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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">10.20996/1819-6446-2022-02-12</article-id><article-id custom-type="elpub" pub-id-type="custom">rpcardio-2664</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>CURRENT QUESTIONS OF CLINICAL PHARMACOLOGY</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ  ВОПРОСЫ  КЛИНИЧЕСКОЙ ФАРМАКОЛОГИИ</subject></subj-group></article-categories><title-group><article-title>Cardiovascular Effects of Metformin</article-title><trans-title-group xml:lang="ru"><trans-title>Кардиоваскулярные эффекты метформина</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>Курманбекова</surname><given-names>Б. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurmanbekova</surname><given-names>B. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Курманбекова Бермет Темирбековна.</p><p>Бишкек.</p></bio><bio xml:lang="en"><p>Bermet T. Kurmanbekova.</p><p>Bishkek.</p></bio><email xlink:type="simple">bermet101191@gmail.com</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>Норузбаева</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Noruizbaeva</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Норузбаева Айгуль Мукашевна.</p><p>Бишкек.</p></bio><bio xml:lang="en"><p>Aigul M. Noruzbaeva.</p><p>Bishkek.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный центр кардиологии и терапии имени академика М.М. Миррахимова</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>National Center of cardiology and internal medicine named after academician M.Mirrakhimov</institution><country>Kyrgyzstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>03</day><month>03</month><year>2022</year></pub-date><volume>18</volume><issue>1</issue><fpage>97</fpage><lpage>102</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Kurmanbekova B.T., Noruizbaeva A.M., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Курманбекова Б.Т., Норузбаева А.М.</copyright-holder><copyright-holder xml:lang="en">Kurmanbekova B.T., Noruizbaeva A.M.</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/2664">https://www.rpcardio.online/jour/article/view/2664</self-uri><abstract><p>Type 2 diabetes mellitus is one of the most important independent risk factors for the development, progression and mortality from cardiovascular diseases (CVD). The world communities are faced with the question of developing the optimal management tactics for such comorbidity patients. Thus, the prescribed drug should not only have an adequate hypoglycemic effect, but also have a number of cardioprotective properties, be safe in patients with CVD, and possibly even improve the prognosis and reduce mortality rates. This review is devoted to a representative of the biguanide class - metformin, which is one of the earliest and most effective antihyperglycemic drugs, both as monotherapy and in combination with other antihyperglycemic drugs and insulin; while the evidence base for its cardiovascular profile is only gaining momentum. Thus, the purpose of this review is to highlight the cardiovascular effects of metformin in the context of recent research.</p></abstract><trans-abstract xml:lang="ru"><p>Сахарный диабет 2 типа является одним из важнейших независимых факторов риска развития, прогрессирования и смертности от сердечно-сосудистых заболеваний (ССЗ). Перед мировыми сообществами встает вопрос о разработке оптимальной тактики ведения больных с данной коморбидностью. Так, назначаемый препарат должен оказывать не только адекватный гипогликемический эффект, но и обладать рядом кардиопротективных свойств, быть безопасным у больных ССЗ и, возможно, улучшать прогноз и снижать показатели смертности. Настоящий обзор посвящен представителю класса бигуанидов – метформину, являющемуся одним из самых первых и наиболее эффективных гипогликемических препаратов как в качестве монотерапии, так и в комбинации с другими препаратами данной группы и инсулином, в то время как доказательная база в отношении его сердечно-сосудистого профиля только набирает обороты. Таким образом, цель настоящего обзора – описать кардиоваскулярные эффекты метформина в контексте последних исследований.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метформин</kwd><kwd>сердечно-сосудистые заболевания</kwd><kwd>кардиопротективные свойства</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metformin</kwd><kwd>cardiovascular disease</kwd><kwd>cardioprotective properties</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">Davies MJ, D’Alessio DA, Fradkin J, et al. 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