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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">10.18413/2687-0940-2020-43-3-392-403</article-id><article-id pub-id-type="publisher-id">39</article-id><article-categories><subj-group subj-group-type="heading"><subject>КАРДИОЛОГИЯ</subject></subj-group></article-categories><title-group><article-title>Матриксные металлопротеиназы и их роль в развитии ремоделирования у больных, перенесших острый инфаркт миокарда (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>Matrix metalloproteinases and their role in the development of remodeling in patients with acute myocardial infarction (review of literature)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Букатов</surname><given-names>Владислав Владимирович</given-names></name><name xml:lang="en"><surname>Bukatov</surname><given-names>Vladislav V.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2020</year></pub-date><volume>43</volume><issue>3</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2020/3/392-403.pdf" /><abstract xml:lang="ru"><p>Особый интерес представляют собой механизмы ремоделирования миокарда после перенесенного инфаркта миокарда (ИМ). К сожалению, на сегодняшний день у науки нет однозначного ответа на вопрос о процессе ремоделирования миокарда после ИМ. Так, например, у двух схожих клинически пациентов, без сопутствующих заболеваний, с одинаковой локализацией ИМ, схожим временем открытия коронарной артерии в отдаленном периоде развивается совершенно разная картина сердечной недостаточности. У одного происходит дилатация полостей сердца, снижение фракции выброса, а у другого совершенно отсутствуют проявления сердечной недостаточности. Относительно недавно был установлен факт влияния матриксных металлопротеиназ на протекание ИМ, резкое повышение их концентрации в острый и отдаленный период наводят на рассуждения о их важнейшей роли в процессах ремоделирования миокарда. Настоящий обзор попытался обобщить полученные данные о роли матриксных металлопротеиназ и ИМ и выявить существующую закономерность.</p></abstract><trans-abstract xml:lang="en"><p>The mechanisms of myocardial remodeling after myocardial infarction (MI) are of particular interest. Unfortunately, today science does not have an unambiguous answer to the question about the process of myocardial remodeling after MI. For example, in two clinically similar patients, without concomitant diseases, with the same localization of myocardial infarction, with a similar opening time of the coronary artery, in the long-term period, a completely different picture of heart failure develops, one has dilatation of the heart cavities, a decrease in the ejection fraction, and the other has absolutely no manifestations heart failure. Relatively recently, the fact of the influence of matrix metalloproteinases on the course of myocardial infarction was established; a sharp increase in their concentration in the acute and long-term period suggests speculation about their most important role in the processes of myocardial remodeling. In this review, we tried to summarize the existing data on the role of matrix metalloprotenases and MI, and tried to identify the existing pattern.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инфаркт миокарда</kwd><kwd>ремоделирование миокарда</kwd><kwd>хроническая сердечная недостаточность</kwd><kwd>матриксные металлопротеиназы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>myocardial infarction</kwd><kwd>myocardial remodeling</kwd><kwd>chronic heart failure</kwd><kwd>matrix metalloproteinases</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Фомин И.В. 2016. 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