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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">The Clinician</journal-id><journal-title-group><journal-title xml:lang="en">The Clinician</journal-title><trans-title-group xml:lang="ru"><trans-title>Клиницист</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8338</issn><issn publication-format="electronic">2412-8775</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">110</article-id><article-id pub-id-type="doi">10.17650/1818-8338-2011-3-103-105</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL CASES AWARDS FROM THE YOUNG CARDIOLOGISTS' WORKING GROUP</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КОНКУРС КЛИНИЧЕСКИХ СЛУЧАЕВ РАБОЧЕЙ ГРУППЫ МОЛОДЫХ КАРДИОЛОГОВ ВНОК</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">PATIENT WITH PRIMARY PULMONARY HYPERTENSION – WHO HE IS AND HOW TO HELP HIM?</article-title><trans-title-group xml:lang="ru"><trans-title>ПАЦИЕНТ С ПЕРВИЧНОЙ ЛЕГОЧНОЙ ГИПЕРТЕНЗИЕЙ – КТО ОН И КАК ЕМУ ПОМОЧЬ?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Garkina</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Гарькина</surname><given-names>С. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>garkina82@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Adonina</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Адонина</surname><given-names>Е. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Duplyakov</surname><given-names>D. V.</given-names></name><name xml:lang="ru"><surname>Дупляков</surname><given-names>Д. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ksenofontova</surname><given-names>L. V.</given-names></name><name xml:lang="ru"><surname>Ксенофонтова</surname><given-names>Л. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kastrigina</surname><given-names>G. N.</given-names></name><name xml:lang="ru"><surname>Кастригина</surname><given-names>Г. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tyurina</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Тюрина</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Lebedeva</surname><given-names>L. V.</given-names></name><name xml:lang="ru"><surname>Лебедева</surname><given-names>Л. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Samara Regional Clinical Cardiology Clinic</institution></aff><aff><institution xml:lang="ru">ГУЗ Самарский областной клинический кардиологический диспансер</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2011-07-15" publication-format="electronic"><day>15</day><month>07</month><year>2011</year></pub-date><volume>5</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>103</fpage><lpage>105</lpage><history><date date-type="received" iso-8601-date="2014-07-17"><day>17</day><month>07</month><year>2014</year></date><date date-type="accepted" iso-8601-date="2014-07-17"><day>17</day><month>07</month><year>2014</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2011, Garkina S.V., Adonina E.V., Duplyakov D.V., Ksenofontova L.V., Kastrigina G.N., Tyurina I.A., Lebedeva L.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2011, Гарькина С.В., Адонина Е.В., Дупляков Д.В., Ксенофонтова Л.В., Кастригина Г.Н., Тюрина И.А., Лебедева Л.В.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="en">Garkina S.V., Adonina E.V., Duplyakov D.V., Ksenofontova L.V., Kastrigina G.N., Tyurina I.A., Lebedeva L.V.</copyright-holder><copyright-holder xml:lang="ru">Гарькина С.В., Адонина Е.В., Дупляков Д.В., Ксенофонтова Л.В., Кастригина Г.Н., Тюрина И.А., Лебедева Л.В.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://klinitsist.abvpress.ru/Klin/article/view/110">https://klinitsist.abvpress.ru/Klin/article/view/110</self-uri><abstract xml:lang="en"><p>Differential diagnostic search in patients with pulmonary hypertension is always difficult clinical problem. This article describes the clinical case of treating patient with high risk primary pulmonary hypertension.</p></abstract><trans-abstract xml:lang="ru"><p>Дифференциально-диагностический поиск у пациентов с легочной гипертензией всегда представляет непростую клиническую задачу. В статье приведено описание клинического случая лечения пациента с первичной легочной гипертензией высокой степени.</p></trans-abstract><kwd-group xml:lang="en"><kwd>primary pulmonary hypertension</kwd><kwd>pulmonary embolism</kwd><kwd>anticoagulation therapy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>первичная легочная гипертензия</kwd><kwd>тромбоэмболия легочной артерии</kwd><kwd>антикоагулянтная терапия</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Dweik R.A., Erzurum S.C. Update on pulmonary vascular diseases 2010. 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