Medical Management

Medical treatment of various aortic pathologies entails the following:

  • Strict control of the blood pressure and heart rate
  • Smoking cessation
  • Blood cholesterol and sugar control
  • Avoiding any risky activities that increases the risk of aortic rupture: lifting heavy weights, any activities that put the patient at risk for fall (deceleration injury) such as contact sports, bike and horse back riding, etc.

Postsurgical Medical Treatment
Often during the postsurgical recovery period, patients experience back pain and discomfort. They avoid physical activity when it would be very beneficial for them. They often tend to walk less and gain weight, and their blood pressure becomes difficult to manage. These factors contribute to mental depression. The hallmark of postsurgical rehabilitation for aortic aneurysm patients is good pain management coupled with appropriate physical activity. Weight reduction and improved nutritional status are very important. A diet low in fat and carbohydrates and high in fiber and protein is recommended.

A rigorous, scientific approach to blood pressure management is important for these patients. Home monitoring with a blood pressure machine equipped with an arm cuff is recommended. This device should be calibrated to ensure accuracy. Daily blood pressure readings are used to adjust the regimen of blood pressure medications, which may include beta blockers, ACE inhibitors and calcium channel blockers, maintaining the systolic pressure within a range of 105 to 115 for normal activity.