Exercise, Sports, and Cardiac Rehabilitation Recommendations in Patients with Aortic Aneurysms and Post-Aortic Repair: A Review of the Literature

Bibliographic Details
Title: Exercise, Sports, and Cardiac Rehabilitation Recommendations in Patients with Aortic Aneurysms and Post-Aortic Repair: A Review of the Literature
Authors: Michael Stiefel, Hadassa Brito da Silva, Christian Marc Schmied, David Niederseer
Source: Journal of Cardiovascular Development and Disease, Vol 11, Iss 12, p 379 (2024)
Publisher Information: MDPI AG, 2024.
Publication Year: 2024
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: aortic aneurysm, exercise, cardiac rehabilitation, thoracic aortic aneurysm (TAA), abdominal aortic aneurysm (AAA), aortic dissection, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Introduction: Balancing the well-documented benefits of regular exercise, particularly its positive impact on cardiovascular risk factors like hypertension, with the potential risks for patients with aortic aneurysms presents a significant challenge. This narrative review aims to summarize the current evidence and guidelines to assist clinicians in making informed exercise and sports recommendations for patients with aortic aneurysms or post-aortic repair. Methods: Nine clinical trials on the effect of exercise on abdominal aortic aneurysms (AAAs) were identified, including one study on cardiopulmonary exercise testing (CPET) in AAA patients. As no clinical trials on exercise in thoracic aortic aneurysms (TAAs) were found, we extrapolated data from other studies on exercise in aortic diseases, including data from patients who have had an aortic dissection, as well as three studies on cardiac rehabilitation (CR) and one study on CPET after proximal aortic repair. Review articles and guidelines were also incorporated to ensure a comprehensive overview of the topic. Results: Currently, no clear correlation exists between intense sports activities and the development of aortic aneurysms or dissections. Conclusions: Light to moderate physical activity appears safe and beneficial for patients with aortic aneurysms and post-aortic repair. Given the lack of evidence linking athletic activity to aortic complications, caution is warranted in restricting such activities for athletes, underscoring the importance of shared decision-making. Regular follow-up and optimal management of cardiovascular risk factors are essential.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2308-3425
Relation: https://www.mdpi.com/2308-3425/11/12/379; https://doaj.org/toc/2308-3425
DOI: 10.3390/jcdd11120379
Access URL: https://doaj.org/article/2bbdfb6e8fdd4fafa1aa4943b7fb5546
Accession Number: edsdoj.2bbdfb6e8fdd4fafa1aa4943b7fb5546
Database: Directory of Open Access Journals
More Details
ISSN:23083425
DOI:10.3390/jcdd11120379
Published in:Journal of Cardiovascular Development and Disease
Language:English