Primary prevention

One quarter of patients with autosomal dominant polycystic kidney disease (ADPKD) have aneurysms at autopsy, and 2% to 8% of patients with aneurysms have ADPKD.[36] Individuals with ADPKD are potential candidates for aneurysm screening.[29]

Because of the possible hereditary aspects of subarachnoid hemorrhage (SAH), patients who have two or more first-degree relatives with SAH are potential candidates for aneurysm screening.[25][29][35]

Hypertension should be corrected, as this is one of the most important modifiable risk factors.[26][29][30][31][32][33][34]

Smoking is another important modifiable risk factor.[26][30][31][32][33][34] All patients should be encouraged not to smoke.

Secondary prevention

Advise patients on lifestyle measures including recommendations to:[101]

  • Exercise regularly

  • Maintain a healthy diet

  • Manage weight

  • Reduce alcohol consumption

  • Quit smoking

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