Aortic dissection and sport: Physiologic and clinical understanding provide an opportunity to save young lives

Journal of Cardiovascular Surgery

Volumn 51, Issue 5, 2010, Pages 669-681

  Mayerick, C ^a   Carre F ^b   Elefteriades, J ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITÉ DE RENNES 1   (France)

Author keywords

Aneurysm; Aortic diseases; Exercise; Mechanical phenomena

Indexed keywords

AEROBIC EXERCISE; AORTA ANEURYSM; AORTA DISSECTING ANEURYSM; AORTA RUPTURE; AORTA WALL; ARTERIAL PRESSURE; ATHLETE; BODY WEIGHT; EMOTIONAL STRESS; HOMEOSTASIS; HUMAN; PHYSIOLOGY; REVIEW; SCREENING; SPORTS MEDICINE; TENSILE STRENGTH; TYPE A AORTA DISSECTION;

ACUTE DISEASE; ANEURYSM, DISSECTING; AORTIC ANEURYSM; BLOOD PRESSURE; DIAGNOSTIC TECHNIQUES, CARDIOVASCULAR; EARLY DIAGNOSIS; FEMALE; HEART RATE; HEMODYNAMICS; HUMANS; MALE; PHYSICAL EXERTION; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RESISTANCE TRAINING; RISK ASSESSMENT; RISK FACTORS; WEIGHT LIFTING; YOUNG ADULT;

EID: 78650743146     PISSN: 00219509     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (39)

