??????????? ?????? ?????? - ??????????? ??????????? ? ?????? ??????? ??????????? ????????: ???????? ??????????? ??????????

??????????? ????????? ????? (?????????) ???????????? ??????? ?? ? ?? ? ??????????? ???. ?????? ???????? ??????????? ???????? ???-, ??????????? ??????????? ?? ???????????? ? ??????? ?????? 12 ? ?? ?????? ???????????. ???????? ????? ????????? ??????????? ???????????? ?? ? ??????? ??? ??????? ???????? ST.

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????? ???????, ??????????? ? ????????? ?????????? ?????? ??????? ? ?????????? ? ??????? ????????? ? ??????? ?????, ?????? ? 15–25% ??? ??????????? ???????????? ?????????????? ???. ??????? ???? ?? ??????????? ????? ???? ????????? — ????? ??????? ? ??? ????? ????????? ????????? ? ????????????? ?? ????????????????? ?????????. ??? ?????????? ???? ???? ?????? ?????? ? ???, ?????????? ????????? ?????????? ???????? ????? ???? ????????? ??? ??? ???????????? ???????????? ? ?????????? ?????????????? ???????. ??????? ????????? ???????????? ?? ? ???? ??????? ?? ?????? ?????? ?????????????? ????????? ?????????????? ????????? ?????? ??????? ? ???.

????????????? ????? ? ??????? ? ??????? ? ???: ???? ??????????
??????? ? ???, ??????????? ? ????????? ?????????? ???????????, ???????????? ????? ?????? ???????????? ?????? ??? ?? ??????????? ??????? ? ????????? ?????????????? ???????????, ??? ? ?? ??????? ?????????? ???????????? ?? ? ????????? ?????. ???? ???????????, ??? ???????????? ? ??????? 3–18 ? ????? ??????????? ???????? ??????? ?? ?????? ? ????????? ???????? ??????? ??????????? ?????????? ? ????????? ? ?????????? ??????? ???????????. ? ???????????? ?? ???????? ??????????? ???????????? ?? ????? ???????? ??? ???????? ??????: ???????? ??????????? ????? ? ??????? ??????????? ?????.

?????? ??????? ???????????? ???????????? ?????? ?? ? ??????? ??? ??? ???????? ???????? ST. ??? ? ?????? ??????? ???? ????????, ??? ????? ???? ????????? ????????? ?????????? ?????? ????? ? ?????????????? ????? ?? ???????? ??????? ??????????? ?????????? (????????? ??????, ????????? ??), ??? ? ? ??????? ? ???????? ?? (? ???????? ???????? ST). ? ??????????? ?????????????, ??????????? ? «???????????? ???», ?????????? ??????? ???? ?????????????? ???????? ??? ????????? ????? ??? ? ???????? ????????? ? ??? ??? ??????? ???????? ST.

?????? ? 1/3 ??????? ?? ??? ???????????? ??????????? ????????, ??????? ???????? ???????? ??????? «?????????? ????????». ????? ???????, ???????????? ?? ????????, ??? ? ????? ??????? ??? ??? ???????? ???????? ST ????? ????? ???????? ????????????? ??????????? ????????? ????? ???????????? ??????, ?. ?. ???????? ??. ????? ???? ?????????? ???????????, ??? ? ???? ????????? ??-?????????? ??????? ???? ???????? ??????? ??????????? ?????????? ??????????? ????, ??? ? ??-?????????? ?????????, ? ?????? ?????? ??-?????????? ????????? ?? ??????? ?? ?????? ???????????? ??.

????? ???????? ????? «????????????» (2000) ????? ???? ????????????? ??????????? ??????? ?? ? ????????? ?????????? ????????? ?, ????????????, ???????? ??????????? ??????????? ?? ????? ???????????. ????? ?????????????? ?????? ? ????????? ????? ???? ???????????? ?????????? ???????????????? ????????? ? ????? ?????? ??????????? ??????????? ?????? ? ??? (2001–2004).

????? ???????, ????? ??????????????, ??? ????????????? ?????????????, ??????????? ? ?????? ?????????????? ???????????, ???????? ???????? ????? ?????????????? ???????, ??? ??, ??????????? ????????? ??????? ????????????? ? ?????????? ???????? ??? ? ??? ????? ????????? ????????????????? ??????? ????????? ? ?????? ? ?????????? ???????? ???????????. ??????????????, ??? ??? ????? ????????? ??? ????????????? ???????????, ? ??????? ?? ??? ??? ??????????? ??????????? ?????? ???????????????????????? ???????????? ? ??????????? ???, ?? ? ??.

??????????
Myocardial Infarction Redefined — A Consensus Document of The Joint European Society of Cardiology/American College of Cardiology Committee for the Redefinition of Myocardial Infarction (The Joint European Society of Cardiology/American College of Cardiology Committee) — J/ of Am/ College of Cardiology. 2000; v. 36, ? 3.
Management of acute coronary syndromes: acute coronary syndromes without persistent ST segment elevation. Recommendations of the Task Force on the European Society of Cardiology. — Eur. Heart J. 2000; 21 : 1406–1432.
ACC/AHA Guidelines for the Management of Patients with Unstable Angina and non-ST-Segment Elevation Myocardial Infarction. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina). JACC. 2000; 36 : 970–1062.

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