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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">91</article-id><article-id pub-id-type="doi">10.17650/1818-8338-2011-4-83-87</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">DIFFICULTIES IN DIAGNOSING REASONS OF CARDIAC DECOMPENSATION IN PATIENTS WITH IMPLANTABLE ANTIARRHYTHMIC DEVICE</article-title><trans-title-group xml:lang="ru"><trans-title>ТРУДНОСТИ ДИАГНОСТИКИ ПРИЧИНЫ ДЕКОМПЕНСАЦИИ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТИ У ПАЦИЕНТА С ИМПЛАНТИРОВАННЫМ АНТИАРИТМИЧЕСКИМ УСТРОЙСТВОМ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Starodubtseva</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Стародубцева</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Propaedeutics of Internal Medicine</p></bio><bio xml:lang="ru"><p>Кафедра пропедевтики внутренних болезней</p></bio><email>upuha1@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Pervova</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Первова</surname><given-names>Е. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Burdenko Voronezh State Medical Academy</institution></aff><aff><institution xml:lang="ru">ВГМА им. Н.Н. Бурденко</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Moscow City Pacing Center, City Clinical Hospital № 4</institution></aff><aff><institution xml:lang="ru">Городская клиническая больница № 4, Московский городской центр электрокардиостимуляции</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2011-10-15" publication-format="electronic"><day>15</day><month>10</month><year>2011</year></pub-date><volume>5</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>83</fpage><lpage>87</lpage><history><date date-type="received" iso-8601-date="2014-07-16"><day>16</day><month>07</month><year>2014</year></date><date date-type="accepted" iso-8601-date="2014-07-16"><day>16</day><month>07</month><year>2014</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2011, Starodubtseva I.A., Pervova E.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2011, Стародубцева И.А., Первова Е.В.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="en">Starodubtseva I.A., Pervova E.V.</copyright-holder><copyright-holder xml:lang="ru">Стародубцева И.А., Первова Е.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/91">https://klinitsist.abvpress.ru/Klin/article/view/91</self-uri><abstract xml:lang="en"><p>Difficulties of diagnosis of the causes of cardiac decompensation failure in patients with severe chronic heart disease and implantable antiarrhythmicdevices is demonstrated in this clinical case.</p></abstract><trans-abstract xml:lang="ru"><p>Представлено описание клинического случая, демонстрирующего трудности диагностики причины декомпенсации сердечной недостаточности у больного с тяжелой хронической сердечной патологией и имплантированным антиаритмическим устройством.</p></trans-abstract><kwd-group xml:lang="en"><kwd>heart failure</kwd><kwd>cardioverter-defibrillator</kwd><kwd>right ventricular pacing</kwd><kwd>ineffective atrial pacing</kwd><kwd>pacemaker syndrome</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>сердечная недостаточность</kwd><kwd>кардиовертер-дефибриллятор</kwd><kwd>правожелудочковая стимуляция</kwd><kwd>неэффективная предсердная стимуляция</kwd><kwd>пейсмейкерный синдром</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. 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