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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">10.15829/1728-8800-2019-2-76-83</article-id><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-838</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>МНЕНИЕ ПО ПРОБЛЕМЕ</subject></subj-group></article-categories><title-group><article-title>Дифференциальная диагностика синкопальных состояний</article-title><trans-title-group xml:lang="en"><trans-title>Differential diagnostics of syncopal conditions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5384-3795</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Джиоева</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Dzhioeva</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Джиоева Ольга Николаевна — кандидат медицинских наук, ассистент кафедры госпитальной терапии № 2 лечебного факультета РНІМУ им. Н.И. Пирогова, руководитель научно-образовательного отдела, врач-кардиолог, член РКО. 1803-5454.</p><p>Москва, +7 (916) 614-18-21</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">o.dzhioeva@yandex.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/0000-0001-7479-418X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Резник</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Reznik</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Резник Елена Владимировна — доктор медицинских наук, профессор кафедры.</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">Elenaresnik@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1699-0881</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитин</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitin</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никитин Игорь Геннадьевич — доктор медицинских наук, профессор, заведующий кафедрой.</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">o.dzhioeva@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО “Российский национальный исследовательский медицинский университет имени Н.И. Пирогова” Минздрава России; Научно-образовательный центр при ГБУЗ “ГКБ № 24” ДЗМ</institution></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Research and Educational Center of City Clinical Hospital № 24</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО “Российский национальный исследовательский медицинский университет имени Н.И. Пирогова” Минздрава России</institution></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>17</day><month>04</month><year>2019</year></pub-date><volume>18</volume><issue>2</issue><fpage>76</fpage><lpage>83</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Джиоева О.Н., Резник Е.В., Никитин И.Г., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Джиоева О.Н., Резник Е.В., Никитин И.Г.</copyright-holder><copyright-holder xml:lang="en">Dzhioeva O.N., Reznik E.V., Nikitin I.G.</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/838">https://cardiovascular.elpub.ru/jour/article/view/838</self-uri><abstract><p>Статья представляет собой лекцию о современных рекомендациях Европейского общества кардиологов и Американской ассоциации сердца по диагностике синкопальных состояний. В статье представлены последние сведения пересмотра 2018г, касающиеся определения синкопального состояния, классификации обмороков, диагностики и стратификации риска, тактике и ведения пациентов. Статья будет полезна студентам, ординаторам, аспирантам медицинских вузов и практикующим врачам.</p></abstract><trans-abstract xml:lang="en"><p>The article is a lecture on modern recommendations of the European Society of Cardiology and the American Heart Association for the diagnosis of syncopal conditions. The article presents the latest information from the 2018 review concerning the definition of syncope, its classification, diagnostics and risk stratification, patient management tactics. The article will be useful both to students, residents, postgraduates of medical universities, and practicing doctors.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>обморок</kwd><kwd>церебральная гипоперфузия</kwd><kwd>ортостатическая гипотензия</kwd><kwd>тилт-проба</kwd></kwd-group><kwd-group xml:lang="en"><kwd>syncope</kwd><kwd>cerebral hypoperfusion</kwd><kwd>orthostatic hypotension</kwd><kwd>tilt-test</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Госзадание на 2018-2020гг. “Разработка методов лечения и профилактики заболеваний сердечно-сосудистой системы, ассоциированных с тяжелой коморбидностью”</funding-statement><funding-statement xml:lang="en">State assignment for 2018-2020” Development of methods for the treatment and prevention of cardiovascular diseases associated with severe comorbidity”</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Brignole M, Angel Moya FJ, de Lange J-C, et al. 2018 ESC Guidelines for the diagnosis and management of sy ncope. 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