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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">zabmedvestnik</journal-id><journal-title-group><journal-title xml:lang="ru">Забайкальский медицинский вестник</journal-title><trans-title-group xml:lang="en"><trans-title>Transbaikalian Medical Bulletin</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">1998-6173</issn><publisher><publisher-name>Читинская государственная медицинская академия</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52485/19986173_2025_3_108</article-id><article-id custom-type="elpub" pub-id-type="custom">zabmedvestnik-402</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>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS</subject></subj-group></article-categories><title-group><article-title>КАРДИОЭМБОЛИЧЕСКИЙ ИНСУЛЬТ, АССОЦИИРОВАННЫЙ С НЕКЛАПАННОЙ ФИБРИЛЛЯЦИЕЙ ПРЕДСЕРДИЙ</article-title><trans-title-group xml:lang="en"><trans-title>CARDIOEMBOLIC STROKE ASSOCIATED WITH NONVALVULAR ATRIAL FIBRILLATION</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-4401-6701</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Варфоломеев</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Varfolomeev</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Варфоломеев Артём Евгеньевич, ассистент кафедры поликлинической терапии с курсом медицинской реабилитации</p><p>672000, г. Чита, ул. Горького, д. 39а</p><p>Researcher ID-rid106920</p><p>Author ID РИНЦ- 6374-4609</p></bio><bio xml:lang="en"><p>Varfolomeev A.E., Assistant of the Department of Polyclinic Therapy with a Course of Medical Rehabilitation</p><p>39a Gorky St., Chita, 672000</p><p>Researcher ID- rid106920</p><p>Author ID РИНЦ- 6374-4609</p></bio><email xlink:type="simple">artem.varfolomeev.97@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/0009-0002-1448-3069</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Романова</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Romanova</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Романова Елена Николаевна, д.м.н., доцент, заведующая кафедрой поликлинической терапии с курсом медицинской реабилитации</p><p>672000, г. Чита, ул. Горького, д. 39а</p><p>Researcher ID: AAJ-5137-2021</p><p>Author ID РИНЦ: 636478</p><p>Author ID Scopus: 55443577500</p></bio><bio xml:lang="en"><p>Romanova E.N., Doctor of Medical Sciences, Associate Professor,Head of the Department of Polyclinic Therapy with a Course of Medical Rehabilitation</p><p>39a Gorky St., Chita, 672000</p><p>Researcher ID: AAJ-5137-2021</p><p>Author ID РИНЦ: 636478</p><p>Author ID Scopus: 55443577500</p></bio><email xlink:type="simple">elena-r-chita@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Chita State Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Chita State Medical Academy, Chita</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>02</day><month>11</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>108</fpage><lpage>117</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Варфоломеев А.Е., Романова Е.Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Варфоломеев А.Е., Романова Е.Н.</copyright-holder><copyright-holder xml:lang="en">Varfolomeev A.E., Romanova E.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://www.zabmedvestnik.ru/jour/article/view/402">https://www.zabmedvestnik.ru/jour/article/view/402</self-uri><abstract><p>В статье рассматриваются современные аспекты кардиоэмболического инсульта (КЭИ) как острого нарушения мозгового кровообращения, акцентируя внимание на его эпидемиологии, этиопатогенезе и клинических проявлениях. Обозначаются статистические данные по заболеваемости и смертности от инсульта, с акцентом на значительные различия между регионами, особенно высокая заболеваемость в Восточной Европе и России. Отмечается, что инсульт традиционно воспринимается как проблема пожилых людей, однако последние десятилетия фиксируется рост случаев заболевания среди молодежи, что связано с увеличением распространенности факторов риска сердечно-сосудистых заболеваний и улучшением методов диагностики.Кроме того, статья подробно рассматривает взаимосвязь между фибрилляцией предсердий и развитием КЭИ, описываются механизмы, приводящие к ишемическим инсультам, включая эмболизацию. Обсуждаются экономические последствия инсульта, такие как инвалидизация населения и высокая стоимость реабилитации, что негативно сказывается на социальной и экономической составляющей общества. В заключение отмечается необходимость ранней диагностики, эффективного лечения и реабилитации пациентов, а также внедрения комплексного подхода к управлению инсультами, чтобы снизить уровень инвалидности и повысить качество жизни.</p></abstract><trans-abstract xml:lang="en"><p>This article examines current aspects of cardioembolic stroke (CES) as an acute cerebrovascular accident, focusing on its epidemiology, etiopathogenesis, and clinical manifestations. Statistical data on stroke incidence and mortality are presented, highlighting significant regional differences, with a particularly high incidence in Eastern Europe and Russia. It is noted that stroke has traditionally been perceived as a problem of the elderly; however, in recent decades, an increase in cases has been recorded among young people, due to the increasing prevalence of cardiovascular risk factors and improved diagnostic methods. Furthermore, the article examines in detail the relationship between atrial fibrillation and the development of CES, and describes the mechanisms leading to ischemic stroke, including embolization. The economic consequences of stroke, such as disability and the high cost of rehabilitation, are discussed, which negatively impact the social and economic aspects of society. In conclusion, the need for early diagnosis, effective treatment and rehabilitation of patients, as well as the implementation of a comprehensive approach to stroke management, is noted in order to reduce disability and improve quality of life.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кардиоэмболический инсульт</kwd><kwd>ишемический инсульт</kwd><kwd>неврология</kwd><kwd>сердечно-сосудистые заболевания</kwd><kwd>фибрилляция предсердий</kwd><kwd>эпидемиология</kwd><kwd>реабилитация</kwd><kwd>диагностика</kwd><kwd>лечение</kwd><kwd>инвалидизация</kwd><kwd>общественное здоровье</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardioembolic stroke</kwd><kwd>ischemic stroke</kwd><kwd>neurology</kwd><kwd>cardiovascular diseases</kwd><kwd>atrial fibrillation</kwd><kwd>epidemiology</kwd><kwd>rehabilitation</kwd><kwd>diagnostics</kwd><kwd>treatment</kwd><kwd>disability</kwd><kwd>public health</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">Pawluk H., Woźniak A., Grześk G. et al. 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