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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">10.38109/2225-1685-2025-4-6-39</article-id><article-id custom-type="elpub" pub-id-type="custom">evrazkar-6555</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>КОНСЕНСУС</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CONSENSUS</subject></subj-group></article-categories><title-group><article-title>Амилоидоз сердца: консенсус Евразийской ассоциации кардиологов (ЕАК)</article-title><trans-title-group xml:lang="en"><trans-title>Cardiac amyloidosis: consensus of the Eurasian Association of Cardiologists (EAC)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4066-2661</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>ул. Академика Чазова, дом 15а, г. Москва 121552</p></bio><bio xml:lang="en"><p>Igor V. Zhirov, Dr. of Scien. (Med.), Leading Researcher, Department of Myocardial Diseases and Heart Failure</p><p>Academician Chazov Street, Building 15a, Moscow 121552</p></bio><email xlink:type="simple">izhirov@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/0000-0002-0920-7417</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><p>ул. Академика Чазова, дом 15а, г. Москва 121552</p></bio><bio xml:lang="en"><p>Svetlana N. Nasonova, Cand. of Scien. (Med.), Senior Researcher, Department of Myocardial Diseases and Heart Failure</p><p>Moscow</p></bio><email xlink:type="simple">dr.nasonova@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/0000-0002-7817-3847</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Моисеева</surname><given-names>О. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Moiseeva</surname><given-names>O. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Моисеева Ольга Михайловна, д.м.н., профессор, главный научный сотрудник, руководитель НИО некоронарогенных заболеваний сердца</p><p>г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Olga M. Moiseeva, Dr. of Scien. (Med.), Professor, Chief Researcher, Head of the Research Institute for Non-Coronary Heart Diseases</p><p>St. Petersburg</p></bio><email xlink:type="simple">moiseeva@almazovcentre.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/0000-0001-5440-4340</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рехтина</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Rekhtina</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рехтина Ирина Германовна, д.м.н., зав. отделением гематологии и химиотерапии плазмоклеточных дискразий</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Irina G. Rekhtina, Dr. of Scien. (Med.), Head of the Department of Hematology and Chemotherapy of Plasma Cell Dyscrasias</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3956-6362</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Супонева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Suponeva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Супонева Наталья Александровна, д.м.н., член-корреспондент РАН, профессор РАН, директор, главный научный сотрудник, Института нейрореабилитации и восстановительных технологий</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Natalia A. Suponeva, Dr. of Scien. (Med.), Corresponding Member of the Russian Academy of Sciences, Professor of the Russian Academy of Sciences, Director, Chief Researcher</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2675-3276</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аншелес</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ansheles</surname><given-names>А. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аншелес Алексей Аркадьевич, д.м.н., профессор, ведущий научный сотрудник, отдел радионуклидной диагностики и позитронно-эмиссионной томографии</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Aleksey A. Ansheles, Dr. of Scien. (Med.), Professor, Leading Researcher, Department of Radionuclide Diagnostics and Positron Emission Tomography</p><p> </p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4642-3610</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Барбараш</surname><given-names>О. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Barbarash</surname><given-names>O. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Барбараш Ольга Леонидовна, д.м.н., профессор, академик РАН, директор; заведующая кафедрой кардиологии</p><p>г. Кемерово</p></bio><bio xml:lang="en"><p>Olga L. Barbarash, Academician of RAS, Professor, Dr. of Sci. (Med.), Director of the Research Institute for Complex Issues of Cardiovascular Diseases; Head of the Cardiology Department</p><p>Kemerovo</p></bio><email xlink:type="simple">olb61@mail.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4510-6197</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галявич</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Galyavich</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галявич Альберт Сарварович, д.