Patient discussions

Patients should be advised to avoid contact sports and strenuous physical activities (such as isometric heavy weight lifting, pushing, or straining that would require a Valsalva maneuver) to reduce aortic wall shear stress due to sudden rises in arterial blood pressure during exercise.[13] However, activities with low static and dynamic stress (mild aerobic exercise and daily activities) can be continued.[13] The patient should also avoid cocaine or other stimulating drugs such as methamphetamine.[13]

Patients should follow up for surveillance imaging and blood pressure control.[23] Smoking cessation and control of hyperlipidemia is important for overall vascular health.[13] It is recommended that patients maintain a heart-healthy diet.

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