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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Актуальные проблемы медицины</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2025-48-2-166-182</article-id><article-id pub-id-type="publisher-id">240</article-id><article-categories><subj-group subj-group-type="heading"><subject>КАРДИОЛОГИЯ</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Современный взгляд на вариабельность сердечного ритма в нейрокардиологии&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Modern View on Heart Rate Variability in Neurocardiology&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Щукина</surname><given-names>Елена Викторовна</given-names></name><name xml:lang="en"><surname>Schukina</surname><given-names>Elena V.</given-names></name></name-alternatives><email>Shuliksany@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Сарбаш</surname><given-names>Иван Васильевич</given-names></name><name xml:lang="en"><surname>Sarbash</surname><given-names>Ivan V.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2025</year></pub-date><volume>48</volume><issue>2</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2025/2/АПМ_2025_Том_48__2_166-182.pdf" /><abstract xml:lang="ru"><p>В обзоре литературы обсуждаются современные аспекты формирования вариабельности сердечного ритма с точки зрения нейрокардиологии. Рассматриваются основные физиологические принципы, участвующие в формировании вариабельности сердечного ритма. В работе приведены основные методы исследования вариабельности сердечных сокращений, обсуждены преимущества и недостатки каждого из методов, обсуждена значимость вариабельности сердечного ритма при исследовании сердечно-сосудистой системы. Представлены основные факторы, оказывающие влияние на нормативные показатели вариабельности сердечного ритма. Обсуждается роль функциональной взаимосвязи между сердечной мышцей и головным мозгом, а также раскрываются вопросы взаимосвязи и баланса между симпатической и парасимпатической нервной системой, которые подтверждают высокую значимость изучения вариабельности сердечного ритма.</p></abstract><trans-abstract xml:lang="en"><p>The article reviews the literature on the modern vision of the processes of heart rate variability formation in the field of neurocardiology. The main physiological principles involved in the formation of heart rate variability are considered. The authors present the main methods of studying heart rate variability, taking into account the disadvantages and advantages of each one, and discuss the significance of heart rate variability in the study of the cardiovascular system. The main factors influencing the normative indicators of heart rate variability are considered. Scientific facts indicating the functional relationship between the heart muscle and the brain are given. The issue of the relationship and balance between the sympathetic and parasympathetic nervous system is also revealed which confirms the high importance of studying heart rate variability.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вариабельность сердечного ритма</kwd><kwd>нейрокардиология</kwd><kwd>вегетативная нервная система</kwd><kwd>сердечно-сосудистая система</kwd></kwd-group><kwd-group xml:lang="en"><kwd>heart rate variability</kwd><kwd>neurocardiology</kwd><kwd>autonomic nervous system</kwd><kwd>cardiovascular system</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Кошелева Д.Д., Доронина А.В. 2021. Преобразование Фурье и быстрое преобразование Фурье. Инновации. Наука. Образование. 38; 626&amp;ndash;632.</mixed-citation></ref><ref id="B2"><mixed-citation>Муртазин А.А., Максютов Н.Ф., Усенко А.Б., Изотов А.А., Мальсагова К.А., Буткова Т.В., Степанов&amp;nbsp;А.А., Петров А.А., Балакин Е.И. 2022. 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