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Exercise and Physical Activity for the Post–Aortic Dissection Patient: The Clinician's Conundrum
dc.contributor.authorChaddha, Ashishen_US
dc.contributor.authorEagle, Kim A.en_US
dc.contributor.authorBraverman, Alan C.en_US
dc.contributor.authorKline‐rogers, Evaen_US
dc.contributor.authorHirsch, Alan T.en_US
dc.contributor.authorBrook, Roberten_US
dc.contributor.authorJackson, Elizabeth A.en_US
dc.contributor.authorWoznicki, Elise M.en_US
dc.contributor.authorHousholder‐hughes, Susanen_US
dc.contributor.authorPitler, Lindaen_US
dc.contributor.authorFranklin, Barry A.en_US
dc.date.accessioned2015-12-03T15:04:10Z
dc.date.available2017-01-03T16:21:17Zen
dc.date.issued2015-11en_US
dc.identifier.citationChaddha, Ashish; Eagle, Kim A.; Braverman, Alan C.; Kline‐rogers, Eva ; Hirsch, Alan T.; Brook, Robert; Jackson, Elizabeth A.; Woznicki, Elise M.; Housholder‐hughes, Susan ; Pitler, Linda; Franklin, Barry A. (2015). "Exercise and Physical Activity for the Postâ Aortic Dissection Patient: The Clinician's Conundrum." Clinical Cardiology 38(11): 647-651.en_US
dc.identifier.issn0160-9289en_US
dc.identifier.issn1932-8737en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/116077
dc.description.abstractDespite 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.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.titleExercise and Physical Activity for the Post–Aortic Dissection Patient: The Clinician's Conundrumen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelInternal Medicine and Specialitiesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/116077/1/clc22481_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/116077/2/clc22481.pdf
dc.identifier.doi10.1002/clc.22481en_US
dc.identifier.sourceClinical Cardiologyen_US
dc.identifier.citedreferenceLund‐Johansen P. Blood pressure and heart rate responses during physical stress in hypertension: modifications by drug treatment. Eur Heart J. 1999; 1 ( suppl B ): B10 – B17.en_US
dc.identifier.citedreferenceKoullias G, Modak R, Tranquilli M, et al. Mechanical deterioration underlies malignant behavior of aneurysmal human ascending aorta. J Thorac Cardiovasc Surg. 2005; 130: 677 – 683.en_US
dc.identifier.citedreferenceBraverman AC. Exercise and the Marfan syndrome. Med Sci Sports Exerc. 1998; 30 ( 10 suppl ): S387 – S395.en_US
dc.identifier.citedreferenceCorone S, Iliou MC, Pierre B, et al; Cardiac Rehabilitation Working Group of the French Society of Cardiology. French registry of cases of type I acute aortic dissection admitted to a cardiac rehabilitation center after surgery. Eur J Cardiovasc Prev Rehabil. 2009; 16: 91 – 95.en_US
dc.identifier.citedreferenceMayerick C, Carré F, Elefteriades J. Aortic dissection and sport: physiologic and clinical understanding provide an opportunity to save young lives. J Cardiovasc Surg (Torino). 2010; 51: 669 – 681.en_US
dc.identifier.citedreferenceBrook RD, Appel LJ, Rubenfire M, et al; American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, and Council on Nutrition, Physical Activity. Beyond medications and diet: alternative approaches to lowering blood pressure: a scientific statement from the American Heart Association. Hypertension. 2013; 61: 1360 – 1383.en_US
dc.identifier.citedreferenceAlbrecht F, Eckstein F, Matt P. Is close radiographic and clinical control after repair of acute type A aortic dissection really necessary for improved long‐term survival? Interact Cardiovasc Thorac Surgery. 2010; 11: 620 – 625.en_US
dc.identifier.citedreferenceMelby SJ, Zierer A, Damiano RJ Jr, et al. Importance of blood pressure control after repair of acute type A aortic dissection: 25‐year follow‐up in 252 patients. J Clin Hypertens (Greenwich). 2013; 15: 63 – 68.en_US
dc.identifier.citedreferenceZierer A, Voeller RK, Hill KE, et al. Aortic enlargement and late reoperation after repair of acute type A aortic dissection. Ann Thorac Surg. 2007; 84: 479 – 487.en_US
dc.identifier.citedreferencePalmieri V, Bella JN, Arnett DK, et al. Aortic root dilatation at sinuses of Valsalva and aortic regurgitation in hypertensive and normotensive subjects: the Hypertension Genetic Epidemiology Network Study. Hypertension. 2001; 37: 1229 – 1235.en_US
