Aortic valve disease in the nosological structure of disability in the adult population due to the class of diseases of the circulatory system

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  • Authors: Gulua I.G.1, Lyalina I.V.2, Grechko A.V.3, Shurgaya M.A.1, Bogova O.T.1, Puzin S.N.1,3,4
  • Affiliations:
    1. FBSEI of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
    2. FKUZ Main Clinical Center for Medical and Social Rehabilitation of the Federal Penitentiary Service
    3. Federal Scientific and Clinical Center of Resuscitation and Rehabilitation" of the Ministry of Education and Science of Russia
    4. Federal State Autonomous Educational Institution of Higher Education First Moscow State Medical University named after. I.M. Sechenov Ministry of Health of Russia (Sechenov University)
  • Issue: Vol 18, No 1 (2025)
  • Pages: 47-59
  • Section: The questions of organization of medical-social expertise and complex rehabilitation
  • Submitted: 14.09.2025
  • URL: https://jdigitaldiagnostics.com/1999-2351/article/view/690354
  • DOI: https://doi.org/10.63839/19992351-05
  • ID: 690354

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Abstract

The article is devoted to the problem of disability of the adult population due to aortic valve disease. The results of the study are presented, which revealed the trends in the dynamics, age and gender characteristics of disability due to rheumatic disease of the aortic valve and its non-rheumatic lesion in the adult population of Moscow in the period 2017-2023. It is demonstrated that non-rheumatic genesis of persistent health disorders, in particular, aortic valve stenosis prevails, and age older than the working age is a risk factor for disability due to this pathology.

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About the authors

Inga G. Gulua

FBSEI of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation

Email: igulua@mail.ru

doctor of medical and social expertise, Applicant of the Department of Geriatrics and Medical and Social Expertise

Russian Federation, Barrikadnaya st., 2/1, Moscow, 125993

Inna V. Lyalina

FKUZ Main Clinical Center for Medical and Social Rehabilitation of the Federal Penitentiary Service

Email: inna-lyalina@yandex.ru
ORCID iD: 0000-0001-5332-4701

Colonel of the Internal Service-Director

Russian Federation, Moscow 109428

Andrey V. Grechko

Federal Scientific and Clinical Center of Resuscitation and Rehabilitation" of the Ministry of Education and Science of Russia

Email: fnkcrr@fnkcrr.ru
ORCID iD: 0000-0003-3318-796X

Doctor of Medical Sciences, Professor, corresponding Member of the Russian Academy of Sciences, Head

Russian Federation, 777 Lytkino, Solnechnogorsky district, Moscow oblast, 141534

Marina A. Shurgaya

FBSEI of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: daremar@mail.ru
ORCID iD: 0000-0003-3856-893X
SPIN-code: 4521-0147
Scopus Author ID: 6506404257
ResearcherId: А-5716- 2019

Dr. Sc. (Medicine), Professor of Department of Geriatrics and Medical and Social Expertise

Russian Federation, Barrikadnaya st., 2/1, Moscow, 125993

Olga T. Bogova

FBSEI of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation

Email: bogova.olga@yandex.ru
ORCID iD: 0000-0001-5406-7225
SPIN-code: 6116-0120
Scopus Author ID: 57204687262
ResearcherId: F-6450-2019

Dr. Sc. (Medicine), Professor of Department of Geriatrics and Medical and Social Expertise

Russian Federation, Barrikadnaya st., 2/1, Moscow, 125993

Sergey N. Puzin

FBSEI of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation; Federal Scientific and Clinical Center of Resuscitation and Rehabilitation" of the Ministry of Education and Science of Russia; Federal State Autonomous Educational Institution of Higher Education First Moscow State Medical University named after. I.M. Sechenov Ministry of Health of Russia (Sechenov University)

Email: s.puzin2012@yandex.ru
ORCID iD: 0000-0003-1030-8319

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, Honored Doctor of the Russian Federation, Winner of the Government of the Russian Federation Prize in Science and Technology 2023, Deputy Director for Science of the Federal State Budgetary Budgetary Institution "Federal Scientific and Clinical Center for Intensive Care and Rehabilitation"; Head of the Department of Geriatrics and Medical and Social Expertise of the Federal State Budgetary Educational Institution "Russian Medical Academy of Continuing Professional Education" of the Ministry of Health of the Russian Federation, Professor of the Department of Sports Medicine and Medical Rehabilitation at the N.V. Sklifosovsky Institute of Clinical Medicine of the Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Russian Federation, Barrikadnaya st., 2/1, Moscow, 125993; 777 Lytkino, Solnechnogorsky district, Moscow oblast, 141534; Moscow

References

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  6. Puzin S.N., Shurgaya M.A., Memetov S.S., Achkasov E.E., Pogosyan G.E., Lyalina I.V., Omarov S.A., Puzin S.S., Gigineishvili D.N. "Disability in the XXI century. The state of the problem of medical and social rehabilitation and habilitation of disabled people in modern Russia" // J. Medical and social examination and rehabilitation. 2018. Vol. 21. № 1-2. P. 10-17. (in Russ.).
  7. Puzin S.N., Yakovlev A.A., Lyalina I.V., Shurgaya M.A., Sharikadze D.T. "Primary disability of the adult population due to diseases of the circulatory system" // Siberian Journal of Life Sciences and Agriculture. 2021. Vol. 13. № 5. P. 205-225. (in Russ.).
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  9. Shurgaya M.A. "Disability of elderly citizens in the Russian Federation" // Healthcare of the Russian Federation. 2017. Vol. 61. № 6. P. 2929-299. COVID-19: Clinical management. WHO. 25.01.2021. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-clinical-1. (in Russ.).
  10. Gleason T., Reardon M., Popma J., et al. "Pivotal high risk trial clinical investigators. 5-year outcomes of self-expanding transcatheter versus surgical aortic valve replacement in high-risk patients" // J Am Coll Cardiol. 2018. Vol. 72. P. 2687-2696.
  11. Iunga B., Baronb G., Butchart E. G. et al. "A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease" // Europ. Heart J. 2003. Vol. 24. P. 1231-1243.
  12. Salaun E., Mahjoub H., Dahou A., Mathieu P. et al. "Hemodynamic deterioration of surgically implanted bioprosthetic aortic valves" // JACC. 2018. Vol. 72. P. 241-51.

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Spectrum of leading “other” nosological forms of CSC that form primary disability due to this class of diseases (%)

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3. Fig. 2. Contingents of VPI due to rheumatic disease of the aortic valve and its non-rheumatic lesions. Distribution by gender (%).

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4. Fig. 3. Nosological structure of disability due to aortic valve disease: A – VPI due to rheumatic disease of the aortic valve; B – VPI due to non-rheumatic damage to the aortic valve (%).

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