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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">lvrach</journal-id><journal-title-group><journal-title xml:lang="ru">Лечащий Врач</journal-title><trans-title-group xml:lang="en"><trans-title>Lechaschi Vrach</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-5175</issn><issn pub-type="epub">2687-1181</issn><publisher><publisher-name>ООО «Издательство "Открытые системы"»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51793/OS.2022.25.3.005</article-id><article-id custom-type="elpub" pub-id-type="custom">lvrach-894</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>КАРДИОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CARDIOLOGY</subject></subj-group></article-categories><title-group><article-title>Алкоголь-индуцированные изменения фактора роста эндотелия сосудов и электрическая негомогенность миокарда у лиц молодого возраста</article-title><trans-title-group xml:lang="en"><trans-title>Alcohol-induced changes in the serum of vascular endothelial growth factor and electrical inhomogeneity of the myocardium in young patients</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8377-1569</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белогубов</surname><given-names>П. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Belogubov</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Белогубов Павел Васильевич, аспирант очной формы обучения, кафедра факультетской терапии</p><p>432017, Ульяновск, ул. Льва Толстого, 42</p></bio><bio xml:lang="en"><p>Pavel V. Belogubov, full-time PhD student, Department of Faculty Therapy</p><p>42 Lev Tolstoy str., Ulyanovsk, 432017</p></bio><email xlink:type="simple">pavelbelogubov@yandex.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/0000-0001-7510-3504</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рузов</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ruzov</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рузов Виктор Иванович, доктор медицинских наук, профессор, заслуженный врач РФ, заведующий кафедрой факультетской терапии</p><p>432017, Ульяновск, ул. Льва Толстого, 42</p></bio><bio xml:lang="en"><p>Viktor I. Ruzov, Dr. of Sci. (Med.), Professor, Honored Doctor of theRussian Federation, Head of the Department of Faculty Therapy</p><p>42 Lev Tolstoy str., Ulyanovsk, 432017</p></bio><email xlink:type="simple">viruzov@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2164-3537</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скворцов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Skvortsov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Скворцов Всеволод Владимирович, доктор медицинских наук, профессор кафедры внутренних болезней</p><p>400131, Волгоград, пл. Павших Борцов, 1</p></bio><bio xml:lang="en"><p>Vsevolod V. Skvortsov, Dr. of Sci. (Med.), Professor of the Department of Internal Medicine</p><p>1 Pavshikh Bortsov Square, Volgograd, 400131</p></bio><email xlink:type="simple">vskvortsov1@ya.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8377-1569</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трефилов</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Trefilov</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Трефилов Сергей Григорьевич, аспирант кафедры факультетской терапии</p><p>432017, Ульяновск, ул. Льва Толстого, 42</p></bio><bio xml:lang="en"><p>Sergey G. Trefilov, PhD student, Department of Faculty Therapy</p><p>42 Lev Tolstoy str., Ulyanovsk, 432017</p></bio><email xlink:type="simple">Seryoga333@bk.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1898-0436</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шевченко</surname><given-names>В. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevchenko</surname><given-names>V. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шевченко Вероника Дмитриевна, клинический ординатор</p><p>400131, Волгоград, пл. Павших Борцов, 1</p></bio><bio xml:lang="en"><p>Veronika D. Shevchenko, clinical resident</p><p>1 Pavshikh Bortsov Square, Volgograd, 400131</p></bio><email xlink:type="simple">nika.vd@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7060-792X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Егоров</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Yegorov</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Егоров Евгений Игоревич, студент 4-го курса медицинскогофакультета</p><p>432017, Ульяновск, ул. Льва Толстого, 42</p></bio><bio xml:lang="en"><p>Evgeny I. Yegorov, 4th year student of the Faculty of Medicine</p><p>42 Lev Tolstoy str., Ulyanovsk, 432017</p></bio><email xlink:type="simple">egorrovvevg@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования Ульяновский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education Ulyanovsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования Ульяновский&#13;
государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education Ulyanovsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования Волгоградский государственный медицинский университет Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education Volgograd State Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования Волгоградский&#13;
государственный медицинский университет Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education Volgograd State Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>27</day><month>03</month><year>2022</year></pub-date><volume>0</volume><issue>3</issue><fpage>34</fpage><lpage>39</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белогубов П.В., Рузов В.И., Скворцов В.В., Трефилов С.Г., Шевченко В.Д., Егоров Е.И., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Белогубов П.В., Рузов В.И., Скворцов В.В., Трефилов С.Г., Шевченко В.Д., Егоров Е.И.</copyright-holder><copyright-holder xml:lang="en">Belogubov P.V., Ruzov V.I., Skvortsov V.V., Trefilov S.G., Shevchenko V.D., Yegorov E.I.