???????????? ???????? ?????? ????? ?? ?????????? ????????????? ???? ?? ??? ??, ???? ???? ???????? "????? ???" ?? "????? ????????????????? ?????" ??? ?????? ?? ??? ??. ? ???????? ??????????? ???, ????? ??????-?????? ??? ???????? ??? ????, ???? ???????? ???-?????? ?????????? ???? ??? ??? ????? ???? ????? ????????? "??? ?????" ?? ?????????? ??????? ?? ?????? ??. ? ?????????? ?????? ???? ????? ???? ??? ???????? ???? ???? ??:

?

?, ????? ?????? ??: ?????????? ???? ???????? ????????? ?????? ????? ??????

???????? ???????? ??????????? ('????' ??????):

?

????????? ??????????? ????? ???: ?????????????????????? ? ??? ??? ?????????????, ??? ?? ??????????????????? ???????? ???? ???? ???????? ??. ???????? ?????????/??????????? ??? ????????? ??????????? ?????????? ? ????????? ????? ????? ???? ??. ????????????????? ???? ???????? ??????????? ???????? ????????? ???? ????? ??? ??, ??????????? ???? ??? ??? ??????? ??? ????????? ?????????? ??? ??? ??, ?? ?????????????????? ?????? ???? ??.

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

???????? ??????: ??????????? ??? ???? ??????? ??? ???????? ??????.

????????????? ????: ????????????? ???? ??? ?? ??? ????? ???????? ??? ??? ??.

?????????????? ???????? ??????: ????? ?????? ????? ????? ??? ??? ?????????? ??????.

?????????? ?????????? ?????????? ???: ????????????, ????????, ???????? ???? ?????, ???? ?????? ??????.

????????????????? ????? ??: ????-???????????? ????????????? ????????? ?????? ??.

? ?????? ????? ??? ?? ?? ?? ???? ????????? ???? ???? ????? ???????? ???? "????????? ????????? ??? ?????? ???????" ?? ????? ?????? ???? ????.

????-???????????? ??????-?????? ????????? ???? ("?????" ?? ??? ??????):

????? ???????? ??????? (AIS):

ICTUS ?????? (2012): ???????? ????? ????? ????????? ???? ????, ?????????????? ???????? (??????? ????? ???????, ????????? ??????) ? ????????? ????? ?????????, ?? ????? ?? ?? ???????? ??? ??? ????? ?????? ?????????? ??.

ECCO 2 ?????? (2023): ???? ???????? ???? RCT ??? ??????? ????? (3947 AIS ???????? ?????? ??? ??). ??????? ??????? ?? ?? ??????????? ?????????????? ???/???? ??????????????? ???????? ?????, 14 ???? ???? ???????????????????? ????????? (????? ??? 24 ?????? ????) ????? ??????? 90 ?????? ?????????? ?????????? (mRS 0-1) (43.5% ??????? 40.0%) ?? ????????? ????????? ????? ???, ??? ?????? ???? ???. ????????? ?????????? ??????? ????? ???? ???????????? ????? ?????? ???. ?

?????? ????-????????: ???????????? ??????? ??? ????? ???? ?????????? ?????? ??????? ???? ??????????? ?????? ??? ??, ??? ????? ??????? ????????? (

??????? ????? ??? (TBI):

??????? ??????: ??????? ?????????? ??, ????? ?????????? ???????? ????? ?? ?? ?????? ???????? (??????? ????? TBI) ??? ??? ??.

???????? ????????? ?????? ??? ????-????????: ?????? ???????? ?????????? ?? ?? ?? TBI ????????? ???????????? ??????? ??? ????? ??????????????? ?????? ??? ??? ??.

??????????????? ???? (??????? ????):

?????????? ????????? ?????????? (VCI)/?????????? ?????????? (VaD): ???????? ?????????? ?? ?? ?? ?????????? ????? (?????, ???, ????????) ?? ?????? ??? ??.

???????? ??? (AD)/?????????? ??? (PD): ?????? ??? ?????? ?????? ?????, ?????? ???? ???? ??????? ?????????? ??? ????????? ?????? ????? ??.

???????? ??? ??????????? ??? ???? ???? ??????????? ????? ????????? ?? ????????????????? ?????? ???? ??? ??.

2, ?????? ?????????? ????? ??????: "?????" ?? "?????" ????

???????? ????? ??? ?????? ("?????? ???? ??????" ?? ????? ?????????):

?

?????????????????? ???? '?????????' ??. ????? ??? (??? ?? ???????, ??????) ???, ??? ?????????? ??????? ???? ???????? ??? ????? ??? ??? ??? ??.

