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<article 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" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1606</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2025-33-2-263-272</article-id><article-categories><subj-group subj-group-type="heading"><subject>Неопределен</subject></subj-group></article-categories><title-group><article-title>The development of model of prognostication and minimization of risk of by-effects under combined application of agents for treatment of chronic cardiac deficiency using AI</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Kuropatkina</surname><given-names>T A</given-names></name><email>0sylphide0@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sivakova</surname><given-names>T V</given-names></name><email>sivakova15@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shegai</surname><given-names>M M</given-names></name><email>Mshegai@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Orlov</surname><given-names>Yu N</given-names></name><email>orlmath@keldysh.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shimanovskii</surname><given-names>N L</given-names></name><email>shimannn@yandex.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff id="aff-1">The Federal State Budget Educational Institution of Higher Education “The G. V. Plekhanov Russian Economic University”, 115054, Moscow, Russia</aff><aff id="aff-2">The Federal State Institution “The M. V. Keldysh Federal Research Center the Institute of Applied Mathematics of the Russian Academy of Sciences”, 125047, Moscow, Russia</aff><aff id="aff-3">N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia</aff><aff id="aff-4">The Federal State Budget Educational Institution of Higher Education “N. I. Pirogov Russian National Research Medical University” of Minzdrav of Russia, 117997, Moscow, Russia</aff><pub-date date-type="epub" iso-8601-date="2025-04-29" publication-format="electronic"><day>29</day><month>04</month><year>2025</year></pub-date><volume>33</volume><issue>2</issue><history><pub-date date-type="received" iso-8601-date="2025-05-10"><day>10</day><month>05</month><year>2025</year></pub-date><pub-date date-type="accepted" iso-8601-date="2025-05-10"><day>10</day><month>05</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>&lt;p&gt;The chronic cardiac deficiency continues to be one of the leading health care problems requiring innovative solutions. The article presents mathematical algorithm to evaluate drug interactions and targeted to minimize side effects and to optimize chronic cardiac deficiency therapy. The mathematical model, elaborated using AI, is based on analysis of fully connected sub-graphs and ranking of side effects of combined application of medications. This approach permits to implement optimal selection of the safest and most effective combinations of medications. This is particularly important with regard for co-morbid conditions when patients take simultaneously several different medications. The proposed approach can significantly improve risk prediction and favor more precise selection of combined therapy. The algorithm surmises necessity for further extension and specification of model, including consideration of wider spectrum of medications and mechanism of their interaction. In the context of rapidly advancing digital medicine, models based on mathematical algorithms and machine learning can complement systems of clinical decision support. These models also can become valuable tool improving treatment of various diseases, especially in co-morbid conditions opening new horizons in medical practice.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>chronic cardiac deficiency</kwd><kwd>co-morbidity</kwd><kwd>side effects</kwd><kwd>interaction</kwd><kwd>medication</kwd><kwd>combined therapy</kwd><kwd>risk prediction</kwd><kwd>mathematical model</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>хроническая сердечная недостаточность</kwd><kwd>коморбидность</kwd><kwd>побочные эффекты</kwd><kwd>лекарственное взаимодействие</kwd><kwd>комбинированная терапия</kwd><kwd>прогнозирование рисков</kwd><kwd>математическая модель</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Correction to: 2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. 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