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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">grekov</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник хирургии имени И.И. Грекова</journal-title><trans-title-group xml:lang="en"><trans-title>Grekov's Bulletin of Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0042-4625</issn><issn pub-type="epub">2686-7370</issn><publisher><publisher-name>Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/0042-4625-2012-171-6-013-018</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-780</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></subject></subj-group></article-categories><title-group><article-title>ДИНАМИКА ФУНКЦИОНАЛЬНОГО СОСТОЯНИЯ СЕРДЕЧНО-СОСУДИСТОЙ СИСТЕМЫ В ТЕЧЕНИЕ 2 ЛЕТ ПОСЛЕ АОРТОКОРОНАРНОГО ШУНТИРОВАНИЯ</article-title><trans-title-group xml:lang="en"><trans-title>THE DYNAMICS OF FUNCTIONAL STATE OF THE CARDIO-VASCULAR SYSTEM DURING 2 YEARS AFTER AORTO-CORONARY SHUNTING</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>Бобров</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Bobrov</surname><given-names>A. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кравчук</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kravchuk</surname><given-names>V. N.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Манченко</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Manchenko</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хышова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khyshova</surname><given-names>N. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яценко</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yatsenko</surname><given-names>I. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хубулава</surname><given-names>Г. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Khubulava</surname><given-names>G. G.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бобров</surname><given-names>Л. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Bobrov</surname><given-names>L. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Военно-медицинская академия им. С. М. Кирова</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>16</day><month>01</month><year>2018</year></pub-date><volume>171</volume><issue>6</issue><fpage>13</fpage><lpage>18</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Бобров А.Л., Кравчук В.Н., Манченко И.В., Хышова Н.А., Яценко И.А., Хубулава Г.Г., Бобров Л.Л., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Бобров А.Л., Кравчук В.Н., Манченко И.В., Хышова Н.А., Яценко И.А., Хубулава Г.Г., Бобров Л.Л.</copyright-holder><copyright-holder xml:lang="en">Bobrov A.L., Kravchuk V.N., Manchenko I.V., Khyshova N.A., Yatsenko I.A., Khubulava G.G., Bobrov L.L.</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.vestnik-grekova.ru/jour/article/view/780">https://www.vestnik-grekova.ru/jour/article/view/780</self-uri><trans-abstract xml:lang="en"><p>The investigation included 45 patients with coronary heart disease operated for aorto-(mammaro)-coronary artery bypass grafting. It was found that surgical treatment resulted in the improvement of subjective symptoms of angina and increased contractile reserve of the myocardium during the first days after surgery. Significantly increased subjective and objective exercise tolerance, improvement of local myocardial contractility, diastolic function and symptoms of myocardial remodeling were registered only within 6 months after surgery. Assessment of the dynamics of the myocardial contractile reserve can be used as an objective criterion of the earliest positive result of surgical treatment of coronary artery disease.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ишемическая болезнь сердца</kwd><kwd>аортокоронарное шунтирование</kwd><kwd>сердечная недостаточность</kwd><kwd>стресс-эхокардиография</kwd><kwd>миокардиальная дисфункция</kwd><kwd>сократительный резерв</kwd><kwd>послеоперационное ремоделирование</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">Аронов Д. М., Лупанов В. П. Функциональные пробы в кардиологии М., МЕДпресс-информ, 2002. 296 с.</mixed-citation><mixed-citation xml:lang="en">Аронов Д. М., Лупанов В. П. 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