Exercise and Physical Activity for the Post-Aortic Dissection Patient: The Clinician's Conundrum

Clinical Cardiology
Ashish ChaddhaBarry A Franklin

Abstract

Despite the paucity of evidence, it is often presumed, and is physiologically plausible, that sudden, acute elevations in blood pressure may transiently increase the risk of recurrent aortic dissection (AD) or rupture in patients with a prior AD, because a post-dissection aorta is almost invariably dilated and may thus experience greater associated wall stress as compared with a nondilated aorta. Few data are available regarding the specific types and intensities of exercise that may be both safe and beneficial for this escalating patient population. The purpose of this editorial/commentary is to further explore this conundrum for clinicians caring for and counseling AD survivors. Moderate-intensity cardiovascular activity may be cardioprotective in this patient cohort. It is likely that severe physical activity restrictions may reduce functional capacity and quality of life in post-AD patients and thus be harmful, underscoring the importance of further exploring the role of physical activity and/or structured exercise in this at-risk patient population.

References

Sep 1, 1976·American Heart Journal·E D NemecJ W Kennedy
Apr 1, 1990·The Annals of Thoracic Surgery·C de VirgilioJ M Robertson
Aug 1, 1987·Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension·I W FranzR Ketelhut
Apr 21, 1982·The American Journal of Cardiology·T G PickeringJ H Laragh
Oct 28, 1998·Medicine and Science in Sports and Exercise·A C Braverman
Oct 7, 2004·The Annals of Thoracic Surgery·Seiji OnitsukaShigeaki Aoyagi
Sep 13, 2005·The Journal of Thoracic and Cardiovascular Surgery·George KoulliasJohn A Elefteriades
Jul 19, 2006·Cardiology·I HatzarasJ A Elefteriades
Jul 24, 2007·The Annals of Thoracic Surgery·Andreas ZiererMarc R Moon
Oct 24, 2007·The American Journal of Cardiology·Ioannis S HatzarasJohn A Elefteriades
Feb 25, 2009·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Sonia CoroneUNKNOWN Cardiac Rehabilitation working Group of the French Society of Cardiology
Apr 24, 2013·Hypertension·Robert D BrookUNKNOWN American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, Council on Card
May 15, 2015·The American Journal of Cardiology·Barry A FranklinHarold Friedman

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Citations

Nov 4, 2016·Scandinavian Cardiovascular Journal : SCJ·Simon FuglsangSussie Laustsen
Sep 6, 2018·BMJ Case Reports·Tim Saunders, Toru Suzuki
Sep 8, 2017·General Thoracic and Cardiovascular Surgery·Xun YuanChristoph A Nienaber
Oct 1, 2019·Interactive Cardiovascular and Thoracic Surgery·Yanjuan LinQiong Chen
Sep 4, 2019·Journal of Cardiopulmonary Rehabilitation and Prevention·Whitney E HornsbyBo Yang
Jul 11, 2020·European Journal of Preventive Cardiology·Bernhard SchwaabJean-Paul Schmid
Mar 2, 2017·Surgery Today·Ryo ItagakiHideo Adachi
Nov 7, 2017·European Heart Journal·Eduardo BossoneKim A Eagle
Oct 17, 2020·Journal of Participatory Medicine·Gunther MeinlschmidtRainer Schaefert
Feb 22, 2021·European Journal of Preventive Cardiology·Bernhard SchwaabJean-Paul Schmid
Dec 24, 2020·Nature Reviews. Cardiology·Eduardo Bossone, Kim A Eagle
May 12, 2021·Journal of Cardiac Surgery·Yasushi TashimaAtsushi Yamaguchi
May 14, 2021·Seminars in Thoracic and Cardiovascular Surgery·Emma C St PierreBo Yang
Jun 9, 2021·Seminars in Thoracic and Cardiovascular Surgery·Elizabeth L NortonWhitney E Hornsby
Oct 6, 2021·Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital·Selena R PasadynEugene H Blackstone

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