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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="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2024-102-1-69-79</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-737</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="ru"><subject>ЗАМЕТКИ И НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NOTES AND OBSERVATIONS FROM PRACTICE</subject></subj-group></article-categories><title-group><article-title>AL-амилоидоз после коронавирусной инфекции с острым нетипичным поражением сердца</article-title><trans-title-group xml:lang="en"><trans-title>AL-amyloidosis after coronavirus infection with acute atypical heart injury</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7154-6794</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лутохина</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lutokhina</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лутохина Юлия Александровна — канд. мед. наук, доцент кафедры факультетской терапии №1</p><p>Москва</p></bio><bio xml:lang="en"><p>Yulia A. Lutokhina — Candidate of Medical Sciences, Associate Professor of the Department of Faculty Therapy No. 1</p><p>Moscow</p><p>   </p></bio><email xlink:type="simple">lebedeva12@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5253-793X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Благова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Blagova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Благова Ольга Владимировна — д-р мед. наук, профессор кафедры факультетской терапии №1</p><p>Москва</p></bio><bio xml:lang="en"><p>Olga V. Blagova — Doctor of Medical Sciences, Professor of the Department of Faculty Therapy No. 1</p><p>Moscow</p><p>   </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3333-1936</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Айнетдинова</surname><given-names>Д. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Ainetdinova</surname><given-names>D.  Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Айнетдинова Диляра Харисовна — канд. мед. наук, врач отделения кардиологии №2 факультетской терапевтической клиники им. В.Н. Виноградова</p><p>Москва</p></bio><bio xml:lang="en"><p>Dilyara Kh. Ainetdinova — Candidate of Medical Sciences, doctor of the Department of Cardiology No. 2 of the Faculty Therapeutic Clinic named after. V.N. Vinogradov</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5979-1180</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саркисова</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Sarkisova</surname><given-names>N.  D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саркисова Наталья Донатовна — канд. мед. наук, заведующая отделением кардиологии № 2 факультетской терапевтической клиники им. В.Н. Виноградова</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalia D. Sarkisova — Candidate of Medical Sciences, Head of the Department of Cardiology No. 2 of the Faculty Therapeutic Clinic named after. V.N. Vinogradov</p><p>Moscow</p><p>   </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1107-3753</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коган</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kogan</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Коган Евгения Алтаровна — д-р мед. наук, профессор, заведующая кафедрой патологической анатомии</p><p>Москва</p></bio><bio xml:lang="en"><p>Evgeniya A . Kogan — Doctor of Medical Sciences, Professor, Head of the Department of Pathological Anatomy</p><p>Moscow</p><p>   </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4260-0226</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рамеев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rameev</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вилен Вилевич Рамеев — д-р мед. наук,  проф ессор кафедры внутренних, профессиональных болезней и ревматологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Vilen V. Rameev — Doctor of  Medical Sciences, prof essor, Department of Internal, Occupational Diseases and Rheumatology</p><p>Moscow</p><p>   </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2024</year></pub-date><volume>102</volume><issue>1</issue><fpage>69</fpage><lpage>79</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лутохина Ю.А., Благова О.В., Айнетдинова Д.Х., Саркисова Н.Д., Коган Е.А., Рамеев В.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Лутохина Ю.А., Благова О.В., Айнетдинова Д.Х., Саркисова Н.Д., Коган Е.А., Рамеев В.В.</copyright-holder><copyright-holder xml:lang="en">Lutokhina Y.A., Blagova O.V., Ainetdinova D.K., Sarkisova N.D., Kogan E.A., Rameev V.V.</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.clinmedjournal.com/jour/article/view/737">https://www.clinmedjournal.com/jour/article/view/737</self-uri><abstract><p>Появление эффективной терапии AL-амилоидоза с поражением сердца ставит перед  специалистом задачу комплексной оценки риска  внезапной сердечной смерти (ВСС ) и ее профилактики. К этой проблеме следует подходить индивидуально и рассматривать возможность имплантации ИКД пациентам с желудочковыми нарушениями ритма: частой экстрасистолией и неустойчивой желудочковой тахикардией. При развитии нарушений ритма и проводимости у больных с амилоидозом следует иметь в виду возможность присоединения миокардита, а у пациентов, перенесших новую коронавирусную инфекцию, — ее возможную роль в индукции как постковидного миокардита, так и собственно амилоидоза.</p></abstract><trans-abstract xml:lang="en"><p>The emergence of effective therapy for AL amyloidosis with cardiac involvement raises the challenge of a comprehensive assessment of the risk of SCD and its prevention. This problem should be approached individually and the possibility of ICD implantation should be considered in patients with ventricular arrhythmias: frequent extrasystoles and unstable ventricular tachycardia. With the development of rhythm and conduction disturbances in patients with amyloidosis, one should keep in mind the possibility of myocarditis, and in patients who have suffered a new coronavirus infection, its possible role in the induction of both post-Covid myocarditis and amyloidosis itself.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>AL-амилоидоз</kwd><kwd>амилоидоз сердца</kwd><kwd>нарушения проводимости</kwd><kwd>желудочковая экстрасистолия</kwd><kwd>желудочковая тахикардия</kwd><kwd>миокардит</kwd><kwd>новая коронавирусная инфекция</kwd><kwd>внезапная сердечная смерть</kwd></kwd-group><kwd-group xml:lang="en"><kwd>AL-amyloidosis</kwd><kwd>cardiac amyloidosis</kwd><kwd>conduction abnormalities</kwd><kwd>premature ventricular contractions</kwd><kwd>ventricular tachycardia</kwd><kwd>myocarditis</kwd><kwd>COVID-19</kwd><kwd>sudden cardiac death</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">Rapezzi C., Merlini G., Quarta C.C. et al. 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