In this episode of our podcast series on aortic dissection, host Roy Sheppard is joined by Edward "Monty" Montgomery and Martin Hilton, both survivors of aortic dissection, alongside Dr Bejal Pandya, consultant congenital cardiologist at Barts Heart Centre.

Together, they explore the journey of recovery after aortic dissection, from hospitalisation and physical rehabilitation to long-term lifestyle adjustments. Bejal provides expert insight into key stages of recovery, medication management, safe exercise practices, and the impact of fitness levels before and after dissection. Monty and Martin share candid personal stories, reflecting on physical and emotional challenges, mindset shifts, and the importance of accepting and adapting to a new reality.

This episode offers valuable guidance for patients, families, and clinicians, highlighting how recovery is possible and meaningful, regardless of age or fitness background.

Chapters:

(00:00) – Introduction

(00:40) – Meet the guests: Monty, Martin & Dr Bejal Pandya

(01:30) – Overview of aortic dissection recovery

(02:50) – Hospitalisation and immediate recovery phase

(05:10) – Recovery differences: Type A vs Type B dissections

(07:30) – Medications and blood pressure management

(10:00) – Exercise after aortic dissection: What’s safe and what to avoid

(13:20) – Monty's story: Gym weights and emergency surgery

(22:10) – Martin’s experience: Ironman, mindset, and rebuilding fitness

(26:20) – Adapting fitness goals post-dissection

(28:40) – Cardiac rehab and overcoming physical setbacks

(31:00) – Advice for sedentary vs highly active patients

(34:00) – Family impact and genetic screening

(36:10) – Muscle atrophy and rebuilding over time

(38:00) – Do’s and Don’ts of recovery