Medical management of aortic disease

Drug therapy is a mandatory component of the treatment of patients with acute and chronic aortic syndromes, regardless of the chosen therapeutic approach (surgical, endovascular, or conservative). In the acute phase, it aims to control pain, heart rate, and arterial blood pressure, while in the long-term it seeks to slow disease progression and potentially prevent aortic rupture. This review focuses on the therapeutic goals in aortic diseases, the medications used, and the evidence currently available. Attention is also given to the importance of lifestyle modifi cations, as well as recommendations for follow-up using various imaging modalities.