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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-2020-2-54-66</article-id><article-id custom-type="elpub" pub-id-type="custom">vestar-254</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>В ПОМОЩЬ ПРАКТИКУЮЩИМ ВРАЧАМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>GUIDE TO PRACTITIONERS</subject></subj-group></article-categories><title-group><article-title>Почему «не работают» электрокардиографические алгоритмы дифференциальной диагностики тахикардий с широкими комплексами QRS</article-title><trans-title-group xml:lang="en"><trans-title>Why “don’t work” electrocardiographic algorithms for differential diagnostics of wide QRS tachycardia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Медведев</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Medvedev</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Медведев Михаил Маркович</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Medvedev Mikhail</p><p>Saint-Petersburg </p></bio><email xlink:type="simple">mikhmed@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>Парижский</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Parizhskiy</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Санкт-Петербургский Государственный Университет; НАО Институт кардиологической техники ИНКАРТ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saint-Petersburg State University; NJSC Institute of Cardiology Engineering INCART</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>НАО Институт кардиологической техники ИНКАРТ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>NJSC Institute of Cardiology Engineering INCART</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>24</day><month>07</month><year>2020</year></pub-date><volume>27</volume><issue>2</issue><fpage>54</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Медведев М.М., Парижский А.Б., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Медведев М.М., Парижский А.Б.</copyright-holder><copyright-holder xml:lang="en">Medvedev M.M., Parizhskiy A.B.</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/254">https://vestar.elpub.ru/jour/article/view/254</self-uri><abstract><p>Рассматриваются причины низкой эффективности работы алгоритмов дифференциальной диагностики тахикардий с широкими комплексами QRS при их применении в повседневной клинической практике, обсуждаются пути повышения их чувствительности и специфичности.</p></abstract><trans-abstract xml:lang="en"><p>The reasons for the low efficiency of algorithms for differential diagnostics of wide QRS tachycardia when applied in everyday clinical practice are examined, ways to increase their sensitivity and specificity are discussed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>тахикардии с широкими комплексами QRS</kwd><kwd>желудочковые тахикардии</kwd><kwd>суправентрикулярные тахикардии</kwd><kwd>электрокардиография</kwd><kwd>очаговые рубцовые изменения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>wide QRS tachycardia</kwd><kwd>ventricular tachycardia</kwd><kwd>supraventricular tachycardia</kwd><kwd>electrocardiography</kwd><kwd>local ischemic changes</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">Pick A, Langendorf R. 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