</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://journal.lvrach.ru/jour/article/view/894">https://journal.lvrach.ru/jour/article/view/894</self-uri><abstract><p>Для изучения алкоголь-индуцированных изменений электрической негомогенности миокарда и уровня фактора роста эндотелия сосудов в сыворотке крови у пациентов молодого возраста были обследованы 92 пациента. В первую группу вошли 30 мужчин и 30 женщин в состоянии острой алкогольной интоксикации с последующим обследованием абстинентного состояния в клинике, во вторую группу – 16 мужчин и 16 женщин в абстинентном состоянии уже при поступлении в клинику. Возраст пациентов первой группы – 36,00 (33,75-40,00) года (женщины) и 37,50 (33,75-41,25) года (мужчины). Возраст пациентов второй группы – 36,00 (35,00-39,75) года (женщины) и 37,50 (34,25-39,75) года (мужчины). Контрольную группу составили здоровые лица – 15 мужчин в возрасте 35,00 (29,00-39,00) года и 15 женщин в возрасте 31,00 (28,00-40,00) года. Оценка дисперсии интервала QTd проводилась на аппарате электрокардиографии высокого разрешения Поли-Спектр 8/ЕХ (Россия), в 12 стандартных отведениях, длительностью 10 секунд. Концентрация этанола в крови определялась хроматографом Agilent 6850 (США). Сывороточная концентрация фактора роста эндотелия сосудов оценивалась с использованием набора реактивов Вектор-Бест (Россия) на иммуноферментном анализаторе Hospitex diagnostics Plate Screen (Италия). Оценка сывороточной концентрации фактора роста эндотелия сосудов у алкоголь-зависимых пациентов молодого возраста показала увеличение его содержания как в острый, так и в абстинентный периоды по сравнению с пациентами контрольной группы. При этом отмечалась тенденция к более высоким значениям фактора роста эндотелия сосудов у мужчин по сравнению с женщинами. Обнаружено, что догоспитальное течение абстинентного периода характеризуется более высокими концентрациями сывороточного фактора роста эндотелия сосудов по сравнению с пациентами, у которых абстинентный период наступил в клинике после острой интоксикации алкоголем. Госпитальный абстинентный период сопровождался увеличением величины корригированной дисперсии QTсd среди женщин и мужчин по сравнению с острым периодом. Анализ частоты встречаемости нарушений процессов реполяризации миокарда желудочков в абстинентном периоде выявил ее преобладание у женщин по сравнению с мужчинами. Разработка стратегии ранней донозологической диагностики аритмогенной активности миокарда, включающей в себя оценку электрической негомогенности, позволила выявить преобладание среди женщин молодого возраста более частой встречаемости аритмогенной уязвимости миокарда в абстинентном периоде алкогольного эксцесса по сравнению с мужчинами. Алкоголь-индуцированная электрическая негомогенность миокарда сопровождается повышением сывороточной концентрации сосудисто-эндотелиального фактора роста у пациентов молодого возраста без манифестной кардиальной патологии.</p></abstract><trans-abstract xml:lang="en"><p>The aim was to study alcohol-induced changes in the electrical inhomogeneity of the myocardium and the level of vascular endothelial growth factor in blood serum in young patients. 92 patients were examined. The first group consisted of 30 men and 30 women in a state of acute intoxication with subsequent examination of the withdrawal state in the clinic, the second group included 16 men and 16 women in a withdrawal state upon admission to the clinic. Age of patients in the first group: 36,00 (33,75-40,00) years (women) and 37,50 (33,75-41,25) years – men, age of patients of the second group: 36,00 (35,00-39,75) years (women) and 37,50 (34,25-39,75) years (men). The control group consisted of healthy individuals: 15 men aged 35,00 (29,00-39,00) years and 15 women aged 31,00 (28,00-40,00) years. The dispersion of the QTd interval was assessed using a high-resolution electrocardiography apparatus Poly-Spectrum 8/EX (Russia), in 12 standard leads, lasting 10 seconds. The concentration of ethanol in the blood was determined by an Agilent 6850 chromatograph (USA). Serum concentration of vascular endothelial growth factor was assessed using the Vector-Best reagent kit (Russia) on an enzyme immunoassay analyzer Hospitex diagnostics Plate Screen (Italy). Evaluation of the serum concentration of vascular endothelial growth factor in young alcohol-dependent patients showed an increase in its content, both in the acute and withdrawal periods, compared with patients in the control group. At the same time, there was a trend towards higher vascular endothelial growth factor values in men compared to women. It was found that the prehospital course of the withdrawal period is characterized by higher concentrations of serum vascular endothelial growth factor, compared with patients in whom the withdrawal period began in the clinic after acute alcohol intoxication. The hospital withdrawal period was accompanied by an increase in the value of the corrected dispersion of QTcd among women and men, compared with the acute period. Analysis of the incidence of violations of the processes of repolarization of the ventricular myocardium in the withdrawal period revealed its predominance in women compared to men. The development of a strategy for early prenosological diagnosis of myocardial arrhythmogenic activity, including the assessment of electrical inhomogeneity, made it possible to reveal the prevalence among young women of a more frequent occurrence of arrhythmogenic myocardial vulnerability in the withdrawal period of alcoholic excess compared to men. Alcohol-induced electrical inhomogeneity of the myocardium is accompanied by an increase in the serum concentration of vascular endothelial growth factor in young patients without overt cardiac pathology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>фактор роста эндотелия сосудов</kwd><kwd>корригированная дисперсия интервала QTсd</kwd><kwd>корригированный интервал QTс</kwd><kwd>алкогольная зависимость</kwd><kwd>абстинентный период</kwd></kwd-group><kwd-group xml:lang="en"><kwd>vascular endothelial growth factor</kwd><kwd>corrected dispersion of the QTcd interval</kwd><kwd>corrected QTc interval</kwd><kwd>alcohol dependence</kwd><kwd>withdrawal period</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">Бокерия Л. А., Бокерия О. Л., Ле Т. Г. 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