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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_191</article-id><article-id custom-type="elpub" pub-id-type="custom">zabmedvestnik-416</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, ИЛЛЮСТРИРОВАННЫЕ КЛИНИЧЕСКИМ НАБЛЮДЕНИЕМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEWS ILLUSTRATED WITH CLINICAL CASE STUDIES</subject></subj-group></article-categories><title-group><article-title>СЕРДЕЧНО-СОСУДИСТЫЕ ОСЛОЖНЕНИЯ ПРИ ЗЛОУПОТРЕБЛЕНИИ СИНТЕТИЧЕСКИМИ КАТИНОНАМИ</article-title><trans-title-group xml:lang="en"><trans-title>CARDIOVASCULAR COMPLICATIONS DUE TO ABUSE OF SYNTHETIC CATHINONES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4665-1960</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шилин</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Shilin</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шилин Дмитрий Сергеевич, к.м.н., врач анестезиолог-реаниматолог, ассистент кафедры анестезиологии, реанимации и интенсивной терапии</p><p>672000, г. Чита, ул. Горького, 39а</p><p>672039, Россия, г. Чита, ул. Ленина, д. 8</p></bio><bio xml:lang="en"><p>Shilin D.S., Candidate of Medical Sciences, anesthesiologist-resuscitator, assistant of the Department of Anesthesiology, Resuscitation and Intensive Care</p><p>39a Gorky St., Chita, 672000</p><p>8 Lenina St., Chita, 672039</p></bio><email xlink:type="simple">Untara100@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новикова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Novikova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новикова Анна Анатольевна, студентка 4 курса лечебного факультета</p><p>672039, г. Чита, ул. Ленина, д. 8</p></bio><bio xml:lang="en"><p>Novikova A.A., 4th year student of the Faculty of Medicine</p><p>8 Lenina St., Chita, 672039</p></bio><email xlink:type="simple">annanovikova84420@gmail.com</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>Ярославцева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yaroslavtseva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ярославцева Надежда Александровна, врач судебно-медицинский экспертизы отделения судебно-медицинской экспертизы трупов</p><p>672038, г. Чита, ул. Матвеева, 64</p></bio><bio xml:lang="en"><p>Yaroslavtseva N.A., Forensic physician of the Department of Forensic Medical Examination of Corpses</p><p>64 Matveeva St., Chita, 672038</p></bio><email xlink:type="simple">ntaldykina87@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Антипьева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Antip'eva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антипьева Александра Андреевна, врач судебно-медицинской экспертизы, первой квалификационной категории, заведующая отделением судебно-медицинской экспертизы трупов</p><p>672038, г. Чита, ул. Матвеева, 64</p></bio><bio xml:lang="en"><p>Antipyeva A.A., Forensic physician, first qualification category, Head of the Department of Forensic Medical Examination of Corpses of the State Medical Institution</p><p>64 Matveeva St., Chita, 672038</p></bio><email xlink:type="simple">lexander86@rambler.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3485-5176</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаповалов</surname><given-names>К. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Shapovalov</surname><given-names>K. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шаповалов Константин Геннадьевич, д.м.н., профессор, врач анестезиолог-реаниматолог, заведующий кафедрой анестезиологии, реанимации и интенсивной терапии</p><p>672000, г. Чита, ул. Горького, 39а</p><p>672039, г. Чита, ул. Ленина, д. 8</p></bio><bio xml:lang="en"><p>Shapovalov K.G., Doctor of Medical Sciences, Professor, anesthesiologist-resuscitator, Head of the Department of Anesthesiology and Resuscitation</p><p>39a Gorky St., Chita, 672000</p><p>8 Lenina St., Chita, 672039</p></bio><email xlink:type="simple">shkg26@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения РФ; ГУЗ «Городская клиническая больница № 1»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Chita State Medical Academy; City Clinical Hospital No 1</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГУЗ «Городская клиническая больница № 1»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Clinical Hospital No 1</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГУЗ «Забайкальское краевое бюро судебно-медицинской экспертизы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Healthcare Institution «Transbaikal Regional Bureau of Forensic Medical Examination»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ГУЗ «Забайкальское краевое бюро судебно-медицинской экспертизы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Medical Institution "Zabaikalsky Regional Bureau of Forensic Medical Examination"</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>191</fpage><lpage>199</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шилин Д.С., Новикова А.А., Ярославцева Н.А., Антипьева А.А., Шаповалов К.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Шилин Д.С., Новикова А.А., Ярославцева Н.А., Антипьева А.А., Шаповалов К.Г.</copyright-holder><copyright-holder xml:lang="en">Shilin D.S., Novikova A.A., Yaroslavtseva N.A., Antip'eva A.A., Shapovalov K.G.</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/416">https://www.zabmedvestnik.ru/jour/article/view/416</self-uri><abstract><p>Обоснование/Актуальность: представлен обзор литературы с клиническим примером отравления смесью психотропных веществ, таких как: 4-хлорметкатинон (клефедрон), альфа-пирролидиновалерофенон (производное накротического средства N-метилэфедрон), тетрагидроканнабинол.</p></abstract><trans-abstract xml:lang="en"><p>Justification/Relevance: a review of the literature is presented with a clinical example of poisoning with a mixture of psychotropic substances such as: 4-chloromethcathinone (clephedrone), alphapyrrolidinovalerophenone (a derivative of the narcotic drug N-methylephedrone), tetrahydrocannabinol.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>отравление</kwd><kwd>4-хлорметкатинон</kwd><kwd>альфа-пирролидиновалерофенон</kwd><kwd>токсикология</kwd><kwd>тетрагидроканнабинол</kwd></kwd-group><kwd-group xml:lang="en"><kwd>poisoning</kwd><kwd>4-chloromethcathinone</kwd><kwd>alpha-pyrrolidinovalerophenone</kwd><kwd>toxicology</kwd><kwd>tetrahydrocannabinol</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">Silva B. et al. 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