{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:24:22Z","timestamp":1790342662108,"version":"4.1.0"},"reference-count":30,"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:p>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 (<jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>) or rupture in patients with a prior <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content>, because a post\u2010dissection 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 <jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content> survivors. Moderate\u2010intensity 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\u2010<jats:styled-content style=\"fixed-case\">AD<\/jats:styled-content> patients and thus be harmful, underscoring the importance of further exploring the role of physical activity and\/or structured exercise in this at\u2010risk patient population.<\/jats:p>","DOI":"10.1002\/clc.22481","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T17:14:49Z","timestamp":1450718089000},"page":"647-651","source":"Crossref","is-referenced-by-count":75,"title":["Exercise and Physical Activity for the Post\u2013Aortic Dissection Patient: The Clinician's Conundrum"],"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":"Kim A.","family":"Eagle","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":"Eva","family":"Kline\u2010Rogers","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan T.","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Cardiovascular Division University of Minnesota Physicians Heart Practice  Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Brook","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":"Elise M.","family":"Woznicki","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Housholder\u2010Hughes","sequence":"additional","affiliation":[{"name":"Cardiovascular Center University of Michigan  Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Pitler","sequence":"additional","affiliation":[{"name":"Thoracic Aortic Center, Massachusetts General Hospital  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry A.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Preventive Cardiology and Cardiac Rehabilitation, William Beaumont Hospital, Beaumont Health Center  Royal Oak Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,20]]},"reference":[{"issue":"1","key":"e_1_2_8_2_1","first-page":"I350","article-title":"International Registry of Acute Aortic Dissection (IRAD). 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