Survivors of Aortic Dissection: Activity, Mental Health, and Sexual Function
ABSTRACT Background Currently no research exists assessing lifestyle modifications and emotional state of acute aortic dissection (AAD) survivors. We sought to assess activity, mental health, and sexual function in AAD survivors. Hypothesis Physical and sexual activity will decrease in AAD survivors...
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| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 2015-11, Vol.38 (11), p.652-659 |
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| container_title | Clinical cardiology (Mahwah, N.J.) |
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| creator | Chaddha, Ashish Kline‐Rogers, Eva Braverman, Alan C. Erickson, Steven R. Jackson, Elizabeth A. Franklin, Barry A. Woznicki, Elise M. Jabara, Justin T. Montgomery, Daniel G. Eagle, Kim A. |
| description | ABSTRACT
Background
Currently no research exists assessing lifestyle modifications and emotional state of acute aortic dissection (AAD) survivors. We sought to assess activity, mental health, and sexual function in AAD survivors.
Hypothesis
Physical and sexual activity will decrease in AAD survivors compared to pre‐dissection. Incidence of anxiety and depression will be significant after AAD.
Methods
A cross sectional survey was mailed to 197 subjects from a single academic medical center (part of larger IRAD database). Subjects were ≥18 years of age surviving a type A or B AAD between 1996 and 2011. 82 surveys were returned (overall response rate 42%).
Results
Mean age ± SD was 59.5 ± 13.7 years, with 54.9% type A and 43.9% type B patients. Walking remained the most prevalent form of physical activity (49 (60%) pre‐dissection and 47 (57%) post‐dissection). Physical inactivity increased from 14 (17%) before AAD to 20 (24%) after AAD; sexual activity decreased from 31 (38%) to 9 (11%) mostly due to fear. Most patients (66.7%) were not exerting themselves physically or emotionally at AAD onset. Systolic blood pressure (SBP) at 36 months post‐discharge for patients engaging in ≥2 sessions of aerobic activity/week was 126.67 ± 10.30 vs. 141.10 ± 11.87 (p‐value 0.012) in those who did not. Self‐reported new‐onset depression after AAD was 32% and also 32% for new‐onset anxiety.
Conclusions
Alterations in lifestyle and emotional state are frequent in AAD survivors. Clinicians should screen for unfounded fears or beliefs after dissection that may reduce function and/or quality of life for AAD survivors. |
| doi_str_mv | 10.1002/clc.22418 |
| format | Article |
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Background
Currently no research exists assessing lifestyle modifications and emotional state of acute aortic dissection (AAD) survivors. We sought to assess activity, mental health, and sexual function in AAD survivors.
Hypothesis
Physical and sexual activity will decrease in AAD survivors compared to pre‐dissection. Incidence of anxiety and depression will be significant after AAD.
Methods
A cross sectional survey was mailed to 197 subjects from a single academic medical center (part of larger IRAD database). Subjects were ≥18 years of age surviving a type A or B AAD between 1996 and 2011. 82 surveys were returned (overall response rate 42%).
Results
Mean age ± SD was 59.5 ± 13.7 years, with 54.9% type A and 43.9% type B patients. Walking remained the most prevalent form of physical activity (49 (60%) pre‐dissection and 47 (57%) post‐dissection). Physical inactivity increased from 14 (17%) before AAD to 20 (24%) after AAD; sexual activity decreased from 31 (38%) to 9 (11%) mostly due to fear. Most patients (66.7%) were not exerting themselves physically or emotionally at AAD onset. Systolic blood pressure (SBP) at 36 months post‐discharge for patients engaging in ≥2 sessions of aerobic activity/week was 126.67 ± 10.30 vs. 141.10 ± 11.87 (p‐value 0.012) in those who did not. Self‐reported new‐onset depression after AAD was 32% and also 32% for new‐onset anxiety.
Conclusions
Alterations in lifestyle and emotional state are frequent in AAD survivors. Clinicians should screen for unfounded fears or beliefs after dissection that may reduce function and/or quality of life for AAD survivors.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.22418</identifier><identifier>PMID: 26769699</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Aged ; Aneurysm, Dissecting - diagnosis ; Aneurysm, Dissecting - physiopathology ; Aneurysm, Dissecting - psychology ; Aneurysm, Dissecting - surgery ; Anxiety - psychology ; Aortic Aneurysm - diagnosis ; Aortic Aneurysm - physiopathology ; Aortic Aneurysm - psychology ; Aortic Aneurysm - surgery ; Arterial Pressure ; Clinical Investigations ; Cost of Illness ; Cross-Sectional Studies ; Depression - psychology ; Dissection ; Emotions ; Fear ; Female ; Health risk assessment ; Health Status ; Health Surveys ; Humans ; Male ; Mental Health ; Middle Aged ; Motor Activity ; Quality of Life ; Registries ; Retrospective Studies ; Risk Factors ; Sedentary Behavior ; Sexual Behavior ; Surveys and Questionnaires ; Survivors - psychology ; Treatment Outcome ; Walking</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 2015-11, Vol.38 (11), p.652-659</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4438-2415b70ade3c0de1255dc4759a32d1c716e1b06df9ad91cab3110c22974b63b13</citedby><cites>FETCH-LOGICAL-c4438-2415b70ade3c0de1255dc4759a32d1c716e1b06df9ad91cab3110c22974b63b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6490749/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6490749/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26769699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chaddha, Ashish</creatorcontrib><creatorcontrib>Kline‐Rogers, Eva</creatorcontrib><creatorcontrib>Braverman, Alan C.</creatorcontrib><creatorcontrib>Erickson, Steven R.</creatorcontrib><creatorcontrib>Jackson, Elizabeth A.</creatorcontrib><creatorcontrib>Franklin, Barry A.</creatorcontrib><creatorcontrib>Woznicki, Elise M.</creatorcontrib><creatorcontrib>Jabara, Justin T.</creatorcontrib><creatorcontrib>Montgomery, Daniel G.</creatorcontrib><creatorcontrib>Eagle, Kim A.</creatorcontrib><title>Survivors of Aortic Dissection: Activity, Mental Health, and Sexual Function</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>ABSTRACT
Background
Currently no research exists assessing lifestyle modifications and emotional state of acute aortic dissection (AAD) survivors. We sought to assess activity, mental health, and sexual function in AAD survivors.
