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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">cardiovascular</journal-id><journal-title-group><journal-title xml:lang="ru">Кардиоваскулярная терапия и профилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Cardiovascular Therapy and Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1728-8800</issn><issn pub-type="epub">2619-0125</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-1176</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 ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group></article-categories><title-group><article-title>Воплощение идеи вторичной профилактики коронарной болезни сердца в реальной практике</article-title><trans-title-group xml:lang="en"><trans-title>Implementing principles of coronary heart disease secondary prevention into real-world clinical practice</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>Аронов</surname><given-names>Д. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Aronov</surname><given-names>D. M.</given-names></name></name-alternatives><email xlink:type="simple">oganov@gnicpm.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>Соколова</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokolova</surname><given-names>O. Yu.</given-names></name></name-alternatives><email xlink:type="simple">oganov@gnicpm.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>Гутковская</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gutkovskaya</surname><given-names>L. A.</given-names></name></name-alternatives><email xlink:type="simple">oganov@gnicpm.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Государственный научно-исследовательский центр профилактической медицины Росздрава, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2007</year></pub-date><pub-date pub-type="epub"><day>20</day><month>02</month><year>2007</year></pub-date><volume>6</volume><issue>1</issue><fpage>105</fpage><lpage>113</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Аронов Д.М., Соколова О.Ю., Гутковская Л.А., 2007</copyright-statement><copyright-year>2007</copyright-year><copyright-holder xml:lang="ru">Аронов Д.М., Соколова О.Ю., Гутковская Л.А.</copyright-holder><copyright-holder xml:lang="en">Aronov D.M., Sokolova O.Y., Gutkovskaya L.A.</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://cardiovascular.elpub.ru/jour/article/view/1176">https://cardiovascular.elpub.ru/jour/article/view/1176</self-uri><abstract><p>Статья посвящена обзору по проблеме отношения практических врачей к выполнению программ вторичной профилактики коронарной болезни сердца. На примере крупных клинических трайлов показано, что в большинстве стран происходят позитивные изменения в выполнении мер по вторичной профилактике. В работах о выполнении программ вторичной профилактики в России имеет место несоответствие практики мировым стандартам. В частности, российские врачи используют низкие дозы препаратов стратегического назначения, редко (17%) рекомендуют пациентам гиполипидемическую терапию.</p></abstract><trans-abstract xml:lang="en"><p>The article is focused on practitioners' attitude towards clinical implementation of coronary heart disease secondary prevention programs. Using large-scale clinical trials' results, it is demonstrated that in most countries, secondary prevention measures are gradually improving. Russian secondary prevention programs are characterized by a substantial divide between clinical practice and international standards. In particular, Russian physicians use low doses of strategically important agents, and rarely recommend lipid-lowering therapy to their patients (17%).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вторичная профилактика</kwd><kwd>коронарная болезнь сердца</kwd><kwd>медикоментозные средства</kwd><kwd>немедикоментозные методы</kwd><kwd>методические рекомендации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>secondary prevention</kwd><kwd>coronary heart disease</kwd><kwd>pharmaceutical agents</kwd><kwd>non-pharmaceutical methods</kwd><kwd>methodical recommendations</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">Albright CL, Cohen S, Gibbons L, et al. Incorporating physical activity advice into primary care: physician-delivered advice within the activity counseling trial. 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