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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">pirogovestnik</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник Национального медико-хирургического центра им. Н.И. Пирогова</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Pirogov National Medical &amp; Surgical Center</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-8255</issn><issn pub-type="epub">2782-3628</issn><publisher><publisher-name>Национальный медико-хирургический Центр им. Н.И. Пирогова</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25881/20728255_2024_19_2_89</article-id><article-id custom-type="elpub" pub-id-type="custom">pirogovestnik-117</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</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>О РОЛИ ОПРЕДЕЛЕНИЯ КОЛИЧЕСТВА ЖИЗНЕСПОСОБНОГО МИОКАРДА ПРИ ДИФФУЗНОМ ПОРА ЖЕНИИ КОРОНАРНОГО РУСЛА</article-title><trans-title-group xml:lang="en"><trans-title>THE IMPORTANCE OF DETERMINING THE VIABLE MYOCARDIUM IN THE PATIENTS WITH CHD AND DIFFUSE LESION OF CORONARY ARTERIES</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>Шевченко</surname><given-names>Ю. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevchenko</surname><given-names>Yu. L.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борщев</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Borshchev</surname><given-names>G. G.</given-names></name></name-alternatives><email xlink:type="simple">glebcenter@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>Вахромеева</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Vahromeeva</surname><given-names>V. N.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вахромеева</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Vahromeeva</surname><given-names>A. Yu.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ульбашев</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ulbashev</surname><given-names>D. S.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермаков</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermakov</surname><given-names>D. Yu.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медико-хирургический Центр им. Н.И. Пирогова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov National Medical and Surgical Center</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>14</day><month>08</month><year>2024</year></pub-date><volume>19</volume><issue>2</issue><fpage>89</fpage><lpage>93</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шевченко Ю.Л., Борщев Г.Г., Вахромеева М.Н., Вахромеева А.Ю., Ульбашев Д.С., Ермаков Д.Ю., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Шевченко Ю.Л., Борщев Г.Г., Вахромеева М.Н., Вахромеева А.Ю., Ульбашев Д.С., Ермаков Д.Ю.</copyright-holder><copyright-holder xml:lang="en">Shevchenko Y.L., Borshchev G.G., Vahromeeva V.N., Vahromeeva A.Y., Ulbashev D.S., Ermakov D.Y.</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://submit.pirogov-vestnik.ru/jour/article/view/117">https://submit.pirogov-vestnik.ru/jour/article/view/117</self-uri><abstract><p>Ишемическая болезнь сердца в настоящее время является одной из основных причин смертности, временной и стойкой утраты трудоспособности населения в развитых странах мира. Проблема лечения таких пациентов в настоящее время усугубляется увеличением случаев выявления диффузного поражения коронарного русла, когда обычная тактика полной прямой реваскуляризации становится невозможной. В связи с этим внимание кардиохирургов направлено на разработку новых методов лечения. В таких условиях становится особенно актуальным вопрос дооперационной диагностики «жизнеспособного миокарда», что может значимо повлиять на выбор тактики операции, ориентированной на полное восстановление перфузии миокарда левого желудочка.</p></abstract><trans-abstract xml:lang="en"><p>Coronary heart disease is currently one of the main causes of mortality, temporary and permanent disability of the population in the developed countries of the world. The problem of treating such patients is currently aggravated by an increase in cases of detection of diffuse lesions of the coronary bed, when the usual tactics of complete direct revascularization becomes impossible. In this regard, the attention of cardiac surgeons is directed to the development of new treatment methods. In such conditions, the issue of preoperative diagnosis of the viable myocardium becomes especially relevant, which can significantly affect the choice of surgery tactics aimed at the complete restoration of myocardial perfusion of the left ventricle</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ИБС</kwd><kwd>реваскуляризация</kwd><kwd>жизнеспособный миокард</kwd><kwd>гибернация</kwd><kwd>станнинг</kwd><kwd>синхро-ОФЭКТ</kwd></kwd-group><kwd-group xml:lang="en"><kwd>coronary heart disease</kwd><kwd>revascularization</kwd><kwd>viable myocardium</kwd><kwd>hibernation</kwd><kwd>stanning</kwd><kwd>gated SPECT</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">Бокерия Л.А., Милиевская Е.Б., Прянишников В.В., Юрлов И.А. Сердечно-сосудистая хирургия — 2022. 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