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Published on: 2/27/2026
Your aorta is at risk when high blood pressure, smoking, aging, high cholesterol, or family history weaken its wall, and recognizing symptoms like deep chest or back pain or a sudden tearing pain can be lifesaving.
There are several factors to consider, and medically approved next steps include controlling blood pressure, quitting smoking, safe exercise, cholesterol and weight management, and targeted screening or imaging such as ultrasound for men 65 to 75 who have ever smoked. See the complete guidance below to understand your personal risk, when monitoring or surgery is recommended, and the red flags that need emergency care.
Your aorta is the largest and most important artery in your body. It carries oxygen-rich blood from your heart to your brain, organs, and limbs. When the aorta is healthy, your entire circulatory system runs smoothly. When it's not, the consequences can be serious.
If you've been worried about your aorta, you're not alone. Many people have concerns after hearing about aortic aneurysms, aortic dissection, or sudden cardiovascular events. The good news? There are clear, medically approved steps you can take to understand your risk and protect your health.
Let's walk through what puts your aorta at risk, what symptoms to watch for, and what to do next.
The aorta is the main artery that leaves your heart. It:
Because it handles high-pressure blood flow, the aorta must be strong and flexible. Over time, certain conditions can weaken its walls.
When that happens, two major problems may occur:
Both require medical attention. Early detection can be life-saving.
Several medically recognized risk factors increase the likelihood of aortic problems.
Chronic high blood pressure is one of the biggest threats to the aorta. Constant pressure strains the artery walls, making them more likely to weaken or tear over time.
Smoking damages blood vessels and accelerates hardening of the arteries. It significantly increases the risk of:
Even former smokers may carry elevated risk for years.
The risk of aortic aneurysm increases with age, especially after:
The aorta naturally stiffens over time.
If a close relative has had:
Your risk may be higher. Some genetic conditions (like Marfan syndrome or Ehlers-Danlos syndrome) can weaken connective tissue in the aorta.
Plaque buildup can damage the inner lining of the aorta and weaken its structure.
Car accidents or severe chest trauma can damage the aorta.
Many early aortic conditions cause no symptoms at all. That's why screening and awareness matter.
Small aneurysms often go unnoticed. As they grow, symptoms may include:
If an aneurysm ruptures, symptoms may include:
This is a medical emergency.
Aortic dissection often presents suddenly and severely:
If you suspect dissection, call emergency services immediately.
Medical guidelines recommend screening in certain groups, especially for abdominal aortic aneurysm (AAA):
Screening usually involves a simple, painless ultrasound.
If you're experiencing symptoms or have multiple risk factors, you can quickly assess whether you should see a doctor right away using a free Aortic Aneurysm symptom checker that takes just minutes to complete.
The goal is not to panic. It's to act early and wisely.
Keeping blood pressure within normal range reduces stress on your aorta.
Target blood pressure is typically below 130/80 mmHg, depending on your medical history.
Quitting smoking is one of the most powerful ways to protect your aorta.
Benefits begin within months and continue to improve over time.
Lower cholesterol reduces artery wall damage.
Excess weight increases strain on the cardiovascular system.
Even modest weight loss can improve blood pressure and reduce risk.
Regular moderate exercise strengthens your cardiovascular system.
Recommended activities:
Avoid heavy weightlifting or extreme straining if you have a known aortic aneurysm unless cleared by your doctor.
If your doctor finds an enlarged aorta, monitoring may include:
Small aneurysms may simply require periodic monitoring. Larger ones may require surgical repair.
Surgery may be recommended if:
Procedures include:
Your doctor will weigh risks and benefits carefully.
It's normal to feel concerned about your aorta, especially if you've read alarming stories. But here's the balanced truth:
Ignoring symptoms or risk factors is far more dangerous than getting evaluated.
Seek immediate medical care if you experience:
These may signal a life-threatening aortic emergency.
Your aorta works tirelessly every second of your life. While certain risk factors can increase the chance of problems, modern medicine offers powerful tools for prevention, early detection, and treatment.
Here's what you can do today:
If something feels serious or life-threatening, seek immediate medical attention. Never delay emergency care.
Being informed about your aorta doesn't mean living in fear. It means taking practical, medically sound steps to protect one of the most vital arteries in your body.
(References)
* