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Weight Lifting and Rupture of Silent Aortic Aneurysms
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To the Editor: It is unclear whether aortic dissection is associated with high-intensity strength training.
Methods
From our Yale University aortic database,1 and from outside cases brought to our attention after lay press reports of our aortic research,2-3 we identified and reviewed case materials of 5 patients who experienced acute dissection of the ascending aorta in the setting of high-intensity weight training or other strenuous exercise.
Results
The 5 patients ranged in age between 19 and 53 years. None had previously diagnosed aneurysm or personal history of hypertension or collagen vascular disease. Only 1 patient had a family history of aortic disease. None had signs of Marfan syndrome.
All patients were involved in strenuous strength training at the instant that their dissection pain occurred. Two patients were weight training, a third was attempting to move a heavy granite structure, and the other 2 were doing push-ups.
All patients manifested acute ascending . . . [Full Text of this Article]
John A. Elefteriades, MD;
Ioannis Hatzaras, MD;
Mary Ann Tranquilli, RN;
Andrew J. Elefteriades;
Robert Stout, MD;
Richard K. Shaw, MD;
David Silverman, MD;
Paul Barash, MD
Section of Cardiothoracic Surgery and Department of Anesthesia
Yale University School of Medicine
New Haven, Conn
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