Hypothesis
Physical and sexual activity will decrease in AAD survivors compared to pre‐dissection. Incidence of anxiety and depression will be significant after AAD.
Methods
A cross sectional survey was mailed to 197 subjects from a single academic medical center (part of larger IRAD database). Subjects were ≥18 years of age surviving a type A or B AAD between 1996 and 2011. 82 surveys were returned (overall response rate 42%).
Results
Mean age ± SD was 59.5 ± 13.7 years, with 54.9% type A and 43.9% type B patients. Walking remained the most prevalent form of physical activity (49 (60%) pre‐dissection and 47 (57%) post‐dissection). Physical inactivity increased from 14 (17%) before AAD to 20 (24%) after AAD; sexual activity decreased from 31 (38%) to 9 (11%) mostly due to fear. Most patients (66.7%) were not exerting themselves physically or emotionally at AAD onset. Systolic blood pressure (SBP) at 36 months post‐discharge for patients engaging in ≥2 sessions of aerobic activity/week was 126.67 ± 10.30 vs. 141.10 ± 11.87 (p‐value 0.012) in those who did not. Self‐reported new‐onset depression after AAD was 32% and also 32% for new‐onset anxiety.
Conclusions
Alterations in lifestyle and emotional state are frequent in AAD survivors. Clinicians should screen for unfounded fears or beliefs after dissection that may reduce function and/or quality of life for AAD survivors.</description><subject>Aged</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - physiopathology</subject><subject>Aneurysm, Dissecting - psychology</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Anxiety - psychology</subject><subject>Aortic Aneurysm - diagnosis</subject><subject>Aortic Aneurysm - physiopathology</subject><subject>Aortic Aneurysm - psychology</subject><subject>Aortic Aneurysm - surgery</subject><subject>Arterial Pressure</subject><subject>Clinical Investigations</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Depression - psychology</subject><subject>Dissection</subject><subject>Emotions</subject><subject>Fear</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Health Status</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Motor Activity</subject><subject>Quality of Life</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sedentary Behavior</subject><subject>Sexual Behavior</subject><subject>Surveys and Questionnaires</subject><subject>Survivors - psychology</subject><subject>Treatment Outcome</subject><subject>Walking</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10U1LwzAABuAgis6Pg39ACl4UVpevJo0HYUznhImH6TmkaaaRrtGkne7fm7kpKngKJA8vb3gBOETwDEGIe7rSZxhTlG-ADhIEpzknfBN0IGIwFTgXO2A3hOdIYY7JNtjBjDPBhOiA8aT1czt3PiRumvSdb6xOLm0IRjfW1edJP55z2yy6ya2pG1UlI6Oq5qmbqLpMJua9jVfDtv7U-2BrqqpgDtbnHngYXt0PRun47vpm0B-nmlKSp7FpVnCoSkM0LA3CWVZqyjOhCC6R5ogZVEBWToUqBdKqIAhBjbHgtGCkQGQPXKxyX9piZkodi3lVyRdvZ8ovpFNW_n6p7ZN8dHPJqICcihhwsg7w7rU1oZEzG7SpKlUb1waJOIN5ngmYRXr8hz671tfxe1FlHFGc0aU6XSntXQjeTL_LICiXG8m4kfzcKNqjn-2_5dcoEfRW4M1WZvF_khyMB6vIDzHPmok</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Chaddha, Ashish</creator><creator>Kline‐Rogers, Eva</creator><creator>Braverman, Alan C.</creator><creator>Erickson, Steven R.</creator><creator>Jackson, Elizabeth A.</creator><creator>Franklin, Barry A.</creator><creator>Woznicki, Elise M.</creator><creator>Jabara, Justin T.</creator><creator>Montgomery, Daniel G.</creator><creator>Eagle, Kim A.</creator><general>Wiley Periodicals, Inc</general><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201511</creationdate><title>Survivors of Aortic Dissection: Activity, Mental Health, and Sexual Function</title><author>Chaddha, Ashish ; Kline‐Rogers, Eva ; Braverman, Alan C. ; Erickson, Steven R. ; Jackson, Elizabeth A. ; Franklin, Barry A. ; Woznicki, Elise M. ; Jabara, Justin T. ; Montgomery, Daniel G. ; Eagle, Kim A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-2415b70ade3c0de1255dc4759a32d1c716e1b06df9ad91cab3110c22974b63b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - physiopathology</topic><topic>Aneurysm, Dissecting - psychology</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Anxiety - psychology</topic><topic>Aortic Aneurysm - diagnosis</topic><topic>Aortic Aneurysm - physiopathology</topic><topic>Aortic Aneurysm - psychology</topic><topic>Aortic Aneurysm - surgery</topic><topic>Arterial Pressure</topic><topic>Clinical Investigations</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Depression - psychology</topic><topic>Dissection</topic><topic>Emotions</topic><topic>Fear</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Health Status</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Motor Activity</topic><topic>Quality of Life</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sedentary Behavior</topic><topic>Sexual Behavior</topic><topic>Surveys and Questionnaires</topic><topic>Survivors - psychology</topic><topic>Treatment Outcome</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaddha, Ashish</creatorcontrib><creatorcontrib>Kline‐Rogers, Eva</creatorcontrib><creatorcontrib>Braverman, Alan C.