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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">10.15829/1560-4071-2025-6669</article-id><article-id custom-type="edn" pub-id-type="custom">PDTCGN</article-id><article-id custom-type="elpub" pub-id-type="custom">russjcardiol-6669</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>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Брадиаритмии и нарушения проводимости. Клинические рекомендации 2025</article-title><trans-title-group xml:lang="en"><trans-title>2025 Clinical practice guidelines for Bradyarrhythmias and conduction disorders</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>Ревишвили</surname><given-names>А. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Revishvili</surname><given-names>A. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Академик РАН, д.м.н., профессор.</p><p>Москва</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глезер</surname><given-names>М. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Glezer</surname><given-names>M. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н., профессор.</p><p>Москва</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артюхина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Artyukhina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Москва</p></bio></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Базаев</surname><given-names>В. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Bazaev</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Москва</p></bio></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баталов</surname><given-names>Р. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Batalov</surname><given-names>R. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Томск</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бокерия</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bokeria</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Академик РАН.</p><p>Москва</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давтян</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Davtyan</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н., профессор.</p><p>Москва</p></bio></contrib><contrib contrib-type="author" corresp="yes"><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>Д.м.н., профессор.</p><p>Санкт-Петербург</p></bio><email xlink:type="simple">recommendation@scardio.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><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>Д.м.н.</p><p>Санкт-Петербург</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Любимцева</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lyubimtseva</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>К.м.н.</p><p>Санкт-Петербург</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлов</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhailov</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Санкт-Петербург</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Popov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Академик РАН, д.м.н., профессор.</p><p>Томск</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Романов</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanov</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Новосибирск</p></bio></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сергуладзе</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Serguladze</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Москва</p></bio></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сопов</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sopov</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>К.м.н.</p><p>Москва</p></bio></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филатов</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Filatov</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н.</p><p>Москва</p></bio></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ВНОА</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>РКО</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-3"><institution>АССХ</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-4"><institution>РКО, ВНОА</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-5"><institution>ВНОА, РКО</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>01</month><year>2026</year></pub-date><volume>30</volume><issue>11</issue><fpage>6669</fpage><lpage>6669</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ревишвили А.Ш., Глезер М.Г., Артюхина Е.А., Базаев В.A., Баталов Р.Е., Бокерия Л.А., Давтян К.В., Лебедев Д.С., Лебедева В.К., Любимцева Т.А., Михайлов Е.Н., Попов С.В., Романов А.Б., Сергуладзе С.Ю., Сопов О.В., Филатов А.Г., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Ревишвили А.Ш., Глезер М.Г., Артюхина Е.А., Базаев В.A., Баталов Р.Е., Бокерия Л.А., Давтян К.В., Лебедев Д.С., Лебедева В.К., Любимцева Т.А., Михайлов Е.Н., Попов С.В., Романов А.Б., Сергуладзе С.Ю., Сопов О.В., Филатов А.Г.</copyright-holder><copyright-holder xml:lang="en">Revishvili A.S., Glezer M.G., Artyukhina E.A., Bazaev V.A., Batalov R.E., Bokeria L.A., Davtyan K.V., Lebedev D.S., Lebedeva V.K., Lyubimtseva T.A., Mikhailov E.N., Popov S.V., Romanov A.B., Serguladze S.Y., Sopov O.V., Filatov A.G.</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/6669">https://russjcardiol.elpub.ru/jour/article/view/6669</self-uri><abstract><p>Российское кардиологическое общество</p><p>При участии: Ассоциации сердечно-сосудистых хирургов России (АССХ), Всероссийского научного общества специалистов по клинической электрофизиологии, аритмологии и кардиостимуляции (ВНОА)</p><p>Одобрено Научно-практическим Советом Минздрава Российской Федерации</p></abstract><trans-abstract xml:lang="en"><p>Russian Society of Cardiology (RSC)</p><p>With the participation of: the Association of Cardiovascular Surgeons, All-Russian Scientific Society of Specialists in Clinical Electrophysiology, Arrhythmology and Pacing (VNOA)</p><p>Approved by the Research and Practical Council of the Ministry of Health of the Russian Federation</p></trans-abstract><kwd-group xml:lang="ru"><kwd>брадиаритмии</kwd><kwd>нарушения проводимости</kwd><kwd>блокады сердца</kwd><kwd>кардиостимуляция</kwd><kwd>имплантируемые кардиостимуляторы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>bradyarrhythmias</kwd><kwd>conduction disturbances</kwd><kwd>heart blockages</kwd><kwd>pacemakers</kwd><kwd>implantable pacemakers</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">Howick JH. 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