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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">10.20538/1682-0363-2013-6-189-197</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-329</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>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>ОДЫШКА, СВЯЗАННАЯ С ТРЕВОГОЙ: ОШИБКИ И ТРУДНОСТИ ДИАГНОСТИКИ</article-title><trans-title-group xml:lang="en"><trans-title>DYSPNEA ASSOCIATED WITH ANXIETY: MISTAKES AND DIFFICULTIES IN THE DIAGNOSIS</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>Тюкалова</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Tyukalova</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тюкалова Людмила Ивановна – доктор медицинских наук, профессор, зав. кафедрой поликлинической терапии</p></bio><bio xml:lang="en"/><email xlink:type="simple">nemerevg@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>Немеров</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nemerov</surname><given-names>Ye. V.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><email xlink:type="simple">nemerevg@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет, Томск</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University, Tomsk</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2013</year></pub-date><volume>12</volume><issue>6</issue><fpage>189</fpage><lpage>197</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тюкалова Л.И., Немеров Е.В., 2013</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="ru">Тюкалова Л.И., Немеров Е.В.</copyright-holder><copyright-holder xml:lang="en">Tyukalova L.I., Nemerov Y.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/329">https://bulletin.ssmu.ru/jour/article/view/329</self-uri><abstract><p>Проанализированы два клинических наблюдения, демонстрирующие трудности диагностики при-чин одышки, сочетающейся с тревогой. С позиций современной нейрофизиологии объясняется взаимосвязь этих состояний. Раскрываются характерные диагностические ошибки: «эффект ран-ней фокусировки», «негативный эффект узкой специализации».</p></abstract><trans-abstract xml:lang="en"><p>Two clinical cases that demonstrate the difficulties diagnosing the causes of shortness of breath, coupled with anxiety, are analyzed. From the standpoint of modern neurophysiology it explains the relationship of these conditions. There were revealed typical diagnostic mistakes: «the effect of precocious focusing", "the negative effect of the narrow specialization</p></trans-abstract><kwd-group xml:lang="ru"><kwd>одышка</kwd><kwd>тревога</kwd><kwd>нейрофизиологические связи</kwd><kwd>диагностические ошибки</kwd><kwd>эффект ранней фокусировки</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dyspnea</kwd><kwd>anxiety</kwd><kwd>neurophysiological correlations</kwd><kwd>diagnostic mistakes</kwd><kwd>precocious focusing effect</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">Абросимов В.Н. Одышка // Респираторная медицина: в 2 т. / под ред. А.Чучалина. М.: ГЭОТАР-Медиа, 2007. Т. 1. С. 407–418.</mixed-citation><mixed-citation xml:lang="en">Abrosimov V.N. Dyspnea. Respiratory Medicine: in 2 vol. Ed. A.G. Chuchalin. 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