1. MacDougall JD, Tuxen D, Sale DG, Moroz JR, Sutton JR. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol 1985;58:785-90. (Pubitemid 15063630)
2. Harms CA. Effect of skeletal muscle demand on cardiovascular function. Med Sci Sports Exerc 2000;32:94-9.
3. Gallagher KM, Fadel PJ, Smith SA, Norton KH, Querry RG, Oli Vencia-Yurvati A et al. Increases in intramuscular pressure raise arterial blood pressure during dynamic exercise. J Appl Physiol 2001;91:2351-8.
4. Wilmore JH, Costill DL. Physiology of sport and exercise. 3rd ed. Champaign, IL: Human Kinetics; 2005.
5. Guyton AC, Hall JE. Textbook of Medical Physiology. 9th ed. Philadelphia, PA: W.B. Saunders Company; 1996.
6. Hochachka PW. Oxygen, homeostasis, and metabolic regulation. Adv Exp Med Biol 2000;475:311-35.
7. Iwamoto GA, Botterman BR. Peripheral factors influencing expression of pressor reflex evoked by muscular contraction. J Appl Physiol 1985;58:1676-82.
8. Carré F. Rehabilitation and physical activity after aortic dissection. Presented at: Conference in St. Malo; April, 2010; St. Malo, France.
9. Stenberg J, Åstrand PO, Ekblom B, Royce J, Saltin B. Hemodynamic response to work with different muscle groups, sitting and supine. J Appl Physiol 1967;22:61-70.
10. Hermansen L, Ekblom B, Saltin B. Cardiac output during submaximal and maximal treadmill and bicycle exercise. J Appl Physiol 1970;29:82-6.
11. Higginbotham MB, Morris KG, Williams RS, McHale PA, Coleman RE, Cobb FR. Regulation of stroke volume during submaximal and maximal upright exercise in normal man. Circ Res 1986;58:281-91.
12. Crawford MH, Petru MA, Rabinowitz C. Effect of isotonic exercise training on left ventricular volume during upright exercise. Circulation 1985;72:1237-43. (Pubitemid 16126804)
13. Scruggs KD, Martin NB, Broeder CE, Hofman Z, Thomas EL, Wambsgans KC. Stroke volume during submaximal exercise in endurance-trained normotensive subjects and in untrained hypertensive subjects with beta blockade (propranolol and pindolol). Am J Cardiol 1991; 67:416-21.
14. Berntson GG, Cacioppo JT, Binkley PF, Uchino BN, Quigley KS, Fieldstone A. Autonomic cardiac control. III. Psychological stress and cardiac response in autonomic space as revealed by pharmacological blockades. Psychophysiology 1994; 31:599-608.
15. Berntson GG, Cacioppo JT, Quigley KS. Cardiac psychophysiology and autonomic space in humans: empirical perspectives and conceptual implication. Psychol Bull 1993; 114:296-322.
16. McCloskey DI, Mitchell JH. Reflex cardiovascular and respiratory responses originating in exercising muscle. J Physiol 1972;224:173-86.
17. Kaufman MP, Forster HV. Reflexes controlling circulatory, ventilatory and airway responses to exercise. In: Rowell LB, Shepherd JT, editors. Handbook of Physiology. New York: Oxford University Press; 1996. p. 381-447.
18. Kaufman MP, Hayes SG. The exercise pressor reflex. Clin Auton Res 2002;12:429-39.
19. Mitchell JH, Kaufman MP, Iwamoto GA. The exercise pressor reflex: its cardiovascular effects, afferent mechanisms, and central pathways. Ann Rev Physiol 1983; 45:229-42.
20. Elefteriades JA. Beating a sudden killer. Sci Am 2005; 293:64-71.
21. Elefteriades JA. Routine screening of young athletes for aneurysm: PRO. Cardiology Clinics 2010;28:255-60.
22. Link MS, Estes M III. Sudden cardiac death in athletes. Prog Cardiovasc Dis 2008;51:44-57.
23. Koullias G, Modak R, Tranquilli M, Korkolis DP, Barash P, Elefteriades JA. Mechanical deterioration underlies malignant behavior of aneurysmal human ascending aorta. J Thorac Cardiovasc Surg 2005;130:677-83.
24. Maron BJ, Mitchell JH. Revised eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 1994; 24:848-50, 960-5.
25. Maron BJ, Chairman BR, Ackerman MJ, Bayes de Luna A, Corrado D, Cresson JE et al. Recommendations for physical activity and recreational sports participation for young patients with genetic cardiovascular diseases. Circulation 2004;109:2807-16.
26. Marieb EN, Hoehn, K. Human anatomy and physiology. 7th ed. San Francisco, CA: Pearson Benjamin Cummings; 2006.
27. Narloch JA, Murray EB. Influence of breathing technique on arterial blood pressure during heavy weight lifting. Arch Phys Med Rehabil 1995;76:457-62.
28. Elefteriades JA, Hatzaras I, Tranquilli MA, Elefteriades AJ, Stout R, Shaw RK et al. Weight lifting and rupture of silent aortic aneurysms. JAMA 2003;290:2803-21.
29. Hatzaras IS, Tranquilli M, Coady M, Barrett PM, Bible J, Elefteriades JA. Weight lifting and aortic dissection: more evidence for a connection. Cardiology 2007;107:103-6.
30. Hatzaras IS, Bible JE, Koullias GJ, Tranquilli M, Singh M, Elefteriades JE. Role of exertion or emotion as inciting events for acute aortic dissection. Am J Cardiol 2007; 100:1470-2.
31. Triplett N. The dynamogenic factors in pacemaking and competition. Am J Psychol 1898;9:507-33.
32. Cannon WB. Bodily changes in pain, hunger, fear and rage: an account of recent researches into the function of emotional excitement. New York: Appleton & Co; 1915.
33. Cannon WB. The emergency function of the adrenal medulla in pain and the major emotions. Am J Physiol 1914;33:356.
34. Gleitman H, Fridlund A, Reisberg D. Psychology. 6th ed. New York: WW Norton & Co; 2004.
35. Gleitman H, Reisberg D, Gross J. Psychology. 7th ed. New York: WW Norton & Co; 2007.
36. Mukherjee S, Gerber J, Elefteriades JA. Snapshot ECHO for Athletes -A Community-Based Study. Proposal for Astra-Zeneca Foundation Grant; 2010.
37. The International Olympic Committee (IOC) consensus statement on periodic health evaluation of elite athletes - March 2009. (Consensus statement). Br J Sports Med 2009;43:631-43.
38. Dvorak J, Junge A, Grimm K, Kirkendall D. Medical report from the 2006 FIFA World Cup Germany. Br J Sports Med 2007;41:578-81.
39. Gerber J, Arcarese M. Routine screening of young athletes for aneurysm: CON. Cardiology Clinics 2010;28:229-36.