Ascending aortic dissection in weight lifters with cystic medial degeneration.
case_report · Level V
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- Record sourced from PubMed, PMID 2322060.
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Abstract
We report 4 cases of ascending aortic dissection in patients with long histories of weight lifting. In 2 of the patients, the initial symptoms of dissection developed while they were lifting weights. Two patients had a history of hypertension and 2 had previously used anabolic steroids. All 4 were successfully treated surgically. Histopathology showed aortic medial changes in all 4. We believe that the hemodynamic stresses of weight lifting, namely, a rapid increase in systemic arterial blood pressure without a decrease in total peripheral vascular resistance, in combination with aortic medial degeneration may have contributed to the development of the aortic dissection.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm
- Weight Lifting