<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">kurskvest</journal-id><journal-title-group><journal-title xml:lang="ru">Человек и его здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Humans and their health</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1998-5746</issn><issn pub-type="epub">1998-5754</issn><publisher><publisher-name>Kursk State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21626/vestnik/2017-1/07</article-id><article-id custom-type="elpub" pub-id-type="custom">kurskvest-177</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>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Влияние омакора на показатели аритмической активности и вариабельности сердечного ритма у пациентов с острым инфарктом миокарда</article-title><trans-title-group xml:lang="en"><trans-title>Influence of Omacor on arrhythmic activity indicators and heart rate variability in patients with acute myocardial infarction</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>Михин</surname><given-names>В. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhin</surname><given-names>V. P.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</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>Швейнов</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Shveynov</surname><given-names>A. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</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>Харченко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kharchenko</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</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>Васильева</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilyeva</surname><given-names>D. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</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>Савельева</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Savelyeva</surname><given-names>V. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</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>Антопольская</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Antopolskaya</surname><given-names>E. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</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>Панченко</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Panchenko</surname><given-names>G. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Курский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kursk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Курская городская клиническая больница скорой медицинской помощи</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kursk City Clinical Emergency Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>15</day><month>12</month><year>2017</year></pub-date><volume>0</volume><issue>1</issue><fpage>40</fpage><lpage>45</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Михин В.П., Швейнов А.И., Харченко А.В., Васильева Д.А., Савельева В.В., Антопольская Е.В., Панченко Г.В., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Михин В.П., Швейнов А.И., Харченко А.В., Васильева Д.А., Савельева В.В., Антопольская Е.В., Панченко Г.В.</copyright-holder><copyright-holder xml:lang="en">Mikhin V.P., Shveynov A.I., Kharchenko A.V., Vasilyeva D.A., Savelyeva V.V., Antopolskaya E.V., Panchenko G.V.</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.kursk-vestnik.ru/jour/article/view/177">https://www.kursk-vestnik.ru/jour/article/view/177</self-uri><abstract><p>Нами проведено открытое рандомизированное исследование (n=60), в котором оценивалось антиаритмогенное действие омакора и его влияние на параметры вариабельности сердечного ритма. Пациенты были разделены на две группы, в основной (n=30) к комплексной терапии добавлялся препарат «Омакор» в дозе 1 г/сут, в контрольной - лекарственная терапия оставалась стандартной. В основной группе отмечено снижение общего числа наджелудочковых экстрасистол по сравнению с контролем, а также повышение уровня парасимпатической и нейрогуморальной регуляции деятельности сердца, что оказывает благоприятное воздействие на дальнейшее течение заболевания.