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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 pub-id-type="doi">10.15829/1728-8800-2019-1-5-66</article-id><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-2235</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>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Коморбидная патология в клинической практике. Алгоритмы диагностики и лечения</article-title><trans-title-group xml:lang="en"><trans-title>Comorbidities in clinical practice. Algorithms for diagnostics and treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0875-0773</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оганов</surname><given-names>Р. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Oganov</surname><given-names>R. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Академик РАН, доктор медицинских наук, профессор, заслуженный деятель науки Российской Федерации, главный научный сотрудник ФГБУ “НМИЦ ПМ” Минздрава России, руководитель отдела профилактики коморбидных состояний ФГБУ “НМИЦ ПМ” Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1956-0070</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симаненков</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Simanenkov</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, Заслуженный работник Высшей школы РФ, заведующий кафедрой терапии и клинической фармакологии Северо-Западного государственного медицинского университета им. И. И. Мечникова</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"/><email xlink:type="simple">visimanenkov@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/0000-0002-6151-2021</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бакулин</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakulin</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, заведующий кафедрой пропедевтики внутренних болезней, гастроэнтерологии и диетологии, Северо-Западный государственный медицинский университет им. И. И. Мечникова, Президент МОО “Общество гастроэнтерологов и гепатологов “Северо-Запад”</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4075-4096</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бакулина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bakulina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор кафедры терапии и клинической фармакологии СЗГМУ им. И. И. Мечникова</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4642-3610</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Барбараш</surname><given-names>О. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Barbarash</surname><given-names>O. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Член-корреспондент РАН, доктор медицинских наук, профессор, директор ФГБНУ “Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний”, заведующий кафедрой кардиологии и сердечно-сосудистой хирургии ФГБОУ ВО КемГМУ Минздрава России</p><p> Кемерово</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6998-8406</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бойцов</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Boytsov</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Член-корреспондент РАН, доктор медицинских наук, профессор, Генеральный директор ФГБУ “НМИЦ кардиологии” Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1898-084X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Болдуева</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Boldueva</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, заслуженный врач России, заведующий кафедрой факультетской терапии Северо-Западного государственного медицинского университета им. И. И. Мечникова</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7353-7154</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гарганеева</surname><given-names>Н. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Garganeeva</surname><given-names>N. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор кафедры общей врачебной практики и поликлинической терапии, Сибирский государственный медицинский университет</p><p>Томск</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8874-4108</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дощицин</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Doshchitsin</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Профессор кафедры кардиологии ФГБОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1391-0711</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каратеев</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Karateev</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, ФГБНУ “Научно-исследовательский институт ревматологии им. В. А. Насоновой”</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1628-5093</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котовская</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kotovskaya</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, заведующий кафедрой кардиологии и персонифицированной медицины факультета повышения квалификации медицинских работников РУДН, зав. лабораторией сердечно-сосудистого старения ОСП “Российский геронтологический научно-клинический центр” ФГБОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6068-3080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лила</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lila</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, Главный ревматолог Минздрава России, Генеральный директор ФГБНУ “Научно-исследовательский институт ревматологии им. В. А. Насоновой”</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5784-4525</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукьянов</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukyanov</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, ведущий научный сотрудник отдела клинической кардиологии и молекулярной генетики ФГБУ “НМИЦ ПМ” Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3748-8180</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозова</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozova</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, заведующий