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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">92</article-id><article-id pub-id-type="doi">10.17650/1818-8338-2011-4-88-90</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">FATAL QUARTET OR QUINTET?</article-title><trans-title-group xml:lang="ru"><trans-title>СМЕРТЕЛЬНЫЙ КВАРТЕТ ИЛИ КВИНТЕТ?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sviryaev</surname><given-names>Y. V.</given-names></name><name xml:lang="ru"><surname>Свиряев</surname><given-names>Ю. 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>Korostovtseva</surname><given-names>L. S.</given-names></name><name xml:lang="ru"><surname>Коростовцева</surname><given-names>Л. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>korostovtseva@almazovcentre.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zvartau</surname><given-names>A. D.</given-names></name><name xml:lang="ru"><surname>Звартау</surname><given-names>Н. Э.</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>Mighty</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Могучая</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>Vitkovskaya</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Витковская</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>Conradi</surname><given-names>S. A.</given-names></name><name xml:lang="ru"><surname>Конради</surname><given-names>А. О.</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>Kalinkin</surname><given-names>A. L.</given-names></name><name xml:lang="ru"><surname>Калинкин</surname><given-names>А. Л.</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">FSI Almazov Federal Heart, Blood and Endocrinology Centre</institution></aff><aff><institution xml:lang="ru">ФГБУ Федеральный центр сердца, крови и эндокринологии им. В.А. Алмазова Минздравсоцразвития России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Clinical Hospital № 83 FMBA</institution></aff><aff><institution xml:lang="ru">Клиническая больница № 83 ФМБА</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>88</fpage><lpage>90</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, Sviryaev Y.V., Korostovtseva L.S., Zvartau A.D., Mighty E.V., Vitkovskaya E.V., Conradi S.A., Kalinkin A.L.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2011, Свиряев Ю.В., Коростовцева Л.С., Звартау Н.Э., Могучая Е.В., Витковская Е.В., Конради А.О., Калинкин А.Л.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="en">Sviryaev Y.V., Korostovtseva L.S., Zvartau A.D., Mighty E.V., Vitkovskaya E.V., Conradi S.A., Kalinkin A.L.</copyright-holder><copyright-holder xml:lang="ru">Свиряев Ю.В., Коростовцева Л.С., Звартау Н.Э., Могучая Е.В., Витковская Е.В., Конради А.О., Калинкин А.Л.</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/92">https://klinitsist.abvpress.ru/Klin/article/view/92</self-uri><abstract xml:lang="en"><p>Correction of potential risk factors is essential for effective therapy for cardiovascular diseases. This clinical case demonstrates negative impact of non-corrected risk factors — obstructive sleep apnea — in occurrence and further progression of cardiovascular disease.</p></abstract><trans-abstract xml:lang="ru"><p>В основе эффективной терапии сердечно-сосудистых заболеваний лежит коррекция потенциальных факторов риска их развития. Представленный клинический случай демонстрирует негативное влияние нескорригированного фактора риска — синдрома обструктивного апноэ во сне — на возникновение осложнений и дальнейшее прогрессирование сердечно-сосудистых заболеваний.</p></trans-abstract><kwd-group xml:lang="en"><kwd>syndrome sleep apnea</kwd><kwd>CPAP-therapy</kwd><kwd>risk factor</kwd><kwd>cardiac arrhythmias</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>синдром апноэ во время сна</kwd><kwd>CPAP-терапия</kwd><kwd>фактор риска</kwd><kwd>нарушения ритма сердца</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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