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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">10.20538/1682-0363-2016-4-120-139</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-673</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>Ремоделирование левого желудочка: один или несколько сценариев?</article-title><trans-title-group xml:lang="en"><trans-title>REMODELING OF THE LEFT VENTRICLE: ONE OR SEVERAL SCENARIOS?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9640-2028</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>д-р мед. наук, профессор кафедры госпитальной терапии с курсом физической реабилитации и спортивной медицины СибГМУ, г. Томск</p></bio><bio xml:lang="en"><p>MD, Professor of the Department of Hospital Therapy with a Сourse of Physical Rehabilitation and Sports Medicine, Siberian State Medical University, Tomsk, Russian Federation</p></bio><email xlink:type="simple">kalyuzhinvv@mail.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/0000-0003-0721-0038</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>д-р мед. наук, профессор, руководитель отделения сердечной недостаточности НИИ кардиологии, г. Томск</p></bio><bio xml:lang="en"><p>MD, Professor, Head of the Department of Heart Failure, Research Institute for Cardiology, Tomsk, Russian Federation</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соловцов</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Solovtsov</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач отделения ультразвуковой диагностики Томской областной клинической больницы, г. Томск</p></bio><bio xml:lang="en"><p>Doctor of the Department of Ultrasonic Diagnostics, Regional Clinical Hospital, Tomsk, Russian Federation</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/0000-0002-7978-5327</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>д-р мед. наук, профессор кафедры терапии факультета повышения квалификации и профессиональной переподготовки специалистов СибГМУ, г. Томск</p></bio><bio xml:lang="en"><p>MD, Professor of the Department of Hospital Therapy with a Сourse of Physical Rehabilitation and Sports Medicine, Siberian State Medical University, Tomsk, Russian Federation</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>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>канд. мед. наук, зав. кафедрой социальной работы, социальной и клинической психологии СибГМУ, г. Томск</p></bio><bio xml:lang="en"><p>PhD, Head of the Department of Social Work, Social and Clinical Psychology, Siberian State Medical University, Tomsk, Russian Federation</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>Терентьева</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Terentyeva</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, доцент кафедры госпитальной терапии СурГУ, г. Сургут</p></bio><bio xml:lang="en"><p>PhD, Associate Professor of the Department of Hospital Therapy, Surgut State University, Surgut, Russian Federation</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет Россия, 634050, г. Томск, Московский тракт, 2</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University 2, Moscow Trakt, Tomsk, 634050, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт кардиологии (НИИ кардиологии) Россия, 634012, г. Томск, ул. Киевская, 111а</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Cardiology 111а, Kievskaya St., 634012, Tomsk, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Томская областная клиническая больница Россия, 634063, г. Томск, ул. И. Черных, 96</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Clinical Hospital 96, I. Chernuh St., Tomsk, 634063, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Сургутский государственный университет (СурГУ) Россия, 628412, г. Сургут, пр. Ленина, 1</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University 1, Lenina Av., Surgut, 628412, Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>04</day><month>10</month><year>2016</year></pub-date><volume>15</volume><issue>4</issue><fpage>120</fpage><lpage>139</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Калюжин В.В., Тепляков А.Т., Соловцов М.А., Калюжина Е.В., Беспалова И.Д., Терентьева Н.Н., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Калюжин В.В., Тепляков А.Т., Соловцов М.А., Калюжина Е.В., Беспалова И.Д., Терентьева Н.Н.</copyright-holder><copyright-holder xml:lang="en">Kalyuzhin V.V., Teplyakov A.T., Solovtsov M.A., Kalyuzhina E.V., Bespalova I.D., Terentyeva N.N.</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/673">https://bulletin.ssmu.ru/jour/article/view/673</self-uri><abstract><p>Авторы обзора анализируют работы, опубликованные по проблеме ремоделирования левого желудочка (ЛЖ), которое в соответствии с консенсусом, принятым Международным Форумом по Ремоделированию Сердца, может быть определено как изменение экспрессии генома, молекулярные, клеточные и интерстициальные сдвиги, которые проявляются трансформацией размера, формы и функции ЛЖ после его повреждения. Ремоделирование ЛЖ часто рассматривают как абсолютно неспецифический, независимый от природы основного заболевания (кластера заболеваний) процесс. Такой подход, противоречащий теории мультимодальной реакции миокарда (миоцитов и интерстиция) на молекулярно-генетическом, клеточном, тканевом и органном уровнях, во многом зависящий от характера и времени действия инициирующего фактора, а также современным представлениям о типах ремоделирования ЛЖ и делении последних на адаптивные и дезадаптивные формы, стал предметом обоснованной критики. Анализируются сценарии молекулярных и клеточных событий, а также рассмотрены вопросы диагностики ремоделирования ЛЖ. Обсуждается классификация ремоделирования ЛЖ.</p></abstract><trans-abstract xml:lang="en"><p>The authors of the review have analyzed papers published on the problem of remodeling of the left ventricle (LV), which is in accordance with a consensus paper from an International Forum on Cardiac Remodeling may be defined as genome expression, molecular, cellular and interstitial changes that are manifested clinically as changes in size, shape and function of the LV after cardiac injury. Remodeling of the LV is often seen as a nonspecific process independent of the nature of the underlying disease (cluster of disease). This approach, contrary to the theory of multimodal response of the myocardium (myocytes and interstitium) on the molecular-genetic, cellular, tissue, and organ levels, largely depending on the nature and duration of the triggering factor, as well as modern ideas about the types of LV remodeling and dividing the latter into serdechadaptive and non-adaptive forms, was the subject of legitimate criticism. Analyzed scenarios the molecular and cellular events, as well as deals with diagnosis of left ventricular remodeling. Discusses the classification of LV remodeling.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>левый желудочек</kwd><kwd>ремоделирование</kwd><kwd>патогенез</kwd><kwd>диагностика</kwd><kwd>классификация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>left ventricle</kwd><kwd>remodeling</kwd><kwd>pathogenesis</kwd><kwd>diagnosis</kwd><kwd>classification</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">Василенко В.Х. Недостаточность кровообращения / Большая медицинская ýнциклопедия; Изд. 2-е. / под ред. А.Н. Бакулева. М.: Советская ýнциклопедия, 1960; 14: 543–604.</mixed-citation><mixed-citation xml:lang="en">Vasilenko V.H. Nedostatochnost’ krovoobrashhenija [Circulatory failure] /  Bol’shaja medicinskaja jenciklopedija [The big medical encyclopedia]; Ed. 2. / ed.  by A.N. 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