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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">ateroskleroz</journal-id><journal-title-group><journal-title xml:lang="ru">Атеросклероз</journal-title><trans-title-group xml:lang="en"><trans-title>Ateroscleroz</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-256X</issn><issn pub-type="epub">2949-3633</issn><publisher><publisher-name>НИИТПМ-филиал ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52727/2078-256X-2025-21-3-340-361</article-id><article-id custom-type="elpub" pub-id-type="custom">ateroskleroz-1136</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 ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Хроническая сердечная недостаточность: от патогенеза к персонализированной терапии и цифровым технологиям</article-title><trans-title-group xml:lang="en"><trans-title>Chronic heart failure: from pathogenesis to personalized therapy and digital technologies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4336-159X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юрковский</surname><given-names>А. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurkovskiy</surname><given-names>A. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антон Олегович Юрковский, аспирант 1-го года обучения, ординатор 1-го года (кардиология)</p><p>630090, г. Новосибирск, ул. Пирогова, 1</p><p>630060, г. Новосибирск, ул. Тимакова, 2</p></bio><bio xml:lang="en"><p>Anton O. Yurkovskiy, postgraduate student, cardiology resident</p><p>1, Pirogova st., Novosibirsk, 630090</p><p>2, Timakova st., Novosibirsk, 630060</p></bio><email xlink:type="simple">antonyrk@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/0000-0002-4832-3197</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ложкина</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Lozhkina</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наталья Геннадьевна Ложкина, д-р мед. наук, проф., руководитель группы «Клиническая и экспериментальная кардиология»</p><p>630090, г. Новосибирск, ул. Пирогова, 1</p><p>630060, г. Новосибирск, ул. Тимакова, 2</p><p>630047, г. Новосибирск, ул. Залесского, 6</p></bio><bio xml:lang="en"><p>Natalya G. Lozhkina, doctor of medical sciences, professor, head of the clinical and experimental cardiology group</p><p>1, Pirogova st., Novosibirsk, 630090</p><p>2, Timakova st., Novosibirsk, 630060</p><p>6, Zalesskogo st., Novosibirsk, 630047</p></bio><email xlink:type="simple">lozhkina.n@mail.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/0000-0002-8586-8938</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артеменко</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Artemenko</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергей Николаевич Артеменко, д-р мед. наук, профессор РАН, зам. директора по научно-клинической работе</p><p>630060, г. Новосибирск, ул. Тимакова, 2</p></bio><bio xml:lang="en"><p>Sergey N. Artemenko, doctor of medical sciences, professor of RAS, deputy director for clinical research</p><p>2, Timakova st., Novosibirsk, 630060</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Новосибирский национальный исследовательский государственный университет»; Федеральное государственное бюджетное научное учреждение «Федеральный исследовательский центр фундаментальной и трансляционной медицины»</institution></aff><aff xml:lang="en"><institution>Novosibirsk State University; Research Institute of Fundamental and Clinical Medicine</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Новосибирский национальный исследовательский государственный университет»; Федеральное государственное бюджетное научное учреждение «Федеральный исследовательский центр фундаментальной и трансляционной медицины»; Государственное бюджетное учреждение здравоохранения Новосибирской области «Городская клиническая больница № 1»</institution></aff><aff xml:lang="en"><institution>Novosibirsk State University; Research Institute of Fundamental and Clinical Medicine; City Clinical Hospital No1</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное научное учреждение «Федеральный исследовательский центр фундаментальной и трансляционной медицины»</institution></aff><aff xml:lang="en"><institution>Research Institute of Fundamental and Clinical Medicine</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>29</day><month>09</month><year>2025</year></pub-date><volume>21</volume><issue>3</issue><fpage>340</fpage><lpage>361</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Юрковский А.О., Ложкина Н.Г., Артеменко С.Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Юрковский А.О., Ложкина Н.Г., Артеменко С.Н.</copyright-holder><copyright-holder xml:lang="en">Yurkovskiy A.O., Lozhkina N.G., Artemenko S.N.</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://ateroskleroz.elpub.ru/jour/article/view/1136">https://ateroskleroz.elpub.ru/jour/article/view/1136</self-uri><abstract><p>Цель обзора – систематизация и критический анализ современных подходов к диагностике и лечению хронической сердечной недостаточности (ХСН) с фокусом на персонализированные терапевтические стратегии и интеграцию цифровых технологий в клиническую практику.Материал и методы. Проведен систематический поиск публикаций в базах данных PubMed, Scopus, Web of Science и eLibrary за период 2019–2024 гг. Использованы ключевые слова: «хроническая сердечная недостаточность», «патогенез ХСН», «персонализированная терапия ХСН», «цифровые технологии в кардиологии». Отобрано и проанализировано 145 источников, соответствующих критериям включения.Результаты. В обзоре описаны новейшие патофизиологические механизмы развития ХСН, рассмотрены современные фармакологические и аппаратные методы лечения, такие как ингибиторы SGLT2, сакубитрил/валсартан, кардиоресинхронизирующая терапия, имплантируемые кардиовертеры-дефибрилляторы и устройства вспомогательного кровообращения. Отдельное внимание уделено роли цифровых технологий, включая телемедицину, дистанционный мониторинг и искусственный интеллект, в управлении пациентами с ХСН.Заключение. Персонализированный подход, включающий фармакогенетику и внедрение цифровых решений, является перспективным направлением повышения эффективности лечения ХСН и улучшения прогнозов пациентов. Необходима дальнейшая интеграция инновационных технологий в клиническую практику и решение вопросов доступности новых методов лечения.</p></abstract><trans-abstract xml:lang="en"><p>Objective. To systematize and critically analyze current approaches to the diagnosis and treatment of chronic heart failure (CHF), with a focus on personalized therapeutic strategies and the integration of digital technologies into clinical practice.Material and methods. A systematic search was conducted in PubMed, Scopus, Web of Science, and eLibrary databases for the period 2019–2024. Keywords included: “chronic heart failure”, “CHF pathogenesis”, “personalized CHF therapy”, and “digital technologies in cardiology”. A total of 145 sources meeting the inclusion criteria were selected and analyzed.Results. The review describes the most recent pathophysiological mechanisms of CHF development and examines current pharmacological and device-based therapies, including SGLT2 inhibitors, sacubitril/valsartan, cardiac resynchronization therapy, implantable cardioverterdefibrillators, and mechanical circulatory support devices. Special attention is given to the role of digital technologies, including telemedicine, remote monitoring, and artificial intelligence, in managing patients with CHF.Conclusions. A personalized approach, incorporating pharmacogenetics and the implementation of digital solutions, represents a promising direction for improving the effectiveness of CHF treatment and patient outcomes. Further integration of innovative technologies into clinical practice and addressing the accessibility of novel therapeutic methods are required.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хроническая сердечная недостаточность</kwd><kwd>персонализированная медицина</kwd><kwd>цифровые технологии</kwd><kwd>телемедицина</kwd><kwd>фармакогенетика</kwd><kwd>кардиоресинхронизирующая терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic heart failure</kwd><kwd>personalized medicine</kwd><kwd>digital technologies</kwd><kwd>telemedicine</kwd><kwd>pharmacogenetics</kwd><kwd>cardiac resynchronization therapy</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">Российское кардиологическое общество. Нарушения липидного обмена. Клинические рекомендации 2023. 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