To the Editor: It is unclear whether aortic
dissection is associated with high-intensity strength training.
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.
Elefteriades JA, Hatzaras I, Tranquilli MA, Elefteriades AJ, Stout R, Shaw RK, Silverman D, Barash P. Weight Lifting and Rupture of Silent Aortic Aneurysms. JAMA. 2003;290(21):2803. doi:10.1001/jama.290.21.2803-a