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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">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2018-4-264-280</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-1999</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 И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Биологические маркеры в стратификации риска развития и прогрессирования сердечно-сосудистой патологии: настоящее и будущее</article-title><trans-title-group xml:lang="en"><trans-title>Biological markers in risk stratification and progression of cardiovascular disease: present and future</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9950-721X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Останко</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Ostanko</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Останко Валентина Леонидовна, кандандидат медицинских наук, доцент, кафедра госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Ostanko Valentina L., PhD, Associate Рrofessor, Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><email xlink:type="simple">valentina209@yandex.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/0000-0002-4292-7723</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калачева</surname><given-names>Т. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalacheva</surname><given-names>T. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калачева Татьяна Петровна, кандандидат медицинских наук, доцент, кафедра общей врачебной практики и поликлинической терапии</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Kalacheva Tatiana P., PhD, Associate Рrofessor, Department of General Мedical Рractice with a Сourse of Рolyclinic Тherapy</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0002-7978-5327</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калюжина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalyuzhina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калюжина Елена Викторовна, доктор медицинских наук, профессор, кафедра госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p> Kalyuzhina Elena V., DM, Рrofessor, Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0003-2357-6910</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лившиц</surname><given-names>И. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Livshits</surname><given-names>I. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лившиц Инна Климентьевна, кандандидат медицинских наук, доцент, кафедра госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Livshits Inna K., PhD, Associate Рrofessor, Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0001-7258-4883</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаловай</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shalovay</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шаловай Алла Алексеевна, кандандидат медицинских наук, доцент, кафедра госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Shalovay Alla A., PhD, Associate Рrofessor, Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0001-5780-6660</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черногорюк</surname><given-names>Г. Э.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernogoryuk</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Черногорюк Георгий Эдинович, доктор медицинских наук, профессор, кафедра госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Chernogoryuk Georgy E., DM, Рrofessor, Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0002-4513-6329</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беспалова</surname><given-names>И. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Bespalova</surname><given-names>I. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Беспалова Инна Давидовна, доктор медицинских наук, профессор, кафедра госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Bespalova Inna D., DM, Рrofessor, Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юнусов</surname><given-names>Р. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Yunusov</surname><given-names>R. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юнусов Рамиль Шамилович, врач-оториноларинголог</p><p>634050, г. Томск, ул. Алексея Беленца, 9/1 </p></bio><bio xml:lang="en"><p>Yunusov Ramil Sh., Оtorhinolaryngologist</p><p>9, Alexei Belentsa Str., Tomsk, 634050</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/0000-0001-7119-391X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукашова</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukashova</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лукашова Лариса Владимировна, доктор медицинских наук заведующая кафедрой инфекционных болезней и ýпидемиологии</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Lukashova Larisa V., DM, Head of the Department of Infectious Diseases and Eepidemiology</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0003-4883-2028</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Помогаева</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pomogaeva</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Помогаева Альбина Петровна, доктор медицинских наук, профессор, кафедра детских болезней</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Pomogaeva Albina P., DM, Рrofessor, Department of Сhildren’s Diseases</p><p>2, Moscow Trakt, Tomsk, 634050</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/0000-0003-0721-0038</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тепляков</surname><given-names>А. