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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">nmp</journal-id><journal-title-group><journal-title xml:lang="ru">Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Sklifosovsky Journal "Emergency Medical Care"</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-9022</issn><issn pub-type="epub">2541-8017</issn><publisher><publisher-name>“N.V. Sklifosovsky Research Institute for Emergency Medicine”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23934/2223-9022-2021-10-1-14-26</article-id><article-id custom-type="elpub" pub-id-type="custom">nmp-1069</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>НОВОЕ О COVID-19</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEW ABOUT COVID-19</subject></subj-group></article-categories><title-group><article-title>COVID-19 и сердечно-сосудистая система. Часть 1. Патофизиология, патоморфология, осложнения, долгосрочный прогноз</article-title><trans-title-group xml:lang="en"><trans-title>COVID-19 and Cardiovascular System: Pathophysiology, Pathomorphology, Complications, Long-Term Prognosis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3292-8789</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петриков</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrikov</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> член-корреспондент РАН, доктор медицинских наук, директор </p><p> Российская Федерация, 129090, Москва, Б. Сухаревская пл., д. 3 </p></bio><bio xml:lang="en"><p> Сorresponding Member of RAS, Doctor of Medical Sciences, Director </p><p> 3 B. Sukharevskaya square, Moscow, 129090, Russian Federation </p></bio><email xlink:type="simple">petrikovss@sklif.mos.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9738-1801</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванников</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivannikov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> клинический ординатор по специальности «кардиология»</p><p> Российская Федерация, 129090, Москва, Б. Сухаревская пл., д. 3 </p></bio><bio xml:lang="en"><p>Cardiology Clinical Resident</p><p>3 B. Sukharevskaya square, Moscow, 129090, Russian Federation </p></bio><email xlink:type="simple">ivannikov_a95@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4831-7977</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильченко</surname><given-names>М. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilchenko</surname><given-names>M. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор по специальности «кардиология»</p><p> Российская Федерация, 129090, Москва, Б. Сухаревская пл., д. 3 </p></bio><bio xml:lang="en"><p>Cardiology Clinical Resident</p><p> 3 B. Sukharevskaya square, Moscow, 129090, Russian Federation </p></bio><email xlink:type="simple">maryvasil25@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4940-9574</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эсауленко</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Esaulenko</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор по специальности «кардиология»</p><p>Российская Федерация, 129090, Москва, Б. Сухаревская пл., д. 3 </p></bio><bio xml:lang="en"><p>Cardiology Clinical Resident</p><p> 3 B. Sukharevskaya square, Moscow, 129090, Russian Federation </p></bio><email xlink:type="simple">aesaulenko95@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6229-8629</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алиджанова</surname><given-names>Х. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Alidzhanova</surname><given-names>Kh. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, старший преподаватель учебного центра</p><p> Российская Федерация, 129090, Москва, Б. Сухаревская пл., д. 3 </p></bio><bio xml:lang="en"><p>Doctor of Medical Sciences, Senior Lecturer, Training Center</p><p> 3 B. Sukharevskaya square, Moscow, 129090, Russian Federation </p></bio><email xlink:type="simple">doctorhafiza@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Учебный центр ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»<country>Россия</country></aff><aff xml:lang="en">Training center N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2021</year></pub-date><volume>10</volume><issue>1</issue><fpage>14</fpage><lpage>26</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Петриков С.С., Иванников А.А., Васильченко М.К., Эсауленко А.Н., Алиджанова Х.Г., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Петриков С.С., Иванников А.А., Васильченко М.К., Эсауленко А.Н., Алиджанова Х.Г.</copyright-holder><copyright-holder xml:lang="en">Petrikov S.S., Ivannikov A.A., Vasilchenko M.K., Esaulenko A.N., Alidzhanova K.G.</copyright-holder><license 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.jnmp.ru/jour/article/view/1069">https://www.jnmp.ru/jour/article/view/1069</self-uri><abstract><p> COVID-19, как и другие респираторные вирусы, имеет внелегочные проявления. В частности, воздействие вируса приводит к поражению сердечно-сосудистой системы (ССС), патофизиологические механизмы которого до конца не ясны; не сформировано полноценное понимание механизмов взаимодействия COVID-19 и ССС. В статье проанализированы современные представления о COVID-19, рассмотрены возможные звенья патогенеза,  предпринята попытка систематизации патофизиологических механизмов поражения ССС и их осложнений,  проанализирована связь с сердечно-сосудистой коморбидностью, описаны особенности патоморфологии и предположительный долгосрочный прогноз.  Представленные сведения могут способствовать пониманию  двустороннего взаимодействия кардиоваскулярных заболеваний и эффектов COVID-19 для  разработки эффективных профилактических мер и принятия  верного решения в выборе терапевтической тактики для  пациента в рамках системного подхода.  </p></abstract><trans-abstract xml:lang="en"><p> Like other respiratory viruses, COVID-19 has extrapulmonary manifestations. The effect of the virus leads to the cardiovascular system (CVS) damage in particular, which pathophysiological mechanisms are not fully understood. In this article we analyze modern ideas about COVID-19, consider possiblelinks of pathogenesis, make an attempt to systematize pathophysiological mechanisms of cardiovascular impairment and its complications, analyze the relation with cardiovascular comorbidity, describe pathomorphological features and discuss possible long-term prognosis. The information in this article can contribute to understanding the two-way interaction of cardiovascular diseases and the effects of COVID-19 in order to develop effective preventive measures and make the right decision in choosing therapeutic tactics for a patient. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>SARS-CoV-2</kwd><kwd>сердечно-сосудистая система</kwd><kwd>сердечно-сосудистые заболевания</kwd><kwd>ангиотензинпревращающий фермент 2 (АПФ2)</kwd><kwd>патофизиология</kwd><kwd>патоморфология</kwd><kwd>коморбидность</kwd><kwd>осложнения</kwd><kwd>долгосрочный прогноз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>SARS-CoV-2</kwd><kwd>cardiovascular system</kwd><kwd>cardiovascular diseases</kwd><kwd>angiotensin converting enzyme 2 (ACE2)</kwd><kwd>pathophysiology</kwd><kwd>pathomorphology</kwd><kwd>comorbidity</kwd><kwd>complications</kwd><kwd>long-term prognosis</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">Ларина В.Н., Головко М.Г., Ларин В.Г. 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