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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">vmireaviz</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник медицинского института «РЕАВИЗ». Реабилитация, Врач и Здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-762X</issn><issn pub-type="epub">2782-1579</issn><publisher><publisher-name>РЕАВИЗ</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">vmireaviz-6</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>Клиническая медицина</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Clinical medicine</subject></subj-group></article-categories><title-group><article-title>Особенности фармакотерапии статинами пациентов пожилого возраста высокого и очень высокого риска</article-title><trans-title-group xml:lang="en"><trans-title>Pharmacotherapy with statins in highand very high-risk elderly patients</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симерзин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Simerzin</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Симерзин Василий Васильевич, доктор медицинских наук, профессор кафедры кафедра факультетской терапии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фатенков</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fatenkov</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фатенков Олег Вениаминович, доктор медицинских наук, заведующий кафедрой факультетской терапии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Низаметдинова</surname><given-names>Д. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Nizametdinova</surname><given-names>D. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Низаметдинова Динара Рустамовна, аспирант кафедры морфологии и анатомии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Булгакова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bulgakova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Булгакова Светлана Викторовна, доктор медицинских наук, профессор, заведующий кафедрой гериатрии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галкина</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Galkina</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галкина Мария Анатольевна, ассистент кафедры факультетской терапии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панишева</surname><given-names>Я. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Panisheva</surname><given-names>Ya. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Панишева Яна Анатольевна, врач-терапевт клиники факультетской терапии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаглоев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gagloev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гаглоев Антон Вячеславович, студент группы научно-педагогического резерва</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Серпионова</surname><given-names>Е. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Serpionova</surname><given-names>E. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Серпионова Екатерина Константиновна, терапевт приемного покоя клиник</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сытдыков</surname><given-names>И. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Sytdykov</surname><given-names>I. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сытдыков Ильнар Халитович, ассистент кафедры факультетской терапии</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попова</surname><given-names>Я. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Popova</surname><given-names>Ya. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Попова Яна Олеговна, терапевт клиник</p><p>Самара</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Самарский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution of Higher Education ‘Samara State Medical University,’ Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Частное учреждение образовательная организация высшего образования&#13;
«Медицинский университет «Реавиз»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Private Institution of Higher Education ‘Medical University ‘Reaviz</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Клиники ФГБОУ ВО «Самарский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Clinics of Samara State Medical University, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>24</day><month>11</month><year>2020</year></pub-date><volume>0</volume><issue>1</issue><fpage>45</fpage><lpage>53</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Симерзин В.В., Фатенков О.В., Низаметдинова Д.Р., Булгакова С.В., Галкина М.А., Панишева Я.А., Гаглоев А.В., Серпионова Е.К., Сытдыков И.Х., Попова Я.О., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Симерзин В.В., Фатенков О.В., Низаметдинова Д.Р., Булгакова С.В., Галкина М.А., Панишева Я.А., Гаглоев А.В., Серпионова Е.К., Сытдыков И.Х., Попова Я.О.</copyright-holder><copyright-holder xml:lang="en">Simerzin V.V., Fatenkov O.V., Nizametdinova D.R., Bulgakova S.V., Galkina M.A., Panisheva Y.A., Gagloev A.V., Serpionova E.K., Sytdykov I.K., Popova Y.O.</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://vestnik.reaviz.ru/jour/article/view/6">https://vestnik.reaviz.ru/jour/article/view/6</self-uri><abstract><p>В обзорной статье представлены данные о профилактике сердечно-сосудистых заболеваний и их осложнений у лиц пожилого возраста. В её основе лежит диагностика заболевания, верификация диагноза и риск-стратификация больных. Исходя из этого, у пациентов высокого и очень высокого риска для достижения и контроля целевого уровня холестерина липопротеидов низкой плотности проводится агрессивная липидкоррегирующая фармакотерапия статинами, которая у лиц пожилого возраста имеет свои особенности.</p></abstract><trans-abstract xml:lang="en"><p>This review focuses on the prevention of cardiovascular diseases and their complications in elderly patients. It discusses disease diagnosis, its verification, and risk stratification of patients. Highand very highrisk patients should receive aggressive lipid-regulating pharmacotherapy with statins in order to control the level of low-density lipoprotein-cholesterol. Such therapy has some specific features in elderly patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>профилактика</kwd><kwd>пожилой возраст</kwd><kwd>фармакотерапия статинами</kwd><kwd>риск-стратификация</kwd><kwd>скрининг</kwd></kwd-group><kwd-group xml:lang="en"><kwd>prevention</kwd><kwd>elderly patients</kwd><kwd>pharmacotherapy with statins</kwd><kwd>risk stratification</kwd><kwd>screening</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">Rosengren A. Better treatment and improved prognosis in elderly patients with AMI: but do registers tell the whole truth? Eur Heart J 2012;33:562–563.</mixed-citation><mixed-citation xml:lang="en">Rosengren A. Better treatment and improved prognosis in elderly patients with AMI: but do registers tell the whole truth? 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