French registry of cases of type I acute aortic dissection admitted to a cardiac rehabilitation center after surgery

  1. Sonia Coronea
  2. Marie-Christine Ilioub
  3. Bernard Pierred
  4. Jean-Michel Feigee
  5. Dominique Odjinkema
  6. Titi Farrokhia
  7. Faouzi Bechraouia
  8. Stéphanie Hardya
  9. Philippe Meurinf
  10. Cardiac Rehabilitation working Group of the French Society of Cardiology
  1. aCentre Médical de Bligny, Briis Sous Forges
  2. bAPHP Hôpital Broussais-HEGP
  3. cSociété Française de Cardiologie, Paris
  4. dCentre I.R.I.S, Marcy l’étoile
  5. eClinique Rhône Durance, Avignon
  6. fCentre de Réadaptation Cardiaque de la Brie, Villeneuve-Saint-Denis, France
  1. Correspondence to Sonia Corone, Centre medical de Bligny, Briis Sous Forges, France Tel: +33 1 69 26 31 60; fax: +33 1 69 26 30 06; e-mail: s.corone@cm-bligny.com
  • An oral communication relating to part of this study was presented at the 1st Forum of Prevention and Cardiac Rehabilitation, February 2007, Paris

Abstract

Background After surgery for type I acute aortic dissection, the aorta remains partly dissected. This new population of patients is now referred to cardiac rehabilitation centers (CRCs). The feasibility of subsequent physical exercise is unknown.

Methods Thirty-three consecutive patients (aged 55.1 ± 9.3 years) were included in a prospective registry with clinical and radiological follow-up for 1 year after admission to a CRC. Twenty-six patients had undergone standard training sessions with exercise on a bicycle ergometer. Physical training programs included calisthenics, respiratory physiotherapy, walking, and cycling. Seven patients did not perform standard exercise training sessions but only walking and respiratory physiotherapy.

Results For trained patients, the sessions (18 ± 10) were carried out at 11.3 ± 1.5 on the Borg scale (‘light’), with blood pressure monitoring on exercise (<160 mmHg in 75% of patients). Maximum workload during exercise test (bicycle ergometer, 10 watts/min) increased from 62.7 ± 11.8 to 91.6 ± 16.5 watts (P = 0.002). We identified three complications in two patients requiring further thoracic aorta surgery during follow-up. There was also one case of aortic valve replacement after 5 months and three cases of peripheral ischemia. No deaths, cerebral vascular accidents, or myocardial infarctions were recorded. Ten of the 19 patients of working age were able to return to work.

Conclusion Physical training of moderate intensity seems feasible and beneficial in postsurgical type I aortic dissection patients. Eur J Cardiovasc Prev Rehabil 16:91-95 © 2009 The European Society of Cardiology

 

  • Received May 2, 2008.
  • Accepted October 28, 2008.

 

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