрудник, отдел томографии</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Olga V. Stukalova, Cand. of Sci. (Med.), senior researcher, the Department of Tomography</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦК им. ак. Е.И. Чазова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>E.I. Chazov National Medical Research Center of Cardiology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «НМИЦК им. ак. Е.И.Чазова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>E.I. Chazov National Medical Research Center of Cardiology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>27</day><month>05</month><year>2024</year></pub-date><volume>0</volume><issue>2</issue><fpage>6</fpage><lpage>76</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Терещенко С.Н., Жиров И.В., Ускач Т.М., Саидова М.А., Голицын С.П., Римская Е.М., Насонова С.Н., Нарусов О.Ю., Сафиуллина А.А., Терещенко А.С., Стукалова О.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Терещенко С.Н., Жиров И.В., Ускач Т.М., Саидова М.А., Голицын С.П., Римская Е.М., Насонова С.Н., Нарусов О.Ю., Сафиуллина А.А., Терещенко А.С., Стукалова О.В.</copyright-holder><copyright-holder xml:lang="en">Tereshchenko S.N., Zhirov I.V., Uskach T.M., Saidova M.A., Golicyn S.P., Rimskaya E.M., Nasonova S.N., Narusov O.Y., Safiullina A.A., Tereshchenko A.S., Stukalova O.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.heartj.asia/jour/article/view/6457">https://www.heartj.asia/jour/article/view/6457</self-uri><abstract><p>Целью настоящего руководства является содействие врачам-кардиологам в ведении пациентов с хронической сердечной недостаточностью (СН) в соответствии с имеющейся современной доказательной базой. Настоящее руководство содержит данные по диагностике, лечению, реабилитации пациентов с хронической сердечной недостаточностью и данные по острой декомпенсации сердечной недостаточности.</p></abstract><trans-abstract xml:lang="en"><p>The purpose of this guide is to assist cardiologists in the management of patients with chronic heart failure (CHF) in accordance with the available modern evidence base. This manual contains data on the diagnosis, treatment, and rehabilitation of patients with chronic heart failure and data on acute decompensation of heart failure.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>xроническая сердечная недостаточность</kwd><kwd>натрийуретические пептиды</kwd><kwd>фракция выброса левого желудочка</kwd><kwd>диагностика</kwd><kwd>медикаментозная терапия</kwd><kwd>немедикаментозная терапия</kwd><kwd>сочетанная патология</kwd><kwd>декомпенсация</kwd><kwd>фибрилляция предсердий</kwd><kwd>клинические рекомендации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>сhronic heart failure</kwd><kwd>natriuretic peptides</kwd><kwd>left ventricular ejection fraction</kwd><kwd>diagnostics</kwd><kwd>medical therapy</kwd><kwd>non-medical therapy</kwd><kwd>combined pathology</kwd><kwd>decompensation</kwd><kwd>atrial fibrillation</kwd><kwd>guidelines</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">McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. 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