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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">emcardio</journal-id><journal-title-group><journal-title xml:lang="ru">Неотложная кардиология и кардиоваскулярные риски</journal-title><trans-title-group xml:lang="en"><trans-title>Emergency Cardiology and Cardiovascular Risks journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2616-633X</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51922/2616-633X.2026.10.1.2843</article-id><article-id custom-type="elpub" pub-id-type="custom">emcardio-349</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>ИНТЕРЕСНЫЙ КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>AN INTERESTING CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Экстремальная гипертриглицеридемия у пациентки с дебютом сахарного диабета: клинический случай</article-title><trans-title-group xml:lang="en"><trans-title>Extreme hypertriglyceridemia in a patient with the onset of diabetes mellitus: clinical case</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>Макарцова</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Makartsova</surname><given-names>T. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.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>Сурмач</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Surmach</surname><given-names>K. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.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>Голышко</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Halyshka</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.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>Фролов</surname><given-names>В. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Frolov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.ru</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>Синкевич</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sinkevich</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.ru</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>Балюк</surname><given-names>П. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Baluk</surname><given-names>P. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.ru</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>Кныш</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Knysh</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гродно</p></bio><email xlink:type="simple">tatibo1@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>УО «Гродненский государственный медицинский университет»</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>Grodno State Medical University</institution><country>Belarus</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>УЗ «Городская клиническая больница № 3»</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>Grodno Clinical Hospital No. 3</institution><country>Belarus</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>21</day><month>07</month><year>2026</year></pub-date><volume>10</volume><issue>1</issue><fpage>2843</fpage><lpage>2848</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Макарцова Т.И., Сурмач Е.М., Голышко В.С., Фролов В.A., Синкевич И.А., Балюк П.В., Кныш А.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Макарцова Т.И., Сурмач Е.М., Голышко В.С., Фролов В.A., Синкевич И.А., Балюк П.В., Кныш А.В.</copyright-holder><copyright-holder xml:lang="en">Makartsova T.I., Surmach K.M., Halyshka V.S., Frolov V.A., Sinkevich I.A., Baluk P.V., Knysh A.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://emcardio.bsmu.by/jour/article/view/349">https://emcardio.bsmu.by/jour/article/view/349</self-uri><abstract><p>Высокая распространённость ожирения и сахарного диабета в рамках метаболического синдрома открывает перед нами новые вызовы – повышение триглицеридов, повышение холестерина, не-липопротеинов высокой плотности, липопротеинов (а), что приводит к росту атеросклеротических сердечно-сосудистых заболеваний. Экстремально высокая гипертриглицеридемия выявляется редко, манифестирует у пациентов с сахарным диабетом в виде таких осложнений, как острый панкреатит. В статье представлен клинический случай 42-летней женщины с сахарным диабетом 2 типа, диагностированным впервые, ассоциированным с экстремальной гипертриглицеридемией, обсуждена тактика ведения, терапия.</p></abstract><trans-abstract xml:lang="en"><p>The high prevalence of obesity and diabetes mellitus within the framework of metabolic syndrome opens up new challenges for us – increased triglycerides, elevated non-HDL cholesterol and Lp(a), this leading to an increase in atherosclerotic cardiovascular diseases. Extremely high hypertriglyceridemia is rarely detected, and it manifests in patients with diabetes mellitus in the form of complications such as acute pancreatitis. The article presents a clinical case of a 42-year-old woman with newly diagnosed type 2 diabetes associated with extreme hypertriglyceridemia, management and therapy having been discussed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дислипидемия</kwd><kwd>гипертриглицеридемия</kwd><kwd>липопротеин (а)</kwd><kwd>сердечно-сосудистый риск</kwd><kwd>липидснижающая терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dyslipidemia</kwd><kwd>hypertriglyceridemia</kwd><kwd>lipoprotein (a)</kwd><kwd>cardio-vascular risk</kwd><kwd>lipid lowering treatment</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">2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk: The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS) / F. 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