???????????????????? ?????? ?????? ?????? ????? ??? ?? ?? ???? ????? ????? ??????? ????????????? ??? ? ????????? ????????? (??? ?? ??????? ??? ??? ??? 24 ?????? ????, ?????? ?????? ?????? ?????) ????? ??????? ??????? ???? ??? ??????? ???????? ???? ??????? ???? ????? ?????? ?? ???? ???????? ???? ???? ??? ????. ? "???????? ????? ???" ?? ???????? ???????? ?????????? ??? ??.

ECCO 2 ???????? ????? ????????? ????? ????? ??????????? ?????? ?? ?????? ??.

?????? ???????????? ????? ????? (?????????? ?????? ???? ???????):

?

????? ???????? ????????? ?????? ????????? ??????: ????????? ?????? ?????????? ???????????? (??????????????, ??????????????) ??, ????? ???????? ????????? ????????? ???????????? ??? ?? ???? ????????? ??? ?? (?????????? ???, ??? ?????? ????, ?????).

?????????????????? (??? ????? ????? ?????, ?????????????, ?????-??????????) ?? ????????????????? ???????? ?????????? ?????? ???? ???? ??? ???????? ?? ??? ??, ?????????? ??? ????? ?? ??? ?????????? ??? ????? ???????? ????? ??? ??.

ECCO 2 ??????? "?????????? ?????????????+" ???????????? ????? ????????????????? ??? ????? ???? ??????? ?????? ??? ??, ??? ?? ???? ???????? ????? ????? ???.

??????? ????????? ???????????? (????????????? ????????):

?

????? ???????????????????? ??????????? ??? ??? ?? (

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

"?????" ?????? ?????? ???????? ??????????? ????? ????????? ????? ???? ????? ??? ????????? ????? ???? ???.

?, ????????????/???????? ????? (????????? ?????? ??????????? ??? ??)

???:

"?????? ??????? ?????? ??? ?????? ?????? ????????????" ??? ???? ?????????? ???? ????????????????? ??? ??????? ??.

ECCO 2 ???????? ????????? ????????? ?????, ??? ??????? ???????? ??? ?? ?? ????????? ?????? ???????????????? ?????????????????? (??? ????? ????? ????????? ???????? ?????? ????? ????????????) ?? ????? ???? ??? ?????? ????????? ???? ??????? ???.

?????????????:

???????? ?????????? AHA/ASA ???????????? ??? ???? ????????? ????? ??????? ??? ???, ????? ?? ????????????????? ?????? ?? ?????? ???? ?????? ??.

?????? ???????? ?????? ??????????????? ?????????????????? (??? ?? ?????, ????????)??? ??? ????????? ????????? ??.

4, ???????? ????????? ?????????????????? ?????

???????? ??????? ????? ???: ????? ????? ????? ????????? ?????????? ????????????? ?????? ? ?????????? ????? ???????????????? ??.

?????? ??????? ????????? ???: ???????/?????? ??? ???? ?????? ???-?????/????? ????????? ???? ?????? (??? ?? ??????????????/??????????????) ????? ?????????????????? (???????????) ?? ????? ?????? ??????? ?????????? ???.

??????? ???????????? ??????: ????????? ??? ??????? ???????????????? ??????, ????? ????? ??????? ???????? ????? ??????? ?? ??? ?????????? ???????????? ??????? ??? ?????? ????? ??? ?????? ???????? ??????? ??.

?????? ??? ????? ?????? ?????????? ???: ??? ????-???????????? ???????? ????????? ?????????? ??? ??? ????? ???????????????? ???? ??? ??? ????? ?????????? ??????? ???.

?????? ??? ??????

????????????????????? "????? ???" ?? "????? ????????????????? ?????" ??? ??????? ? ?????? ??????, ???????? ?????????? ????? (??? ????? ECCO 2 ??????) ??? ??????? ?????? ????????? ?????? ??. ???? ??? ??? ???? ????? ??:

?

????????? ?????????: ?????? ???? ????? ??????? ??????????? ??? ??? ?? ?????? ?????? ??? (????? ??????/???????? ????????? ??????) ??????? ??? ?? ??? ????.

????? ??????????: ????? ????????? ????? ???? ????????? ????? ??? ??, ????? ????? ????? ? ????? ?????????? ?????? ????? ?????? ????? ????? ??.

???????? ?????????????? ?????: ?????????? ???????????? ?????? (???????) ???? ?????? ?????? (??????) ?? ????? ?????????????????? ???????? ????? ??? ?????, ?? ??????? ???? ???.

? ???????? ???????????? ?????? ?????????, ??? ????? ????? ???????? ????????? ?????? ?????????, ???????????????????? ??????? ??? ??? ??? ?????? ??????? ??. "?????????? ?????????? ?????? + ??? ????????????????" ??????????? ?? ?????????? ??? ?????, ?? ????? ??? ????? ??????-?????? ?????? ??? ???????? ??????? ????? ?????? ??. ?????????, ??? ????-???????????? ?????? ??? ?????????????? ????????? ????? ????, ???? ????? ?????? ??? ?????? ???.