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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 custom-type="elpub" pub-id-type="custom">vestar-350</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 ЛИТЕРАТУРЫ И МЕТА-АНАЛИЗЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>СПОРНЫЕ ВОПРОСЫ ПАТОГЕНЕЗА НЕЙРОМЕДИАТОРНЫХ СИНКОПОВ</article-title><trans-title-group xml:lang="en"><trans-title>CONTROVERSIAL ASPECTS OF PATHOGENY OF NEUROMEDIATOR SYNCOPE</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>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><email xlink:type="simple">noemail@neicon.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>Головина</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovina</surname><given-names>G. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Гаврилова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gavrilova</surname><given-names>E. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Самарский областной клинический кардиологический диспансер, МСЧ ОАО «АВТОВАЗ», Тольятти</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2008</year></pub-date><pub-date pub-type="epub"><day>22</day><month>09</month><year>2020</year></pub-date><volume>51</volume><issue>51</issue><fpage>44</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дупляков Д.В., Головина Г.А., Гаврилова Е.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Дупляков Д.В., Головина Г.А., Гаврилова Е.А.</copyright-holder><copyright-holder xml:lang="en">Duplyakov D.V., Golovina G.A., Gavrilova E.A.</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/350">https://vestar.elpub.ru/jour/article/view/350</self-uri><abstract><p>Рассматриваются вопросы патофизиологии синкопальных состояний, анализируются современные теории, объясняющие их возникновение снижением заполнения левого желудочка, особенностями действия нейротрансмиттеров, барорефлекторной дисфункцией и иными причинами.</p></abstract><trans-abstract xml:lang="en"><p>The problems of pathophysiology of syncope are considered; the current conceptions are analyzed explaining their development by a decrease in the left ventricle filling, peculiar features of the neurotransmitter effect, and other causes.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>нейромедиаторные синкопы</kwd><kwd>преходящие потери сознания</kwd><kwd>барорефлекс</kwd><kwd>гипотензия</kwd><kwd>брадикардия</kwd><kwd>тилт-тест</kwd><kwd>серотонин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>neuromedicator syncope</kwd><kwd>transient fainting</kwd><kwd>baroreflex</kwd><kwd>hypotension</kwd><kwd>bradycardia</kwd><kwd>tilt test</kwd><kwd>serotonin</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">Brignole M., Alboni P., Benditt D.G. et al. 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