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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">phkinetica</journal-id><journal-title-group><journal-title xml:lang="ru">Фармакокинетика и Фармакодинамика</journal-title><trans-title-group xml:lang="en"><trans-title>Pharmacokinetics and Pharmacodynamics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2587-7836</issn><issn pub-type="epub">2686-8830</issn><publisher><publisher-name>ООО «Издательство ОКИ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37489/2587-7836-2025-4-46-58</article-id><article-id custom-type="elpub" pub-id-type="custom">phkinetica-485</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Ишемический инсульт и кардиоваскулярная коморбидность</article-title><trans-title-group xml:lang="en"><trans-title>Ischemic stroke and cardiovascular comorbidity</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9139-2334</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Литвинова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Litvinova</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Литвинова Светлана Александровна — д. б. н., в. н. с. лаборатории фармакологии неврологических заболеваний отдела нейропсихофармакологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Svetlana A. Litvinova — PhD, Dr. Sci. (Biology), Leading Researcher Head of the Laboratory of Pharmacology of Neurological Diseases</p><p>Moscow</p></bio><email xlink:type="simple">sa_litvinova@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/0000-0001-7065-469X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воронина</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Voronina</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воронина Татьяна Александровна — д. м. н., профессор, г. н. с., руководитель отдела нейропсихофармакологии, заведующий лабораторией фармакологии психических заболеваний</p><p>Москва</p></bio><bio xml:lang="en"><p>Tatiana A. Voronina — PhD, Dr. Sci. (Med.), professor, Chief Scientific Officer, Head of the Department of Neuropsychopharmacology, Head of the Laboratory of Pharmacology of Mental Diseases</p><p>Moscow</p></bio><email xlink:type="simple">voronina_ta@academpharm.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/0000-0003-0442-1761</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ганьшина</surname><given-names>Т. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ganshina</surname><given-names>T. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ганьшина Тамара Сергеевна — д. б. н., г. н. с. лаборатории фармакологии неврологических заболеваний отдела нейропсихофармакологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Tamara S. Ganshina — PhD, Dr. Sci. (Biology), Chief Scientific Officer of the Laboratory of Pharmacology of Neurological Diseases</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-4585-7142</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гладышева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gladysheva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гладышева Наталья Андреевна — м. н. с. лаборатории фармакологии неврологических заболеваний отдела нейропсихофармакологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Natalia A. Gladysheva — Junior Researcher of the Laboratory of Pharmacology of Neurological Diseases</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7061-6706</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шойбонов</surname><given-names>Б. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Shoibonov</surname><given-names>B. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шойбонов Батожаб Батожаргалович — к. х. н., в. н. с. лаборатории молекулярной фармакологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Batozhab B. Shoibonov — PhD, Cand. Sci. (Chemical), Leading Researcher of Laboratory of Molecular Pharmacology</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7407-7516</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вититнова</surname><given-names>М. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Vititnova</surname><given-names>M. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вититнова Марина Борисовна — к. б. н., в. н. с. лаборатории фармакологии кровообращения</p><p>Москва</p></bio><bio xml:lang="en"><p>Marina B. Vititnova — PhD, Cand. Sci. (Biology), Leading Researcher of Laboratory of Circulation Pharmacology</p><p>Moscow</p></bio><email xlink:type="simple">vititnova_mb@academpharm.