dc.identifier.citedreferenceOnitsuka S, Akashi H, Tayama K, et al. Long‐term outcome and prognostic predictors of medically treated acute type B aortic dissections. Ann Thorac Surg. 2004; 78: 1268 – 1273.en_US
dc.identifier.citedreferenceAmerican College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998; 30: 975 – 991.en_US
dc.identifier.citedreferenceNemec ED, Mansfield L, Kennedy JW. Heart rate and blood pressure responses during sexual activity in normal males. Am Heart J. 1976; 92: 274 – 277.en_US
dc.identifier.citedreferencePickering TG, Case DB, Sullivan PA, et al. Comparison of antihypertensive and hormonal effects of captopril and propranolol at rest and during exercise. Am J Cardiol. 1982; 49: 1566 – 1568.en_US
dc.identifier.citedreferenceLund‐Johansen P, Omvik P. Long‐term haemodynamic effects of enalapril (alone and in combination with hydrochlorothiazide) at rest and during exercise in essential hypertension. J Hypertens Suppl. 1984; 2: S49 – S56.en_US
dc.identifier.citedreferenceEkelund LG, Ekelund C, Rössner S. Antihypertensive effects at rest and during exercise of a calcium blocker, nifedipine, alone and in combination with metoprolol. Acta Med Scand. 1982; 212: 71 – 75.en_US
dc.identifier.citedreferenceVirtanen K, Jänne J, Frick MH. Response of blood pressure and plasma norepinephrine to propranolol, metoprolol and clonidine during isometric and dynamic exercise in hypertensive patients. Eur J Clin Pharmacol. 1982; 21: 275 – 279.en_US
dc.identifier.citedreferenceSklar J, Johnston GD, Overlie P, et al. The effects of a cardioselective (metoprolol) and a nonselective (propranolol) β‐adrenergic blocker on the response to dynamic exercise in normal men. Circulation. 1982; 65: 894 – 899.en_US
dc.identifier.citedreferenceCrawford MH, Lindenfeld J, O'Rourke RA. Effects of oral propranolol on left ventricular size and performance during exercise and acute pressure loading. Circulation. 1980; 61: 549 – 554.en_US
dc.identifier.citedreferenceKoch G. Haemodynamic adaptation at rest and during exercise to long‐term antihypertensive treatment with combined α‐ and β‐adrenoreceptor blockade by labetalol. Br Heart J. 1979; 41: 192 – 198.en_US
dc.identifier.citedreferenceJohnsson G. Influence of metoprolol and propranolol on hemodynamic effects induced by adrenaline and physical work. Acta Pharmacol Toxicol (Copenh). 1975; 36 ( suppl 5 ): 59 – 68.en_US
dc.identifier.citedreferenceFranz IW, Behr U, Ketelhut R. Resting and exercise blood pressure with atenolol, enalapril and a low‐dose combination. J Hypertens Suppl. 1987; 5: S37 – S41.en_US
dc.identifier.citedreferenceLo AX, Donnelly JP, McGwin G Jr, et al. Impact of gait speed and instrumental activities of daily living on all‐cause mortality in adults ≥65 years with heart failure. Am J Cardiol. 2015; 115: 797 – 801.en_US
dc.identifier.citedreferenceFranklin BA, Brinks J, Sacks R, et al. Reduced walking speed and distance as harbingers of the approaching Grim Reaper. Am J Cardiol. 2015; 116: 313 – 317.en_US
dc.identifier.citedreferenceTsai TT, Evangelista A, Nienaber CA, et al; International Registry of Acute Aortic Dissection (IRAD). Long‐term survival in patients presenting with type a acute aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 2006; 114 ( 1 suppl ): I350 – I356.en_US
dc.identifier.citedreferencede Virgilio C, Nelson RJ, Milliken J, et al. Ascending aortic dissection in weight lifters with cystic medial degeneration. Ann Thorac Surg. 1990; 49: 638 – 642.en_US
dc.identifier.citedreferenceHatzaras I, Tranquilli M, Coady M, et al. Weight lifting and aortic dissection: more evidence for a connection. Cardiology. 2007; 107: 103 – 106.en_US
dc.identifier.citedreferenceHatzaras IS, Bible JE, Koullias GJ, et al. Role of exertion or emotion as inciting events for acute aortic dissection. Am J Cardiol. 2007; 100: 1470 – 1472.en_US
dc.identifier.citedreferenceRagucci MV, Thistle HG. Weight lifting and type II aortic dissection: a case report. J Sports Med Phys Fitness. 2004; 44: 424 – 427.en_US
dc.identifier.citedreferenceSchor JS, Horowitz MD, Livingstone AS. Recreational weight lifting and aortic dissection: case report. J Vasc Surg. 1993; 17: 774 – 776.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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