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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">10.20996/1819-6446-2021-02-09</article-id><article-id custom-type="elpub" pub-id-type="custom">rpcardio-2390</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>PREVENTIVE CARDIOLOGY AND PUBLIC HEALTH</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРОФИЛАКТИЧЕСКАЯ КАРДИОЛОГИЯ И ОБЩЕСТВЕННОЕ ЗДОРОВЬЕ</subject></subj-group></article-categories><title-group><article-title>Myocardial Infarction Complicated by Ischemic Stroke: Risk Factors, Prognosis, Unresolved Problems and Possible Methods of Prevention</article-title><trans-title-group xml:lang="ru"><trans-title>Инфаркт миокарда, осложненный ишемическим инсультом: факторы риска, прогноз, нерешенные проблемы и перспективы профилактики</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0954-9270</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зыков</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zykov</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зыков Михаил Валерьевич </p><p>Кемерово, Сочи</p><p>eLibrary SPIN: 3357-1829</p></bio><bio xml:lang="en"><p>Mikhail V. Zykov</p><p>Kemerovo, Sochi</p><p>eLibrary SPIN: 3357-1829</p></bio><email xlink:type="simple">mvz83@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/0000-0001-5508-5118</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Буцев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Butsev</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Буцев Вадим Вячеславович </p><p>Сочи</p><p>eLibrary SPIN: 9729-632</p></bio><bio xml:lang="en"><p>Vadim V. Butsev</p><p>Sochi</p><p>eLibrary SPIN: 9729-632</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сулейманов</surname><given-names>Р. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Suleymanov</surname><given-names>R. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сулейманов Рафаэль Ринатович</p><p>Сургут</p></bio><bio xml:lang="en"><p>Rafael R. Suleymanov</p><p>Surgut</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний;&#13;
Городская больница №4</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute for Complex Issues of Cardiovascular Diseases;&#13;
Sochi City Hospital №4</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Городская больница №4</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sochi City Hospital №4</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Окружной кардиологический диспансер, «Центр диагностики и сердечно-сосудистой хирургии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>District Cardiology Dispensary, Center for Diagnosis and Cardiovascular Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>02</day><month>03</month><year>2021</year></pub-date><volume>17</volume><issue>1</issue><fpage>73</fpage><lpage>82</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Zykov M.V., Butsev V.V., Suleymanov R.R., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Зыков М.В., Буцев В.В., Сулейманов Р.Р.</copyright-holder><copyright-holder xml:lang="en">Zykov M.V., Butsev V.V., Suleymanov R.R.</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/2390">https://www.rpcardio.online/jour/article/view/2390</self-uri><abstract><p>The present work is devoted to the analysis of modern publications on various aspects of the development and course of ischemic stroke in the presence of acute myocardial infarction. A literature search was conducted on the websites of cardiological and neurological societies, as well as on the PubMed, EMBASE, eLibrary databases using the keywords: myocardial infarction, acute coronary syndrome, stroke, acute cerebrovascular accident, myocardial infarction, acute coronary syndrome, stroke. The authors of this review found that although stroke is a relatively rare complication of myocardial infarction, its prevention is an extremely significant task, since it is associated with high mortality, disability and a significant increase in the cost of treatment. So, it is extremely important to detect thrombosis of the left ventricular cavity in a timely manner, to register preexisting atrial fibrillation that occurs earlier or for the first time, followed by the appointment of anticoagulant therapy. Timely reperfusion treatment, the use of statins and modern dual antithrombotic therapy can reduce the risk of developing cerebrovascular accident in patients with myocardial infarction. It is likely that a decrease in the activity of subclinical inflammation after myocardial infarction will also reduce the risk of stroke, as was recently shown in the COLCOT study. Currently, it remains relevant to search for new knowledge about the risk factors for stroke, which complicated the course of myocardial infarction, which will allow developing more effective and personalized preventive measures in a patient with acute coronary syndrome.</p></abstract><trans-abstract xml:lang="ru"><p>Настоящая работа представляет собой анализ современных публикаций, посвященных различным аспектам развития и течения ишемического инсульта на фоне острого инфаркта миокарда (ИМ). Поиск литературы был проведен на сайтах кардиологических и неврологических обществ, а также по базам данных PubMed, EMBASE, eLibrary с использованием ключевых слов: инфаркт миокарда, острый коронарный синдром, инсульт, острое нарушение мозгового кровообращения, myocardial infarction, acute coronary syndrome, stroke. Авторами настоящего обзора установлено, что, хотя инсульт и относится к достаточно редким осложнениям ИМ, его профилактика является важной задачей, поскольку он ассоциируется с высокой летальностью, инвалидизацией и значительным повышением стоимости лечения. Так, важно своевременно выявить тромбоз полости левого желудочка, зарегистрировать существующую ранее или впервые возникшую фибрилляцию предсердий с последующим назначением антикоагулянтной терапии. Своевременное реперфузионное лечение, назначение статинов и современной двойной антитромботической терапии может снизить риск развития нарушения мозгового кровообращения у больных ИМ. Вполне вероятно, что снижение активности субклинического воспаления после ИМ также позволит снизить риска инсульта, что было недавно показано в исследовании COLCOT. Таким образом, в настоящее время остается актуальным поиск новых знаний о факторах риска инсульта, осложнившего течение ИМ, что позволит разработать более эффективные и персонализированные меры профилактики у пациента с острой коронарной катастрофой.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инфаркт миокарда</kwd><kwd>ишемический инсульт</kwd><kwd>факторы риска</kwd><kwd>профилактика</kwd><kwd>острый коронарный синдром</kwd></kwd-group><kwd-group xml:lang="en"><kwd>myocardial infarction</kwd><kwd>ischemic stroke</kwd><kwd>risk factors</kwd><kwd>prevention</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">WHO. Cardiovascular diseases (CVDs). Key facts [cited by Jan 25, 2020]. 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