{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:38:29Z","timestamp":1790073509050,"version":"4.0.1"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,11,20]],"date-time":"2015-11-20T00:00:00Z","timestamp":1447977600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Currently no research exists assessing lifestyle modifications and emotional state of acute aortic dissection (AAD) survivors. We sought to assess activity, mental health, and sexual function in AAD survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Physical and sexual activity will decrease in AAD survivors compared to pre\u2010dissection. Incidence of anxiety and depression will be significant after AAD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross sectional survey was mailed to 197 subjects from a single academic medical center (part of larger IRAD database). Subjects were \u226518 years of age surviving a type A or B AAD between 1996 and 2011. 82 surveys were returned (overall response rate 42%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age \u00b1 SD was 59.5 \u00b1 13.7 years, with 54.9% type A and 43.9% type B patients. Walking remained the most prevalent form of physical activity (49 (60%) pre\u2010dissection and 47 (57%) post\u2010dissection). Physical inactivity increased from 14 (17%) before AAD to 20 (24%) after AAD; sexual activity decreased from 31 (38%) to 9 (11%) mostly due to fear. Most patients (66.7%) were not exerting themselves physically or emotionally at AAD onset. Systolic blood pressure (SBP) at 36 months post\u2010discharge for patients engaging in \u22652 sessions of aerobic activity\/week was 126.67 \u00b1 10.30 vs. 141.10 \u00b1 11.87 (<jats:italic>p<\/jats:italic>\u2010value 0.012) in those who did not. Self\u2010reported new\u2010onset depression after AAD was 32% and also 32% for new\u2010onset anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Alterations in lifestyle and emotional state are frequent in AAD survivors. Clinicians should screen for unfounded fears or beliefs after dissection that may reduce function and\/or quality of life for AAD survivors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.22418","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T17:14:49Z","timestamp":1450718089000},"page":"652-659","source":"Crossref","is-referenced-by-count":94,"title":["Survivors of Aortic Dissection: Activity, Mental Health, and Sexual Function"],"prefix":"10.1002","volume":"38","author":[{"given":"Ashish","family":"Chaddha","sequence":"first","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Kline\u2010Rogers","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan C.","family":"Braverman","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Washington University  St. Louis Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven R.","family":"Erickson","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry A.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise M.","family":"Woznicki","sequence":"additional","affiliation":[{"name":"Preventive Cardiology and Cardiology and Cardiac Rehabilitation, William Beaumont Hospital  Royal Oak Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin T.","family":"Jabara","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel G.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim A.","family":"Eagle","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor 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