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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">amedj</journal-id><journal-title-group><journal-title xml:lang="ru">Амурский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Amur Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2311-5068</issn><publisher><publisher-name>Амурская государственная медицинская академия</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24412/2311-5068-2024-12-1-67</article-id><article-id custom-type="elpub" pub-id-type="custom">amedj-49</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>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ. Наблюдения из практики</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH. Practice Observations</subject></subj-group></article-categories><title-group><article-title>Редкая патология в кардиологической практике – идиопатическая легочная артериальная гипертензия у трехлетнего ребенка</article-title><trans-title-group xml:lang="en"><trans-title>A rare pathology in cardiological practice is idiopathic pulmonary arterial hypertension in a 3–year-old child.</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лир</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lir</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лир Анжелика Владимировна, заведующая отделением кардиологи</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Наас</surname><given-names>К. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Naas</surname><given-names>K. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наас Ксения Евгеньевна, врач кардиолог отделения кардиологии, лечащий врач пациента</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шамраева</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shamraeva</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шамраева Виктория Владимировна, канд. мед. наук, доцент, заведующая кафедрой педиатрии, врач-консультант пациента</p></bio><email xlink:type="simple">agma.pediatric@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Третьякова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tretyakova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Третьякова Анастасия Владимировна, врач кардиолог отделения кардиологии, лечащий врач пациента</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ГАУЗ АО Амурская областная детская клиническая больница<country>Россия</country></aff><aff xml:lang="en">SAHCI AR Amur Regional Children’s Clinical Hospital<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБОУ ВО Амурская ГМА Минздрава России<country>Россия</country></aff><aff xml:lang="en">Amur State Medical Academy of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">ГАУЗ АО Амурская областная детская клиническая больница<country>Россия</country></aff><aff xml:lang="en">Amur State Medical Academy of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>18</day><month>12</month><year>2025</year></pub-date><volume>12</volume><issue>1</issue><fpage>68</fpage><lpage>74</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лир А.В., Наас К.Е., Шамраева В.В., Третьякова А.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Лир А.В., Наас К.Е., Шамраева В.В., Третьякова А.В.</copyright-holder><copyright-holder xml:lang="en">Lir A.V., Naas K.E., Shamraeva V.V., Tretyakova A.V.</copyright-holder><license 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.amedj.ru/jour/article/view/49">https://www.amedj.ru/jour/article/view/49</self-uri><abstract><p>Идиопатическая (первичная) артериальная легочная гипертензия у детей представляет очень серьезную и актуальную проблему во всем мире. Заболевание крайне редко встречается, имеет серьезный прогноз для жизни из-за угрозы развития внезапной сердечной смерти. Представлен случай диагностики заболевания у трехлетней девочки, которая начала получать терапию неселективным антагонистом эндотелиновых рецепторов и требует дальнейшего тщательного контроля.</p></abstract><trans-abstract xml:lang="en"><p>Idiopathic (primary) arterial pulmonary hypertension in children is a very serious and urgent problem worldwide. The disease is extremely rare and has a serious prognosis for life due to the threat of sudden cardiac death. A case of diagnosis of the disease in a 3-year-old girl who began receiving therapy with a non-selective endothelin receptor antagonist and requires further careful monitoring is presented.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>первичная легочная артериальная гипертензия</kwd><kwd>легочная артерия</kwd><kwd>бозентан</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>primary pulmonary arterial hypertension</kwd><kwd>pulmonary artery</kwd><kwd>bosentan</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">Агапитов Л. И., Белозеров Ю. М. Диагностика легочной гипертензии у детей // Российский вестник перинатологии и педиатрии. 2009. № 4. С. 24–31</mixed-citation><mixed-citation xml:lang="en">Agapitov LI, Belozerov JuM. Diagnostika legochnoj gipertenzii u detej. Russian Bulletin of Perinatology and Pediatrics. 2009;4:24–31. 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