ArticleJournal of cardiopulmonary rehabilitation and prevention2020
Cardiopulmonary Exercise Testing Following Open Repair for a Proximal Thoracic Aortic Aneurysm or Dissection.
Article in Journal of cardiopulmonary rehabilitation and prevention, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.The Journal of thoracic and cardiovascular surgery · 2023Guideline
- Guideline
- 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2022Guideline
- Type A Aortic Dissection: From Diagnosis to Cardiac Rehabilitation.Journal of clinical medicine · 2026Review
- Pulmonary Risk Stratification in Open Thoracoabdominal Aortic Aneurysm Repair.Journal of clinical medicine · 2026Article
- Heterogeneity in kinesiophobia among postoperative aortic dissection survivors: associations with exercise self-efficacy, family support, and coping styles.Frontiers in psychology · 2026Article
- Rehabilitation Progress in Patients Following Surgery for Acute Stanford Type A Aortic Dissection Extending Beyond the Ascending Aorta.Journal of clinical medicine · 2025Article
- Exercise, Sports, and Cardiac Rehabilitation Recommendations in Patients with Aortic Aneurysms and Post-Aortic Repair: A Review of the Literature.Journal of cardiovascular development and disease · 2024Review
- Multicenter randomized controlled trial of exercise in aortic dissection survivors: rationale, design, and initial hemodynamic data.Vessel plus · 2024Article
- Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm.Jornal vascular brasileiro · 2023Review
- Hemodynamic Response in Ascending Aorta Surgery Patients during Moderate Intensity Resistance Training.Translational sports medicine · 2023Article
- Individualized exercise prescription and cardiac rehabilitation following a spontaneous coronary artery dissection or aortic dissection.European heart journal open · 2022Article
- Subjective assessment underestimates surgical risk: On the potential benefits of cardiopulmonary exercise testing for open thoracoabdominal repair.Journal of cardiac surgery · 2022Article
- Effectiveness of early rehabilitation following aortic surgery: a nationwide inpatient database study.General thoracic and cardiovascular surgery · 2022Article
- Is Exercise Blood Pressure Putting the Brake on Exercise Rehabilitation after Acute Type A Aortic Dissection Surgery?Journal of clinical medicine · 2022Review
- Evolution of Early Postoperative Cardiac Rehabilitation in Patients with Acute Type A Aortic Dissection.Journal of clinical medicine · 2022Article
- Prognostic value of aerobic capacity and exercise oxygen pulse in postaortic dissection patients.Clinical cardiology · 2021Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
purposeThere are limited data on cardiopulmonary exercise testing (CPX) and cardiorespiratory fitness (CRF), following open repair for a proximal thoracic aortic aneurysm or dissection. The aim was to evaluate serious adverse events, abnormal CPX event rate, CRF (peak oxygen uptake, (Equation is included in full-text article.)O2peak), and blood pressure.
methodsPatients were retrospectively identified from cardiac rehabilitation participation or prospectively enrolled in a research study and grouped by phenotype: (1) bicuspid aortic valve/thoracic aortic aneurysm, (2) tricuspid aortic valve/thoracic aortic aneurysm, and (3) acute type A aortic dissection.
resultsPatients (n = 128) completed a CPX a median of 2.9 mo (interquartile range: 1.8, 3.5) following repair. No serious adverse events were reported, although 3 abnormal exercise tests (2% event rate) were observed. Eighty-one percent of CPX studies were considered peak effort (defined as respiratory exchange ratio of ≥1.05). Median measured (Equation is included in full-text article.)O2peak was <36% predicted normative values (19.2 mL·kgmin vs 29.3 mLkgmin, P < .0001); the most marked impairment in (Equation is included in full-text article.)O2peak was observed in the acute type A aortic dissection group (<40% normative values), which was significantly different from other groups (P < .05). Peak exercise systolic and diastolic blood pressures were 160 mm Hg (144, 172) and 70 mm Hg (62, 80), with no differences noted between groups.
conclusionsWe observed no serious adverse events with an abnormal CPX event rate of only 2% 3 mo following repair for a proximal thoracic aortic aneurysm or dissection. (Equation is included in full-text article.)O2peak was reduced among all patient groups, especially the acute type A aortic dissection group, which may be clinically significant, given the well-established prognostic importance of reduced cardiorespiratory fitness.
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