</creatorcontrib><creatorcontrib>Erickson, Steven R.</creatorcontrib><creatorcontrib>Jackson, Elizabeth A.</creatorcontrib><creatorcontrib>Franklin, Barry A.</creatorcontrib><creatorcontrib>Woznicki, Elise M.</creatorcontrib><creatorcontrib>Jabara, Justin T.</creatorcontrib><creatorcontrib>Montgomery, Daniel G.</creatorcontrib><creatorcontrib>Eagle, Kim A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaddha, Ashish</au><au>Kline‐Rogers, Eva</au><au>Braverman, Alan C.</au><au>Erickson, Steven R.</au><au>Jackson, Elizabeth A.</au><au>Franklin, Barry A.</au><au>Woznicki, Elise M.</au><au>Jabara, Justin T.</au><au>Montgomery, Daniel G.</au><au>Eagle, Kim A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survivors of Aortic Dissection: Activity, Mental Health, and Sexual Function</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>2015-11</date><risdate>2015</risdate><volume>38</volume><issue>11</issue><spage>652</spage><epage>659</epage><pages>652-659</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><abstract>ABSTRACT
Background
Currently no research exists assessing lifestyle modifications and emotional state of acute aortic dissection (AAD) survivors. We sought to assess activity, mental health, and sexual function in AAD survivors.
Hypothesis
Physical and sexual activity will decrease in AAD survivors compared to pre‐dissection. Incidence of anxiety and depression will be significant after AAD.
Methods
A cross sectional survey was mailed to 197 subjects from a single academic medical center (part of larger IRAD database). Subjects were ≥18 years of age surviving a type A or B AAD between 1996 and 2011. 82 surveys were returned (overall response rate 42%).
Results
Mean age ± SD was 59.5 ± 13.7 years, with 54.9% type A and 43.9% type B patients. Walking remained the most prevalent form of physical activity (49 (60%) pre‐dissection and 47 (57%) post‐dissection). Physical inactivity increased from 14 (17%) before AAD to 20 (24%) after AAD; sexual activity decreased from 31 (38%) to 9 (11%) mostly due to fear. Most patients (66.7%) were not exerting themselves physically or emotionally at AAD onset. Systolic blood pressure (SBP) at 36 months post‐discharge for patients engaging in ≥2 sessions of aerobic activity/week was 126.67 ± 10.30 vs. 141.10 ± 11.87 (p‐value 0.012) in those who did not. Self‐reported new‐onset depression after AAD was 32% and also 32% for new‐onset anxiety.
Conclusions
Alterations in lifestyle and emotional state are frequent in AAD survivors. Clinicians should screen for unfounded fears or beliefs after dissection that may reduce function and/or quality of life for AAD survivors.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>26769699</pmid><doi>10.1002/clc.22418</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0160-9289 |
| ispartof | Clinical cardiology (Mahwah, N.J.), 2015-11, Vol.38 (11), p.652-659 |
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| subjects | Aged Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - physiopathology Aneurysm, Dissecting - psychology Aneurysm, Dissecting - surgery Anxiety - psychology Aortic Aneurysm - diagnosis Aortic Aneurysm - physiopathology Aortic Aneurysm - psychology Aortic Aneurysm - surgery Arterial Pressure Clinical Investigations Cost of Illness Cross-Sectional Studies Depression - psychology Dissection Emotions Fear Female Health risk assessment Health Status Health Surveys Humans Male Mental Health Middle Aged Motor Activity Quality of Life Registries Retrospective Studies Risk Factors Sedentary Behavior Sexual Behavior Surveys and Questionnaires Survivors - psychology Treatment Outcome Walking |
| title | Survivors of Aortic Dissection: Activity, Mental Health, and Sexual Function |
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