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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">31590</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">Type 4a myocardial infarction</article-title><trans-title-group xml:lang="ru"><trans-title>Инфаркт миокарда типа 4а</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Mironova</surname><given-names>O Iu</given-names></name><name xml:lang="ru"><surname>Миронова</surname><given-names>О Ю</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">Институт клинической кардиологии им. А.Л. Мясникова ФГБУ "Российский кардиологический научно-производственный комплекс" Минздрава России, Москва</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2014-09-15" publication-format="electronic"><day>15</day><month>09</month><year>2014</year></pub-date><volume>86</volume><issue>9</issue><issue-title xml:lang="en">VOL 86, NO9 ()</issue-title><issue-title xml:lang="ru">ТОМ 86, №9 (2014)</issue-title><fpage>102</fpage><lpage>107</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/31590">https://ter-arkhiv.ru/0040-3660/article/view/31590</self-uri><abstract xml:lang="en"><p>An increase in the level of cardiac troponins and creatine kinase MB is sometimes observed even after angiographically and clinically uncomplicated percutaneous coronary interventions. This review article deals with the clinical and prognostic implications of type 4a myocardial infarction.</p></abstract><trans-abstract xml:lang="ru"><p>Аннотация. Повышение уровня кардиоспецифичных тропонинов и фракции МВ креатинкиназы иногда отмечается даже после ангиографически и клинически неосложненных чрескожных коронарных вмешательств. Обзор посвящен клинической и прогностической значимости ИМ типа 4а.</p></trans-abstract><kwd-group xml:lang="en"><kwd>troponin</kwd><kwd>creatine kinase MB</kwd><kwd>periprocedural myocardial infarction</kwd><kwd>type 4a myocardial infarction</kwd><kwd>myocardial infarction after percutaneous coronary intervention</kwd><kwd>percutaneous coronary intervention.</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>тропонин</kwd><kwd>МВ-КК</kwd><kwd>перипроцедурный инфаркт миокарда</kwd><kwd>инфаркт миокарда типа 4а</kwd><kwd>инфаркт миокарда после чрескожного коронарного вмешательства</kwd><kwd>чрескожные коронарные вмешательства</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Thygesen K., Alpert J.S., White H.D. Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction. Universal definition of myocardial infarction. 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