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/0000-0003-2832-4739</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крыжановский</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kryzhanovskii</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крыжановский Сергей Александрович — д. м. н., зав. лабораторией фармакологии кровообращения</p><p>Москва</p></bio><bio xml:lang="en"><p>Sergey A. Kryzhanovskii — PhD, Dr. Sci. (Med.), Head of Laboratory of Circulation Pharmacology</p><p>Moscow</p></bio><email xlink:type="simple">kryzhanovskij_sa@academpharm.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/0009-0004-3584-3742</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дорофеев</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Dorofeev</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дорофеев Владимир Львович — д. фарм. н., профессор, и. о. генерального директора</p><p>Москва</p></bio><bio xml:lang="en"><p>Vladimir L. Dorofeev — PhD, Dr. Sci. (Pharm), Professor, Acting General Director</p><p>Moscow</p></bio><email xlink:type="simple">dorofeev_vl@academpharm.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «ФИЦ оригинальных и перспективных биомедицинских и фармацевтических технологий»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal research center for innovator and emerging biomedical and pharmaceutical technologies</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>46</fpage><lpage>58</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Литвинова С.А., Воронина Т.А., Ганьшина Т.С., Гладышева Н.А., Шойбонов Б.Б., Вититнова М.Б., Крыжановский С.А., Дорофеев В.Л., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Литвинова С.А., Воронина Т.А., Ганьшина Т.С., Гладышева Н.А., Шойбонов Б.Б., Вититнова М.Б., Крыжановский С.А., Дорофеев В.Л.</copyright-holder><copyright-holder xml:lang="en">Litvinova S.A., Voronina T.A., Ganshina T.S., Gladysheva N.A., Shoibonov B.B., Vititnova M.B., Kryzhanovskii S.A., Dorofeev V.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.pharmacokinetica.ru/jour/article/view/485">https://www.pharmacokinetica.ru/jour/article/view/485</self-uri><abstract><p>В обзоре представлены данные распространённости и коморбидности сердечно-сосудистых заболеваний (ССЗ), которые являются факторами риска развития острого нарушения мозгового кровотока (ОНМК) или инфаркта миокарда (ИМ) и рисками неблагоприятного исхода. ССЗ имеют различные маркеры церебральных поражений, проявляющиеся снижением когнитивных функций вплоть до развития деменции. Основным патогенетическим механизмом развития ОНМК, связанным с ССЗ, является снижение церебрального кровотока, уменьшение плотности микроциркуляторной сети, т. е. развитие цереброваскулярной недостаточности. У большинства пациентов с церебральными поражениями вследствие перенесённого ОНМК выявляется сопутствующая кардиальная патология, влияющая на течение постинсультного периода и выживаемость больных. В свою очередь, перенесённое ОНМК вызывает кардиальные осложнения и/или появление вновь диагностированных ССЗ вследствие нарушения вегетативной регуляции сердечно-сосудистой системы, а также гемодинамических механизмов.</p></abstract><trans-abstract xml:lang="en"><p>This review presents data on the prevalence and comorbidities of cardiovascular diseases (CVDs), which are risk factors for the development of acute cerebrovascular accident (ACVA) or myocardial infarction (MI) and the risk of adverse outcomes. CVDs have various markers of cerebral damage, it’s manifested by cognitive decline and down to the development of dementia. The primary pathogenetic mechanism for the development of stroke-associated cardiovascular disease is decreasing cerebral blood ﬂow and microcirculatory network density, i.e. the development of cerebrovascular insuﬃciency. Most patients with cerebral lesions following stroke have concomitant cardiac pathology, which impacts the post-stroke period and patient survival. In turn, stroke causes cardiac complications and/or the development of newly diagnosed cardiovascular diseases due to impaired autonomic regulation of the cardiovascular system and hemodynamic mechanisms.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инсульт</kwd><kwd>ОНМК</kwd><kwd>инфаркт миокарда</kwd><kwd>сердечно-сосудистые заболевания</kwd><kwd>кардиоваскулярная коморбидность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>stroke</kwd><kwd>ACVA</kwd><kwd>myocardial infarction</kwd><kwd>cardiovascular diseases</kwd><kwd>cardiovascular comorbidity</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках ГЗ № 1024032800243-3-3.1.5</funding-statement><funding-statement xml:lang="en">The work was carried out within the framework of State Assignment No. 1024032800243-3-3.1.5.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Roth GA, Mensah GA, Johnson CO, et al; GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group. 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