м.н., профессор заведующий кафедрой кардиологии ФПК и ППС</p><p>г. Казань</p></bio><bio xml:lang="en"><p>Albert S. Galyavich, Dr. of Sci. (Med.), Professor, Head of the Department of Cardiology, Faculty of Advanced Training and Professional Development</p><p>Kazan </p></bio><email xlink:type="simple">agalyavich@mail.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6453-2976</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дупляков</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Duplyakov</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дупляков Дмитрий Викторович, д.м.н., профессор, зам. главного врача по медицинской части; главный кардиолог Самарской области; заведующий кафедрой пропедевтической терапии с курсом кардиологии</p><p>г. Самара</p></bio><bio xml:lang="en"><p>Dmitry V. Duplyakov, Dr. of Sci. (Med.), Professor, Deputy Chief Physician for Medical Affairs; Chief Cardiologist of the Samara Region; Head of the Department of Propaedeutic Therapy with a Course in Cardiology</p><p>Samara</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7065-2045</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Затейщиков</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zateishchikov</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Затейщиков Дмитрий Александрович, д.м.н. профессор, зав. кафедрой терапии, кардиологии и функциональной диагностики с курсом нефрологии; заведующий первичным сосудистым отделением</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Dmitry A. Zateishchikov, Dr. of Sci. (Med.), Professor, Head of the Department of Therapy, Cardiology and Functional Diagnostics with a Course in Nephrology; Head of the Primary Vascular Department</p><p>Moscow</p></bio><email xlink:type="simple">dz@bk.ru</email><xref ref-type="aff" rid="aff-9"/></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, руководитель отдела ультразвуковых методов исследования томографии</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Marina A. Saidova, Dr. of Sci. (Med.), Professor, Head of the Department of Ultrasound Tomography 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/0000-0002-2251-1675</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чайковская</surname><given-names>О. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Tchaikovskaya</surname><given-names>O. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чайковская Ольга Ярославна, врач функциональной диагностики, отдел ультразвуковых методов исследования</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Olga Ya. Tchaikovskaya, physician of functional diagnostics, 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/0000-0002-0370-5204</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шария</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shariya</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шария Мераб Арчилович, д.м.н., ведущий научный сотрудник отдела томографии; профессор кафедры лучевой диагностики</p><p>г. Москва</p><p> </p></bio><bio xml:lang="en"><p>Merab A. Shariya, Dr. of Sci. (Med.), Leading Researcher, Tomography Department, E.I. Chazov National Medical Research Center of Cardiology; Professor, Department of Radiation Diagnostics</p><p>Moscow</p></bio><email xlink:type="simple">mershar@yandex.ru</email><xref ref-type="aff" rid="aff-10"/></contrib><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, руководитель отдела заболеваний миокарда и сердечной недостаточности</p><p>г. Москва</p></bio><bio xml:lang="en"><p>Sergey N. Tereshchenko, Dr. of Sci. (Med.), Professor, Head of the Department of Myocardial Diseases and Heart Failure</p><p>Moscow</p></bio><email xlink:type="simple">stereschenko@yandex.ru</email><xref ref-type="aff" rid="aff-11"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ кардиологии им. академика 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 «НМИЦ имени В.А. Алмазова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ гематологии» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Hematology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ «Российский центр неврологии и нейронаук»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Neurorehabilitation and Restorative Technologies, Russian Center for Neurology and Neurosciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ кардиологии им. академика Е.И.Чазова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution "NMITsK named after Academician E.I. Chazov" of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБНУ «НИИ КПССЗ»; ФГБОУ ВО КГМА Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>ФГБОУ ВО «Казанский ГМУ» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>ГБУЗ «Самарский областной клинический кардиологический диспансер им. В.