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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">10.20538/1682-0363-2022-1-183-196</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-4714</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>Имплантируемые кардиовертеры-дефибрилляторы в профилактике внезапной сердечной смерти: современные рекомендации по применению и реальная клиническая практика (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5790-1158</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Талибуллин</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Talibullin</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Талибуллин Ильяс Вильямович – аспирант</p><p>650002, г. Кемерово, Сосновый бульвар, 6</p></bio><bio xml:lang="en"><p>6, Sosnovy Blvd., Kemerovo, 650002</p></bio><email xlink:type="simple">iljas-doc@rambler.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/0000-0003-2769-3807</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедева</surname><given-names>Н. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedeva</surname><given-names>N. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедева Наталия Борисовна – д-р мед. наук, доцент, ст. науч. сотрудник, лаборатория реабилитации</p><p>650002, г. Кемерово, Сосновый бульвар, 6</p></bio><bio xml:lang="en"><p>6, Sosnovy Blvd., Kemerovo, 650002</p></bio><email xlink:type="simple">lebenb@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний (НИИ КПССЗ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute for Complex Issues of Cardiovascular Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2022</year></pub-date><volume>21</volume><issue>1</issue><fpage>183</fpage><lpage>196</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Талибуллин И.В., Лебедева Н.Б., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Талибуллин И.В., Лебедева Н.Б.</copyright-holder><copyright-holder xml:lang="en">Talibullin I.V., Lebedeva N.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://bulletin.ssmu.ru/jour/article/view/4714">https://bulletin.ssmu.ru/jour/article/view/4714</self-uri><abstract><p>После завершения основных крупномасштабных рандомизированных клинических исследований около 20 лет назад, имплантируемые кардиовертеры-дефибрилляторы (ИКД) являются основой профилактики внезапной сердечной смерти (ВСС), особенно у пациентов с низкой фракцией выброса левого желудочка. За прошедшее время эволюционировали как сами устройства, так и методы лечения сердечной недостаточности. Новые медицинские реалии требуют пересмотра существующих подходов к определению риска ВСС, показаний для ее профилактики с помощью ИКД, индивидуализации выбора и программирования устройства, а также объективизации проблем, ограничивающих широкое применение метода в реальной клинической практике.</p><p>В обзоре рассматриваются существующая доказательная база использования ИКД и позиции современных клинических рекомендаций, проблемы, возникающие после установки ИКД и пути их решения, а также вопросы применения ИКД в реальной клинической практике.</p></abstract><trans-abstract xml:lang="en"><p>Implantable cardioverter-defibrillators (ICDs) are considered to be the most beneficial in preventing sudden cardiac death (SCD), especially in patients with reduced left ventricular ejection fraction (LVEF). However, major large-scale randomized clinical trials on ICD effectiveness were conducted 20 years ago and do not reflect current realities. Modern ICDs and methods for treating heart failure have drastically improved. New clinical reality requires reconsideration of approaches to determining the risk of SCD and indications for ICD, personalization of device selection and programming, and identification of barriers that prevent ubiquitous use of the method in real clinical practice.</p><p>The article reviews the available evidence base on the use of ICDs, current clinical guidelines, complications following the device implantation, and any difficulties associated with ICD application in routine clinical practice.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>имплантируемые кардиовертеры-дефибрилляторы</kwd><kwd>внезапная сердечная смерть</kwd><kwd>профилактика</kwd><kwd>клиническая практика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>implantable cardioverter-defibrillators</kwd><kwd>sudden cardiac death</kwd><kwd>prevention</kwd><kwd>clinical practice</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">Hayashi M., Shimizu W., Albert C.M. 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