{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:24:20Z","timestamp":1790342660149,"version":"4.1.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aorta (Stamford)"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Acute 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.<\/jats:p><jats:p>\n          Methods\u2003A 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.<\/jats:p><jats:p>\n          Results\u2003Respondents were less likely to participate in competitive athletics after than before dissection (1\/131 [0.76%] vs. 26\/131 [20%], p [McNemar test]\u2009&lt;\u20090.0001) or lift heavy objects (11\/111 [9.9%] vs. 41\/111 [37%], p\u2009&lt;\u20090.0001). Forty-eight of 132 respondents (36%) did not participate in cardiac rehabilitation. Compared with general population norms, respondents reported lower median QOL physical component scores (40 [26, 51; 15th, 85th percentile], p\u2009&lt;\u20090.0001); these were lower in respondents who did not exercise (Hodges\u2013Lehmann [HL; 95% confidence interval (CI)]: \u20136.8 [\u201311, \u20132.4], p\u2009=\u20090.002), limited sexual activity (\u20138.0 [\u201313, \u20134.3], p\u2009=\u20090.0002), or screened positive for PTSD (\u201310 [\u201314, \u20135.3], p\u2009=\u20090.0002). Median mental component scores were similar to general population norms (HL [95% CI]: 55 [34, 61], p\u2009=\u20090.24) but were lower among respondents who did not exercise (\u20134.2 [\u20137.8, \u20131.0], p\u2009=\u20090.01), limited sexual activity (\u20135.5 [\u201310, \u20131.8], p\u2009=\u20090.003), or screened positive for PTSD (\u201316 [\u201322, \u201310], p\u2009&lt;\u20090.0001).<\/jats:p><jats:p>\n          Conclusion\u2003Physicians 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.<\/jats:p>","DOI":"10.1055\/s-0041-1731403","type":"journal-article","created":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T10:44:10Z","timestamp":1633517050000},"page":"171-179","source":"Crossref","is-referenced-by-count":20,"title":["From Court to Couch: Exercise and Quality of Life after Acute Type A Aortic Dissection"],"prefix":"10.1055","volume":"09","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-3069","authenticated-orcid":false,"given":"Selena R.","family":"Pasadyn","sequence":"additional","affiliation":[{"name":"Aorta Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric E.","family":"Roselli","sequence":"additional","affiliation":[{"name":"Aorta Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"},{"name":"Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7278-2326","authenticated-orcid":false,"given":"Amanda S.","family":"Artis","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0727-3066","authenticated-orcid":false,"given":"Cassandra L.","family":"Pasadyn","sequence":"additional","affiliation":[{"name":"Aorta Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dermot","family":"Phelan","sequence":"additional","affiliation":[{"name":"Aorta Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"},{"name":"Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9839-3567","authenticated-orcid":false,"given":"Eugene H.","family":"Blackstone","sequence":"additional","affiliation":[{"name":"Aorta Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"},{"name":"Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio"},{"name":"Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,10,5]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1093\/eurheartj\/ehi024","article-title":"Early and late outcomes of acute Type A aortic dissection: analysis of risk factors in 487 consecutive patients","volume":"26","author":"B Chiappini","year":"2005","journal-title":"Eur Heart J"},{"key":"ref2","volume-title":"Aortic dissection","author":"D Levy","year":"2019"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1002\/clc.22481","article-title":"Exercise and physical activity for the post-aortic dissection patient: the clinician's conundrum","volume":"38","author":"A 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