Dissecting Arteries: SCAD & Ehlers-Danlos Syndrome Podcast
Spontaneous Coronary Artery Dissection (SCAD) and vascular Ehlers-Danlos Syndrome (vEDS): how AEPs can work with these clients safely and effectively.
Clients with dissecting arteries can be challenging to work with because blood pressure increases with most modes and intensities of exercise, yet blood pressure needs to be in tight control at all times for these clients in order to avoid the risk of arterial rupture or progression of the dissections. The purpose of this podcast is to give AEPs some guidance on how to work safely and effectively with clients with Spontaneous Coronary Artery Dissection (SCAD) or vascular Ehlers-Danlos Syndrome (vEDS).
SCAD is predominantly a condition experienced by young and middle-aged women, and vEDS is a genetically inherited condition. Steve will focus on empowering AEPs to “connect the dots” between what often looks like a complex range of medical services for these conditions (diagnoses, conservative medical management, medical interventions and surgeries), and the AEP’s exercise services.
For each of SCAD and vEDS, Steve will cover in brief: (i) epidemiology; (ii) pathology; (iii) pathophysiology; (iv) signs and symptoms; (v) diagnostic techniques; (vi) conservative medical management, especially first line medications; (vii) interventions and surgeries; (viii) guidance on exercise for clients with these conditions which will include AEP assessments of individual’s risk of exercise participation and the design of individualised exercise programs and plans.
Because there are no authoritative published guidelines for exercise for either condition, Steve will present a clinical reasoning approach illustrated with real deidentified case studies from Steve’s practice.
This is a recording of an ESSA webinar presented on 30 August 2022.
Presented by Mr Steve Selig, PhD, AES, AEP, ESSA Fellow, ESSA Life Member
Steve Selig is the retired Chair in Clinical Exercise Science at Deakin University and was an academic in cardiovascular exercise physiology for 34 years. In retirement, Steve continues to teach, research and practise cardiac exercise physiology. He enjoys mentoring students and new AEPs in his field of expertise.
Steve has been a long term servant of ESSA in many capacities including Director on the Board (2005-2021), twice led peak advisory groups (2006-2008; 2013-2015) on behalf of ESSA that were tasked with restructuring the ESSA Professional Standards for Accredited Exercise Physiologists (AEP), and many committee roles. The professional standards covered by the work of Steve and his colleagues span the period 2008-2021.
His research has focused on the benefits of exercise for people living with heart failure, and Steve is considered a leading exercise physiologist in Australia for the design of individualised exercise interventions for people living with treatment-resistant hypertension and labile hypotension, arrhythmias and conduction defects, complex valve disease and adult congenital heart disease.
Steve’s academic leadership has been recognised by many Awards, including a Vice-Chancellor’s Award for Teaching Excellence, and a National Citation for an Outstanding Contribution to Student Learning. In 2010, he was honoured to receive the ESSA President’s Award for services to clinical exercise physiology. In 2016, he was named as one of the “top 25 influencers of exercise and sports science in Australia” as part of the 25 year celebration of ESSA. In 2021, Steve was honoured with Life Membership of ESSA in recognition of a quarter of a century of exemplary and sustained contributions to the exercise and sport science professions. .
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