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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="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Terapevticheskii arkhiv</journal-id><journal-title-group><journal-title xml:lang="en">Terapevticheskii arkhiv</journal-title><trans-title-group xml:lang="ru"><trans-title>Терапевтический архив</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0040-3660</issn><issn publication-format="electronic">2309-5342</issn><publisher><publisher-name xml:lang="en">LLC Obyedinennaya Redaktsiya</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">31499</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Editorial article</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Передовая статья</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Metabolic syndrome and coronary heart disease</article-title><trans-title-group xml:lang="ru"><trans-title>Метаболический синдром и ишемическая болезнь сердца</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gurgenian</surname><given-names>S V</given-names></name><name xml:lang="ru"><surname>Гургенян</surname><given-names>С В</given-names></name></name-alternatives><email>goorggenyan@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Vatinian</surname><given-names>S Kh</given-names></name><name xml:lang="ru"><surname>Ватинян</surname><given-names>С Х</given-names></name></name-alternatives><email>marsjurist@rambler.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zelveian</surname><given-names>P A</given-names></name><name xml:lang="ru"><surname>Зелвеян</surname><given-names>П А</given-names></name></name-alternatives><email>zelveian@hotmail.com</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">НИИ кардиологии им. Л. Оганесяна, Ереван, Армения</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">Национальный институт здравоохранения Армении</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2014-03-15" publication-format="electronic"><day>15</day><month>03</month><year>2014</year></pub-date><volume>86</volume><issue>3</issue><issue-title xml:lang="en">VOL 86, NO3 ()</issue-title><issue-title xml:lang="ru">ТОМ 86, №3 (2014)</issue-title><fpage>106</fpage><lpage>110</lpage><history><date date-type="received" iso-8601-date="2020-04-10"><day>10</day><month>04</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2014, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2014, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</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-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ter-arkhiv.ru/0040-3660/article/view/31499">https://ter-arkhiv.ru/0040-3660/article/view/31499</self-uri><abstract xml:lang="en"><p>The literature review presents current views on micro- and macrovascular disorders in metabolic syndrome characterized by silent myocardial ischemia detectable only during exercise and myocardial radionuclide scintigraphy.</p></abstract><trans-abstract xml:lang="ru"><p>Аннотация. В обзоре литературе представлены современные взгляды на проблему микро- и макрососудистых нарушений при метаболическом синдроме, для которого характерно развитие "немой" ишемии миокарда, выявляемой только при физической нагрузке и радионуклидной сцинтиграфии миокарда.</p></trans-abstract><kwd-group xml:lang="en"><kwd>micro- and macrovascular disorders</kwd><kwd>endothelial dysfunction</kwd><kwd>silent myocardial infarction</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>микро- и макрососудистые нарушения</kwd><kwd>дисфункция эндотелия</kwd><kwd>"немая" ишемия миокарда</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>McNeill A.M., Rosamond W.D., Girman C.J. et al. Prevalence of coronary heart disease and carotid arterial thickening in patients with the metabolic syndrome (The ARIC Study). 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