кафедрой общей врачебной практики ФГАОУ ВО Первый МГМУ им. И. М. Сеченова Минздрава России (Сеченовский университет)</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7168-3636</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Переверзев</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pereverzev</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, ФГБОУ ВО “Российский национальный исследовательский медицинский университет им. Н. И. Пирогова” Минздрава России, ОСП “Российский геронтологический научно-клинический центр”</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8493-0058</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петрова</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrova</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, заведующий кафедрой поликлинической терапии, семейной медицины и здорового образа жизни с курсом последипломного образования ФГБОУ ВО “Красноярский государственный медицинский университет им. профессора В. Ф. Войно-Ясенецкого” Минздрава России</p><p>Красноярск</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7579-7830</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Поздняков</surname><given-names>Ю. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Pozdnyakov</surname><given-names>Yu. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, ГБУЗ МО “Жуковская ГКБ”, заведующий кардиологическим отделением</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2536-5781</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сыров</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Syrov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, заведующий отделением кардиологии ГБУЗ Консультативно-диагностического центра № 6 Департамента здравоохранения г. Москвы, кафедра общей врачебной практики ФГАОУ ВО “Российский университет дружбы народов”</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4277-1711</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кандидат медицинских наук, врач кардиолог-аритмолог, заведующий отделением хирургического лечения сложных нарушений ритма сердца ФГБУ “НМИЦ ПМ” Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4193-688X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ткачева</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkacheva</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, директор ФГБОУ ВО “Российский национальный исследовательский медицинский университет им. Н. И. Пирогова” Минздрава России, ОСП “Российский геронтологический научно-клинический центр”</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2087-6483</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шальнова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shalnova</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, руководитель отдела эпидемиологии ФГБУ “НМИЦ ПМ” Минздрава России</p><p>Москва</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Ассоциация врачей общей практики (семейных врачей) РФ; &#13;
Национальная медицинская Ассоциация по изучению Сочетанных Заболеваний; Профессиональный фонд содействия развитию медицины “ПРОФМЕДФОРУМ”<country>Россия</country></aff><aff xml:lang="en">All-Russian fund “Association of general practitioners (family doctors) of Russian Federation”; National medical Association for the Study of the Multimorbidity; &#13;
Fund “PROFMEDFORUM”<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Ассоциация врачей общей практики (семейных врачей) РФ; &#13;
Национальная медицинская Ассоциация по изучению Сочетанных Заболеваний; Профессиональный фонд содействия развитию медицины “ПРОФМЕДФОРУМ”<country>Россия</country></aff><aff xml:lang="en">All-Russian fund “Association of general practitioners (family doctors) of Russian Federation”; National medical Association for the Study of the Multimorbidity;&#13;
Fund “PROFMEDFORUM”<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>01</day><month>03</month><year>2019</year></pub-date><volume>18</volume><issue>1</issue><fpage>5</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Оганов Р.Г., Симаненков В.И., Бакулин И.Г., Бакулина Н.В., Барбараш О.Л., Бойцов С.А., Болдуева С.А., Гарганеева Н.П., Дощицин В.Л., Каратеев А.Е., Котовская Ю.В., Лила А.М., Лукьянов М.М., Морозова Т.Е., Переверзев А.П., Петрова М.М., Поздняков Ю.М., Сыров А.В., Тарасов А.В., Ткачева О.Н., Шальнова С.А., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Оганов Р.Г., Симаненков В.И., Бакулин И.Г., Бакулина Н.В., Барбараш О.Л., Бойцов С.А., Болдуева С.А., Гарганеева Н.П., Дощицин В.Л., Каратеев А.Е., Котовская Ю.В., Лила А.М., Лукьянов М.М., Морозова Т.Е., Переверзев А.П., Петрова М.М., Поздняков Ю.М., Сыров А.В., Тарасов А.В., Ткачева О.Н., Шальнова С.А.</copyright-holder><copyright-holder xml:lang="en">Oganov R.G., Simanenkov V.I., Bakulin I.G., Bakulina N.V., Barbarash O.L., Boytsov S.A., Boldueva S.A., Garganeeva N.P., Doshchitsin V.L., Karateev A.E., Kotovskaya Y.V., Lila A.M., Lukyanov M.M., Morozova T.E., Pereverzev A.P., Petrova M.M., Pozdnyakov Y.M., Syrov A.V., Tarasov A.V., Tkacheva O.N., Shalnova S.A.</copyright-holder><license 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/2235">https://cardiovascular.elpub.ru/jour/article/view/2235</self-uri><abstract><p>.</p></abstract><trans-abstract xml:lang="en"><p>.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сочетанные заболевания</kwd><kwd>мультиморбидность</kwd><kwd>коморбидность</kwd><kwd>факторы риска</kwd><kwd>гериатрическая коморбидность</kwd><kwd>алгоритмы диагностики</kwd><kwd>первичная и вторичная профилактика</kwd><kwd>рациональная полифармакотерапия</kwd><kwd>безопасность лечения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>comorbidities</kwd><kwd>multimorbidity</kwd><kwd>risk factors</kwd><kwd>geriatric comorbidity</kwd><kwd>diagnostic algorithms</kwd><kwd>primary and secondary prevention</kwd><kwd>polypharmacotherapy</kwd><kwd>safety of treatment</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">Оганов Р. 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