</p></abstract><trans-abstract xml:lang="en"><p>We conducted the open-label randomized trial (n=60) to estimate antiarrhythmic effect of Omacor and its influence on the parameters of heart rate variability. The patients were divided into two groups, the basic group patients (n=30) were added Omacor in a dose of 1 g/day to the complex therapy, the control group patients were given the standard drug therapy. In the basic group a decrease in the total number of supraventricular extra systoles was noted as compared to the control one, as well as an increase in the level of parasympathetic and neurohumoral regulation of the heart activity that might have a beneficial effect on the subsequent treatment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>острый инфаркт миокарда</kwd><kwd>омега-3-полиненасыщенные жирные кислоты</kwd><kwd>вариабельность сердечного ритма</kwd><kwd>аритмическая активность</kwd><kwd>acute myocardial infarction</kwd><kwd>omega-3-polyunsaturated fatty acids</kwd><kwd>heart rate variability</kwd><kwd>arrhythmic activity</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">Арутюнов Г.П. Терапевтические аспекты диагностики и лечения заболеваний сердца и сосудов / под ред. Г.П. Арутюнова - М. : ГЭОТАР-Медиа, 2015. - 608 с.</mixed-citation><mixed-citation xml:lang="en">Арутюнов Г.П. Терапевтические аспекты диагностики и лечения заболеваний сердца и сосудов / под ред. Г.П. Арутюнова - М. : ГЭОТАР-Медиа, 2015. - 608 с.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Михин В.П., Мальцева Л.С. Влияние омакора на вариабельность сердечного ритма и ишемические изменения в миокарде у больных хронической ишемической болезнью сердца в сочетании с сахарным диабетом 2 типа // Архив внутренней медицины. - 2013. - № 1 (9). - С. 25-32.</mixed-citation><mixed-citation xml:lang="en">Михин В.П., Мальцева Л.С. Влияние омакора на вариабельность сердечного ритма и ишемические изменения в миокарде у больных хронической ишемической болезнью сердца в сочетании с сахарным диабетом 2 типа // Архив внутренней медицины. - 2013. - № 1 (9). - С. 25-32.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Михин В.П., Мальцева Л.С., Громнацкий Н.И. Изменение аритмической активности у больных ИБС с нарушением ритма в сочетании с сахарным диабетом на фоне комплексной терапии Омакором // Курский научно-практический вестник «Человек и его здоровье». - 2012. - № 1. - С. 108-112.</mixed-citation><mixed-citation xml:lang="en">Михин В.П., Мальцева Л.С., Громнацкий Н.И. Изменение аритмической активности у больных ИБС с нарушением ритма в сочетании с сахарным диабетом на фоне комплексной терапии Омакором // Курский научно-практический вестник «Человек и его здоровье». - 2012. - № 1. - С. 108-112.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Моисеев С.В. n-3 Полиненасыщенные жирные кислоты: о чем свидетельствуют результаты последних мета-анализов? // Клиническая фармакология и терапия. - 2013. - № 22(1) - С. 23-28.</mixed-citation><mixed-citation xml:lang="en">Моисеев С.В. n-3 Полиненасыщенные жирные кислоты: о чем свидетельствуют результаты последних мета-анализов? // Клиническая фармакология и терапия. - 2013. - № 22(1) - С. 23-28.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Amiano P., Machón M., Dorronsoro M., Chirlaque M.D., Barricarte A., Sánchez M.J., Navarro C., Huerta J.M., Molina-Montes E., Sánchez-Cantalejo E., Urtizberea M., Arriola L., Larrañaga N., Ardanaz E., Quirós J.R., Moreno-Iribas C., González C.A. Intake of total omega-3 fatty acids, eicosapentaenoic acid and docosahexaenoic acid and risk of coronary heart disease in the Spanish EPIC cohort study // Nutrition, metabolism &amp; Cardiovascular Diseases. - 2014. - Vol. 24, N 3. - P. 321-327. - doi: 10.1016/j.numecd.2013.08.011.</mixed-citation><mixed-citation xml:lang="en">Amiano P., Machón M., Dorronsoro M., Chirlaque M.D., Barricarte A., Sánchez M.J., Navarro C., Huerta J.M., Molina-Montes E., Sánchez-Cantalejo E., Urtizberea M., Arriola L., Larrañaga N., Ardanaz E., Quirós J.R., Moreno-Iribas C., González C.A. Intake of total omega-3 fatty acids, eicosapentaenoic acid and docosahexaenoic acid and risk of coronary heart disease in the Spanish EPIC cohort study // Nutrition, metabolism &amp; Cardiovascular Diseases. - 2014. - Vol. 24, N 3. - P. 321-327. - doi: 10.1016/j.numecd.2013.08.011.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Din J.N., Archer R.M., Harding S.A., Sarma J., Lyall K., Flapan A.D., Newby D.E. Effect of ω-3 fatty acid supplementation on endothelial function, endogenous fibrinolysis and platelet activation in male cigarette smokers // Heart. - 2013. - Vol. 99, N 3. - P. 168-174. - doi: 10.1136/heartjnl-2012-302924.