1. From Court to Couch: Exercise and Quality of Life after Acute Type A Aortic Dissection
- Author
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Dermot Phelan, Amanda Artis, Eugene H. Blackstone, Selena R. Pasadyn, Cassandra L. Pasadyn, and Eric E. Roselli
- Subjects
Aortic dissection ,medicine.medical_specialty ,Rehabilitation ,business.industry ,medicine.medical_treatment ,MEDLINE ,athletics ,physical activity ,thoracic aortic disease ,Dissection (medical) ,medicine.disease ,cardiac rehabilitation ,Posttraumatic stress ,McNemar's test ,Quality of life ,Acute type ,medicine ,Physical therapy ,Radiology, Nuclear Medicine and imaging ,Surgery ,Original Research Article ,Cardiology and Cardiovascular Medicine ,business ,cardiac surgery - Abstract
Background Acute Type A aortic dissection can be physically and mentally stressful with little known about survivors' postrepair activity levels, exercise habits, and quality of life (QOL). This study was aimed to describe pre- and postdissection changes regarding exercise, understand physician recommendations, quantify use of cardiac rehabilitation, and assess QOL in dissection survivors. Methods A total of 295 acute Type A aortic dissection survivors were surveyed about exercise, cardiac rehabilitation, QOL, sexual activity, and posttraumatic stress disorder (PTSD) with 137 (46%) respondents. Results Respondents were less likely to participate in competitive athletics after than before dissection (1/131 [0.76%] vs. 26/131 [20%], p [McNemar test] Conclusion Physicians should prescribe cardiac rehabilitation, encourage appropriate exercise, promote resumption of sexual activity, and identify and treat PTSD after surgery for acute Type A aortic dissection.
- Published
- 2021
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