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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">russjcardiol</journal-id><journal-title-group><journal-title xml:lang="ru">Российский кардиологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Cardiology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-4071</issn><issn pub-type="epub">2618-7620</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15829/1560-4071-2024-6251</article-id><article-id custom-type="edn" pub-id-type="custom">MVNVFP</article-id><article-id custom-type="elpub" pub-id-type="custom">russjcardiol-6251</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>ДИССИНХРОНИЯ. РЕСИНХРОНИЗАЦИЯ. СТИМУЛЯЦИЯ. ХРОНИЧЕСКАЯ СЕРДЕЧНАЯ НЕДОСТАТОЧНОСТЬ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DISSYNCHRONY. RESYNCHRONIZATION. STIMULATION. CHRONIC HEART FAILURE</subject></subj-group></article-categories><title-group><article-title>Электрокардиостимуляция на пороге больших перемен: актуализация проблемы</article-title><trans-title-group xml:lang="en"><trans-title>Cardiac pacing on the verge of great changes: updating the issue</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2334-1663</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедев</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedev</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедев Дмитрий Сергеевич — д. м. н., профессор РАН, г. н. с. научно-исследовательского отдела аритмологии, профессор кафедры сердечно-сосудистой хирургии.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">lebedevdmitry@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/0000-0002-0507-096X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедева</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedeva</surname><given-names>V. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедева Виктория Кимовна — д. м. н., в. н. с. НИЛ интервенционной аритмологии Института сердца и сосудов, доцент, профессор кафедры кардиологии факультета послевузовского и дополнительного образования Института медицинского образования.</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">lebedeva_vk@almazovcentre.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ Национальный медицинский исследовательский центр им. В.А. Алмазова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Center</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>15</day><month>01</month><year>2025</year></pub-date><volume>29</volume><issue>4S</issue><issue-title>Образование</issue-title><fpage>6251</fpage><lpage>6251</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лебедев Д.С., Лебедева В.К., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Лебедев Д.С., Лебедева В.К.</copyright-holder><copyright-holder xml:lang="en">Lebedev D.S., Lebedeva V.K.</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://russjcardiol.elpub.ru/jour/article/view/6251">https://russjcardiol.elpub.ru/jour/article/view/6251</self-uri><abstract><p>Обзор накопленных к настоящему времени данных касательно физилогичности электрокардиостимуляции, обоснование новых методик, классификации о обсуждение нерешенных проблем в области стимуляции сердца</p></abstract><kwd-group xml:lang="ru"><kwd>электрокардиостимуляция</kwd><kwd>стимуляция проводящей системы</kwd><kwd>стимуляция пучка Гиса</kwd><kwd>стимуляция левой ножки пучка Гиса</kwd><kwd>современное состояние</kwd><kwd>обзор</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardiac pacing</kwd><kwd>conduction system stimulation</kwd><kwd>His bundle pacing</kwd><kwd>left bundle branch pacing</kwd><kwd>current state</kwd><kwd>review</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">Wiggers CJ. 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