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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">cardio</journal-id><journal-title-group><journal-title xml:lang="ru">Кардиология</journal-title><trans-title-group xml:lang="en"><trans-title>Kardiologiia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0022-9040</issn><issn pub-type="epub">2412-5660</issn><publisher><publisher-name>Kardiomag</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18087/cardio.2626</article-id><article-id custom-type="elpub" pub-id-type="custom">cardio-494</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</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Нарушения системы дыхания при хронической сердечной недостаточности</article-title><trans-title-group xml:lang="en"><trans-title>Alterations of the respiratory system in heart failure</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>Беграмбекова</surname><given-names>Ю. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Begrambekova</surname><given-names>Yu. L.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каранадзе</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Karanadze</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орлова</surname><given-names>Я. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Orlova</surname><given-names>Ya. A.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>«МНОЦ МГУ им. М. В. Ломоносова».</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Lomonosov Moscow State University Medical Research and Educational Center.</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>07</day><month>03</month><year>2019</year></pub-date><volume>59</volume><issue>2S</issue><fpage>15</fpage><lpage>24</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Kardiomag, 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Kardiomag</copyright-holder><copyright-holder xml:lang="en">Kardiomag</copyright-holder><license xlink:href="https://cardio.elpub.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://cardio.elpub.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://cardio.elpub.ru/jour/article/view/494">https://cardio.elpub.ru/jour/article/view/494</self-uri><abstract><p>В обзоре обсуждаются механизмы развития патологии системы внешнего дыхания у пациентов с ХСН, в частности, различные варианты периодического дыхания, легочная гипертензия вследствие патологии левых камер сердца и ремоделирование дыхательной мускулатуры. Обсуждается роль хемо- и барорецепторов каротидной зоны, а также гиперактивации метаборефлекса дыхания в развитии патологии системы внешнего дыхания и опосредованном усугублении сердечной недостаточности.</p></abstract><trans-abstract xml:lang="en"><p>The review discusses mechanisms for the development of the pathology of the respiratory system in patients with CHF, such as various types of periodic respiration, pulmonary hypertension due to the pathology of the left chambers of the heart, and remodeling of the respiratory musculature. The role of chemo- and baroreceptors of the carotid zone, as well as the hyperactivation of the respiratory muscle metaboreflex in the development of the pathology of the respiratory system, and the mediated exacerbation of CHF are discussed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ХСН</kwd><kwd>ПД</kwd><kwd>легочная гипертензия</kwd><kwd>диафрагма</kwd><kwd>хеморецепторы</kwd><kwd>метаборефлекс вдоха</kwd></kwd-group><kwd-group xml:lang="en"><kwd>CHF</kwd><kwd>periodic respiration</kwd><kwd>pulmonary hypertension</kwd><kwd>diaphragm</kwd><kwd>chemoreceptors</kwd><kwd>metaboreflex</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">Мареев В. Ю., Фомин И. В., Агеев Ф. Т., Беграмбекова Ю. Л., Васюк Ю. А., Гарганеева А. А. и др. Клинические рекомендации ОССН – РКО – РНМОТ. Сердечная недостаточность: хроническая (ХСН) и острая декомпенсированная (ОДСН). 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