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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">vestar</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник аритмологии</journal-title><trans-title-group xml:lang="en"><trans-title>Journal of Arrhythmology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-8641</issn><issn pub-type="epub">2658-7327</issn><publisher><publisher-name>НАО «Инкарт»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35336/VA-1436</article-id><article-id custom-type="edn" pub-id-type="custom">RWJYHQ</article-id><article-id custom-type="elpub" pub-id-type="custom">vestar-1481</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>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Клиническое значение наджелудочковой экстрасистолии и подходы к ее лечению</article-title><trans-title-group xml:lang="en"><trans-title>Clinical significance of premature atrial contractions and approaches to its treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0438-8981</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баймуканов</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Baimukanov</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Бакинская, д. 26</p></bio><bio xml:lang="en"><p>Moscow, 26 Bakinskaya str.</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/0009-0003-2918-9804</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котляревская</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotlyarevskaya</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Котляревская Елизавета Игоревна.</p><p>Москва, ул. Островитянова, д. 1</p></bio><bio xml:lang="en"><p>Elizaveta I. Kotlyarevskaya.</p><p>Moscow, 1 Ostrovityanova str.</p></bio><email xlink:type="simple">doctor.liza999@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1637-2402</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мелехов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Melekhov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, ул. Островитянова, д. 1</p></bio><bio xml:lang="en"><p>Moscow, 1 Ostrovityanova str.</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/0000-0002-7846-1611</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гендлин</surname><given-names>Г. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Gendlin</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, ул. Островитянова, д. 1</p></bio><bio xml:lang="en"><p>Moscow, 1 Ostrovityanova str.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственное бюджетное учреждение здравоохранения «Городская клиническая больница имени В.М. Буянова Департамента здравоохранения города Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Budgetary Healthcare Institution “V.M.Buyanov City Clinical Hospital of the Moscow City Health Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>FSAEI HE “N.I. Pirogov Russian National Research Medical University” of the MH RF</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>08</day><month>03</month><year>2025</year></pub-date><volume>32</volume><issue>1</issue><elocation-id>e6-e14</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Баймуканов А.М., Котляревская Е.И., Мелехов А.В., Гендлин Г.Е., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Баймуканов А.М., Котляревская Е.И., Мелехов А.В., Гендлин Г.Е.</copyright-holder><copyright-holder xml:lang="en">Baimukanov A.M., Kotlyarevskaya E.I., Melekhov A.V., Gendlin G.E.</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://vestar.elpub.ru/jour/article/view/1481">https://vestar.elpub.ru/jour/article/view/1481</self-uri><abstract><p>Наджелудочковые экстрасистолы (НЖЭ) являются распространенным явлением в общей популяции. Ранее НЖЭ считалась безопасной электрокардиографической находкой, не имеющей большого клинического значения. Однако, накапливается все больше данных, свидетельствующих о положительной связи между частотой НЖЭ и риском развития фибрилляции предсердий, ишемического инсульта или транзиторной ишемической атаки, а также смертностью от всех причин. В связи с этим, становятся актуальны проблемы определения клинической значимости НЖЭ и тактики ведения таких больных.</p></abstract><trans-abstract xml:lang="en"><p>Supraventricular premature beats (PACs) are common in the general population. Previously considered a benign ECG finding with little clinical significance. However, increasing evidence now suggests a positive correlation between the frequency of PACs and the risk of developing atrial fibrillation, ischemic stroke, transient ischemic attack, and all-cause mortality. This has highlighted the importance of determining the clinical significance of PACs and the management strategies for affected patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>наджелудочковая экстрасистолия</kwd><kwd>фибрилляция предсердий</kwd><kwd>инсульт</kwd><kwd>транзиторная ишемическая атака</kwd><kwd>радиочастотная аблация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>premature atrial contractions</kwd><kwd>atrial fibrillation</kwd><kwd>stroke</kwd><kwd>transient ischemic attack</kwd><kwd>radiofrequency ablation</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">Conen D, Adam M, Roche F, et al. Premature Atrial Contractions in the General Population. Circulation. 2012;126(19): 2302-2308. https://doi.org/10.1161/CIRCULATIONAHA.112.112300.</mixed-citation><mixed-citation xml:lang="en">Conen D, Adam M, Roche F, et al. 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