П. Полякова; ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.P. Polyakov Samara Regional Clinical Cardiology Dispensary; Samara State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>ФГБУ ДПО «Центральная государственная медицинская академия» УД Президента РФ; ГБУЗ «ГКБ №29 им. Н.Э. Баумана ДЗМ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy; N.E. Bauman City Clinical Hospital No. 29</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ кардиологии им. академика Е.И.Чазова» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова»  Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ кардиологии им. академика Е.И.Чазова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>E.I. Chazov National Medical Research Center of Cardiology of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>26</day><month>11</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>6</fpage><lpage>39</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жиров И.В., Насонова С.Н., Моисеева О.М., Рехтина И.Г., Супонева Н.А., Аншелес А.А., Барбараш О.Л., Галявич А.С., Дупляков Д.В., Затейщиков Д.А., Саидова М.А., Чайковская О.Я., Шария М.А., Терещенко С.Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Жиров И.В., Насонова С.Н., Моисеева О.М., Рехтина И.Г., Супонева Н.А., Аншелес А.А., Барбараш О.Л., Галявич А.С., Дупляков Д.В., Затейщиков Д.А., Саидова М.А., Чайковская О.Я., Шария М.А., Терещенко С.Н.</copyright-holder><copyright-holder xml:lang="en">Zhirov I.V., Nasonova S.N., Moiseeva O.M., Rekhtina I.G., Suponeva N.A., Ansheles А.A., Barbarash O.L., Galyavich A.S., Duplyakov D.V., Zateishchikov D.A., Saidova M.A., Tchaikovskaya O.Y., Shariya M.A., Tereshchenko S.N.</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/6555">https://www.heartj.asia/jour/article/view/6555</self-uri><abstract><p>Амилоидоз является системным заболеванием, поражающим не только сердечно-сосудистую систему. В документе наиболее широко обсуждается этиология, патогенез, особенности клинического течения двух типов амилоидоза AL- и ATTR. Суммированы данные обновленных международных протоколов и рекомендаций по диагностике амилоидоза. Представлен краткий обзор по методам инвазивной и неинвазивной диагностики и их сочетаниям, для каждой из диагностических опций и инструментов приводится анализ доказательной базы. В статье описан адаптированный алгоритм последовательной диагностики и дифференциальной диагностики пациентов с подозрением на АКМП с учетом сочетания клинических проявлений и данных обследования. В статье освящена проблема как специфического лечения AL- и ATTR, так и симптоматической терапии, как сердечной недостаточности, нарушений ритма и проводимости, так и неврологических проявлений. Документ будет полезен как врачам первичного звена, так и узким специалистам: кардиологам, неврологам, гематологам и нефрологам.</p></abstract><trans-abstract xml:lang="en"><p>Amyloidosis is a systemic disease affecting not only the cardiovascular system. The paper discusses etiology, pathogenicity, features of clinical course of two types of amyloidosis AL- and ATTR. Data from updated international protocols and recommendations for the diagnosis of amyloidosis are summarized. A brief overview of invasive and non-invasive diagnostic methods and their combinations is provided, with an analysis of the evidence base for each of the diagnostic options and tools. The article describes an adapted algorithm for sequential diagnosis and differential diagnosis of patients with suspicion of ACM, taking into account the combination of clinical manifestations and examination data. The article covers the problem of specific treatment of AL- and ATTR, as well as symptomatic therapy, both heart failure, rhythm and conduction disorders, and neurological manifestations. The document will be useful both for primary level doctors and narrow specialists: cardiologists, neurologists, hematologists and nephrologists.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>амилоидная кардиомиопатия</kwd><kwd>транстиретиновая полинейропатия</kwd><kwd>AL-амилоидоз</kwd><kwd>ATTR-амилоидоз</kwd><kwd>клинические рекомендации</kwd><kwd>диагностика</kwd><kwd>специфическая терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>amyloid cardiomyopathy</kwd><kwd>transthyretin polyneuropathy</kwd><kwd>AL-amyloidosis</kwd><kwd>ATTR-amyloidosis</kwd><kwd>clinical recommendations</kwd><kwd>diagnosis</kwd><kwd>specific therapy</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">Buxbaum JN, Dispenzieri A, Eisenberg DS, Fändrich M, Merlini G, Saraiva MJM, Sekijima Y, Westermark P. 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