</mixed-citation><mixed-citation xml:lang="en">Din J.N., Archer R.M., Harding S.A., Sarma J., Lyall K., Flapan A.D., Newby D.E. Effect of ω-3 fatty acid supplementation on endothelial function, endogenous fibrinolysis and platelet activation in male cigarette smokers // Heart. - 2013. - Vol. 99, N 3. - P. 168-174. - doi: 10.1136/heartjnl-2012-302924.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">GISSI-Prevenzione investigators. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial // Lancet. - 1999. - Vol. 354, N 9177. - P. 447-455.</mixed-citation><mixed-citation xml:lang="en">GISSI-Prevenzione investigators. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial // Lancet. - 1999. - Vol. 354, N 9177. - P. 447-455.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Haberka M., Mizia-Stec K., Mizia M., Gieszczyk K., Chmiel A., Sitnik-Warchulska K., Gąsior Z. Effects of n-3 polyunsaturated fatty acids on depressive symptoms, anxiety and emotional state in patients with acute myocardial infarction // Pharmacological reports. - 2013. - Vol. 65, N 1. - P. 59-68.</mixed-citation><mixed-citation xml:lang="en">Haberka M., Mizia-Stec K., Mizia M., Gieszczyk K., Chmiel A., Sitnik-Warchulska K., Gąsior Z. Effects of n-3 polyunsaturated fatty acids on depressive symptoms, anxiety and emotional state in patients with acute myocardial infarction // Pharmacological reports. - 2013. - Vol. 65, N 1. - P. 59-68.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Khoueiry G., Abi Rafeh N., Sullivan E., Saiful F., Jaffery Z., Kenigsberg D.N., Krishnan S.C., Khanal S., Bekheit S., Kowalski M. Do omega-3 polyunsaturated fatty acids reduce risk of sudden cardiac death and ventricular arrhythmias? A meta-analysis of randomized trials. // Heart &amp; Lung. - 2013. - Vol. 42, N 4. - P. 251-256. - doi: 10.1016/j.hrtlng.2013.03.006.</mixed-citation><mixed-citation xml:lang="en">Khoueiry G., Abi Rafeh N., Sullivan E., Saiful F., Jaffery Z., Kenigsberg D.N., Krishnan S.C., Khanal S., Bekheit S., Kowalski M. Do omega-3 polyunsaturated fatty acids reduce risk of sudden cardiac death and ventricular arrhythmias? A meta-analysis of randomized trials. // Heart &amp; Lung. - 2013. - Vol. 42, N 4. - P. 251-256. - doi: 10.1016/j.hrtlng.2013.03.006.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Lown B., Wolf M. Approaches to sudden death from coronary heart disease. Circulation. - 1971. -Vol. 44, N 1. - P. 130-142.</mixed-citation><mixed-citation xml:lang="en">Lown B., Wolf M. Approaches to sudden death from coronary heart disease. Circulation. - 1971. -Vol. 44, N 1. - P. 130-142.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Tavazzi L., Maggioni A.P., Marchioli R., Barlera S., Franzosi M.G., Latini R., Lucci D., Nicolosi G.L., Porcu M., Tognoni G.; Gissi-HF Investigators. Effect of n-3 polyunsaturated fatty acids in patients with chronic heart failure (the GISSI-HF trial): a randomized double-blind, placebo-controlled trial // Lancet. - 2008. - Vol. 372, N 9645. - P. 1223-1230. - doi: 10.1016/S0140-6736(08)61239-8.</mixed-citation><mixed-citation xml:lang="en">Tavazzi L., Maggioni A.P., Marchioli R., Barlera S., Franzosi M.G., Latini R., Lucci D., Nicolosi G.L., Porcu M., Tognoni G.; Gissi-HF Investigators. Effect of n-3 polyunsaturated fatty acids in patients with chronic heart failure (the GISSI-HF trial): a randomized double-blind, placebo-controlled trial // Lancet. - 2008. - Vol. 372, N 9645. - P. 1223-1230. - doi: 10.1016/S0140-6736(08)61239-8.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Wen Y.T., Dai J.H., Gao Q. Effects of Omega-3 fatty acid on major cardiovascular events and mortality in patients with coronary heart disease: A meta-analysis of randomized controlled trials // Nutrition, metabolism &amp; Cardiovascular Diseases. - 2014. - Vol. 24, N 5. - P. 470-475. - doi: 10.1016/j.numecd.2013.12.004.</mixed-citation><mixed-citation xml:lang="en">Wen Y.T., Dai J.H., Gao Q. Effects of Omega-3 fatty acid on major cardiovascular events and mortality in patients with coronary heart disease: A meta-analysis of randomized controlled trials // Nutrition, metabolism &amp; Cardiovascular Diseases. - 2014. - Vol. 24, N 5. - P. 470-475. - doi: 10.1016/j.numecd.2013.12.004.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
