Doctors at NYU Langone may prescribe medications to help reduce your risk of an aortic aneurysm or to prevent an aneurysm from growing, which can lead to a rupture of the aorta. Medications allow for aortic aneurysm treatment without surgery and often are prescribed in combination with watchful waiting, a period during which your doctor observes the aortic aneurysm for changes that would require more aggressive treatment.
The people most likely to receive medication are those who have no symptoms or only mild symptoms and have aneurysms smaller than 5 cm if they’re in the abdominal aorta and smaller than 5.5 cm if they’re in the thoracic aorta.
If you have an aortic aneurysm, keeping your blood pressure under control can help prevent the aneurysm from growing. Antihypertensive medications lower blood pressure, relieving pressure on the aortic wall and preventing the aneurysm from growing or rupturing.
Because atherosclerosis—a hardening and narrowing of the arteries—is a leading risk factor for an abdominal aortic aneurysm, your doctor may prescribe medications that keep your cholesterol levels in check. Taking medications to reduce cholesterol levels can help prevent a buildup of plaque, which is an accumulation of fats, calcium, and other substances in the blood that adheres to an artery’s wall. This can reduce the symptoms of or prevent atherosclerosis.
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