title: Specificity of testing in a cardiac rehabilitation setting resulting in a patient's return to high-intensity outdoor activity following aortic dissection repair.
abstract: A 66-year-old man who had undergone aortic dissection repair a year earlier sought to assess the feasibility of returning to the high-intensity outdoor activities he had long enjoyed. In response to his inquiry, the cardiac rehabilitation staff at Baylor Hamilton Heart and Vascular Hospital designed a comprehensive testing plan that simulated the specific movements and anticipated cardiac requirements associated with his goal activities. The activities included 1) lifting and manipulating a 50-pound suitcase, 2) hiking to the top of Half Dome in California's Yosemite National Park, and 3) scuba diving. To illustrate our approach, we describe some of the tests that were performed and report the results. After analyzing the detailed physiological data collected during testing, we provided the patient with an exercise prescription and specific guidelines that he could use to gauge his level of physical exertion during his outdoor adventures. Within approximately 6 months of testing, he successfully performed the goal activities without adverse symptoms.
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Sparky
authors.initials: S
authors.lastname: Bartee
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Shrestha
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Ramos
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Tim
authors.initials: T
authors.lastname: Bilbrey
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Carbone
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Schussler
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Rick
authors.initials: R
authors.lastname: Deutsch
authors.affiliation: Department of Kinesiology, University of Texas at Arlington, Arlington, Texas (Bartee, Shrestha, Ramos); the Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas (Bilbrey, Carbone, Schussler, Adams); and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas (Schussler). Mr. Deutsch is a consultant in San Jose, California. Mr. Shrestha is now with the Carter Rehabilitation and Fitness Center at Baylor All Saints Medical Center, Fort Worth, Texas; Mr. Bartee is with the Food and Nutritional Supplement Division of the US Food and Drug Administration, San Diego, California; and Ms. Ramos is with the Cancer Foundation for Life, Dallas, Texas.
authors.forename: Jenny
authors.initials: J
authors.lastname: Adams