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

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 in...

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Published in:Clinical cardiology (Mahwah, N.J.) N.J.), 2015-11, Vol.38 (11), p.647-651
Main Authors: Chaddha, 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.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - mortality
Aneurysm, Dissecting - physiopathology
Aneurysm, Dissecting - surgery
Aortic Aneurysm - diagnosis
Aortic Aneurysm - mortality
Aortic Aneurysm - physiopathology
Aortic Aneurysm - surgery
Arterial Pressure
Commentaries
Coronary vessels
Dissection
Exercise
Female
Health risk assessment
Heart Rate
Humans
Life Style
Male
Middle Aged
Motor Activity
Physical fitness
Quality of Life
Recurrence
Risk Factors
Risk Reduction Behavior
Treatment Outcome
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Summary: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.
ISSN:0160-9289
1932-8737
DOI:10.1002/clc.22481