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Teplyakov</surname><given-names>A. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тепляков Александр Трофимович, доктор медицинских наук, профессор, заслуженный деятель науки РФ, гл. науч. сотрудник</p><p>634012, Томск, ул. Киевская, 111а</p></bio><bio xml:lang="en"><p>Teplyakov Aleksandr T., DM, Рrofessor, Сhief Researcher</p><p>111a, Kievskaya Str., Tomsk, 634012</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/0000-0001-9640-2028</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калюжин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalyuzhin</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Калюжин Вадим Витальевич, доктор медицинских наук, профессор, заведующий кафедрой госпитальной терапии с курсом реабилитации, физиотерапии и спортивной медицины</p><p>634050, г. Томск, Московский тракт, 2 </p></bio><bio xml:lang="en"><p>Kalyuzhin Vadim V., DM, Рrofessor, Нead of the Department of Hospital Therapy with a Course of Rehabilitation, Physiotherapy and Sports Medicine</p><p>2, Moscow Trakt, Tomsk, 634050</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет (СибГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University (SSMU)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Медицинский центр «Сибирский доктор»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Сenter “Siberian Doctor”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научно-исследовательский институт (НИИ) кардиологии, Томский национальный исследовательский медицинский центр (ТНИМЦ) Российской академии наук (РАН)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute Cardiology, Tomsk National Research Medical Center (TNRMC) of Russian Academy of Sciences (RAS)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>24</day><month>12</month><year>2018</year></pub-date><volume>17</volume><issue>4</issue><fpage>264</fpage><lpage>280</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Останко В.Л., Калачева Т.П., Калюжина Е.В., Лившиц И.К., Шаловай А.А., Черногорюк Г.Э., Беспалова И.Д., Юнусов Р.Ш., Лукашова Л.В., Помогаева А.П., Тепляков А.Т., Калюжин В.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Останко В.Л., Калачева Т.П., Калюжина Е.В., Лившиц И.К., Шаловай А.А., Черногорюк Г.Э., Беспалова И.Д., Юнусов Р.Ш., Лукашова Л.В., Помогаева А.П., Тепляков А.Т., Калюжин В.В.</copyright-holder><copyright-holder xml:lang="en">Ostanko V.L., Kalacheva T.P., Kalyuzhina E.V., Livshits I.K., Shalovay A.A., Chernogoryuk G.E., Bespalova I.D., Yunusov R.S., Lukashova L.V., Pomogaeva A.P., Teplyakov A.T., Kalyuzhin V.V.</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://bulletin.ssmu.ru/jour/article/view/1999">https://bulletin.ssmu.ru/jour/article/view/1999</self-uri><abstract><p>С учетом роста уровня сердечно-сосудистых заболеваний за последние десятилетия перед клиницистом встает задача максимально быстрой диагностики патологии на самых начальных ее стадиях. Именно поэтому целью нашей работы явились определение основных групп биологических маркеров и выделение роли каждого из них в оценке риска развития, прогрессирования и возможных осложнений кардиоваскулярных болезней. Нами дана основная рабочая классификация маркеров кардиоваскулярных процессов с выделением их основных типов, рассмотрены основные критерии «идеальности» биологических маркеров и, наконец, проведена попытка структурирования биомаркеров в зависимости от их молекулярных механизмов в развитии той или иной патологии. Все эти данные должны помогать клиницисту на этапе ранней диагностики развития сердечно-сосудистых болезней.</p></abstract><trans-abstract xml:lang="en"><p>Taking into account the increase in the level of cardiovascular diseases in recent decades, the clinician faces the task of attempting to make the fastest possible diagnosis of the pathology at its earliest stages. That is why the aim of our work was to identify the main groups of biological markers, and to separate the role of each of them in the assessment of the risk of development, progression and possible complications of cardiovascular diseases. We have given the main working classification of markers of cardiovascular processes with the allocation of their main types, as well as the basic criteria for the “ideal” biological marker. Finally, an attempt was made to structure biomarkers depending on their molecular mechanisms of pathogenesis in the development of a particular pathology. All these data should help the clinician at the stage of early diagnosis of cardiovascular disease.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>биомаркер</kwd><kwd>ишемия миокарда</kwd><kwd>повреждение миокарда</kwd><kwd>сердечная недостаточность</kwd><kwd>миокардиальный стресс</kwd><kwd>атеросклероз</kwd><kwd>тромбоз</kwd><kwd>воспаление</kwd><kwd>матриксное и клеточное ремоделирование</kwd><kwd>оксидативный стресс</kwd><kwd>нейрогормоны</kwd><kwd>кардиоренальный синдром</kwd></kwd-group><kwd-group xml:lang="en"><kwd>biomarker</kwd><kwd>myocardial ischemia</kwd><kwd>myocardial Injury</kwd><kwd>heart failure</kwd><kwd>myocardial stress</kwd><kwd>atherosclerosis</kwd><kwd>thrombosis</kwd><kwd>inflammation</kwd><kwd>matrix and cellular remodeling</kwd><kwd>oxidative Stress</kwd><kwd>neurohormones</kwd><kwd>cardio-renal syndrome</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">Калюжин В.В., Тепляков А.Т., Соловцов М.А., Калюжина Е.В., Беспалова И.Д., Терентьева Н.Н. 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