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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="en"><front><journal-meta><journal-id journal-id-type="publisher-id">rpcardio</journal-id><journal-title-group><journal-title xml:lang="en">Rational Pharmacotherapy in Cardiology</journal-title><trans-title-group xml:lang="ru"><trans-title>Рациональная Фармакотерапия в Кардиологии</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1819-6446</issn><issn pub-type="epub">2225-3653</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20996/1819-6446-2014-10-1-73-78</article-id><article-id custom-type="elpub" pub-id-type="custom">rpcardio-145</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="en"><subject>POINT OF VIEW</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ТОЧКА ЗРЕНИЯ</subject></subj-group></article-categories><title-group><article-title>CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION AND PROBLEMS OF RARE AND INTERDISCIPLINARY DISEASE</article-title><trans-title-group xml:lang="ru"><trans-title>ХРОНИЧЕСКАЯ ТРОМБОЭМБОЛИЧЕСКАЯ ЛЕГОЧНАЯ ГИПЕРТЕНЗИЯ И ПРОБЛЕМЫ РЕДКОГО И МЕЖДИСЦИПЛИНАРНОГО ЗАБОЛЕВАНИЯ</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>Шостак</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shostak</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шостак Надежда Александровна — доктор медицинских наук, профессор, заведующая кафедрой факультетской терапии им. акад. А.И. Нестерова лечебного факультета РНИМУ</p></bio><email xlink:type="simple">aaklimenko@yandex.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>Клименко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Клименко Алеся Александровна — кандидат медицинских наук,  доцент кафедры факультетской терапии им. акад. А.И. Нестерова лечебного факультета</p></bio><email xlink:type="simple">aaklimenko@yandex.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>Демидова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Demidova</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демидова Наталья Александровна — ассистент кафедры факультетской терапии им. акад. А.И. Нестерова лечебного факультета</p></bio><email xlink:type="simple">aaklimenko@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>23</day><month>09</month><year>2015</year></pub-date><volume>10</volume><issue>1</issue><fpage>73</fpage><lpage>78</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Shostak N.A., Klimenko A.A., Demidova N.A., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Шостак Н.А., Клименко А.А., Демидова Н.А.</copyright-holder><copyright-holder xml:lang="en">Shostak N.A., Klimenko A.A., Demidova N.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://www.rpcardio.online/jour/article/view/145">https://www.rpcardio.online/jour/article/view/145</self-uri><abstract><p>Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare life-threatening disease with a prevalence of 2 cases per 100000 population. CTEPH is a chronic, progressive disease characterized by high disability and mortality rates in young and middle-aged people, often with underlying genetic and autoimmune thrombophilic disorders. The need for pathogenetic therapy with orphan drugs that can slow the progression of the disease is supported.</p></abstract><trans-abstract xml:lang="ru"><p>Хроническая тромбоэмболическая легочная гипертензия (ХТЛГ) является редким жизнеугрожающим заболеванием с распространенностью 2 случая на 100000  населения. ХТЛГ – это хроническое прогрессирующее заболевание, характеризующееся высокой степенью инвалидизации и высокой смертностью у лиц молодого и среднего возраста, часто имеющее в основе генетические и аутоиммунные тромбофилические нарушения. Приводится обоснование необходимости применения патогенетической терапии орфанными препаратами, позволяющими замедлить прогрессирование заболевания.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>редкие заболевания</kwd><kwd>орфанные препараты</kwd><kwd>хроническая тромбоэмболическая легочная гипертензия</kwd><kwd>илопрост</kwd><kwd>бозентан</kwd><kwd>силденафил</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rare diseases</kwd><kwd>orphan drugs</kwd><kwd>chronic thromboembolic pulmonary hypertension</kwd><kwd>iloprost</kwd><kwd>bosentan</kwd><kwd>sildenafil</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">European Commission Communication on Rare Diseases. EC Regulation on Orphan Medicinal Products. Available from: http://ec.europa.eu/health/rare_diseases/policy/index_en.htm. 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