Exercise and physical activity for the post-aortic dissection patient: The clinician's conundrum

Ashish Chaddha, Kim A. Eagle, Alan C. Braverman, Eva Kline-Rogers, Alan T. Hirsch, Robert Brook, Elizabeth A. Jackson, Elise M. Woznicki, Susan Housholder-Hughes, Linda Pitler, Barry A. Franklin

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

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.

Original languageEnglish
Pages (from-to)647-651
Number of pages5
JournalClinical Cardiology
Volume38
Issue number11
DOIs
StatePublished - Nov 1 2015

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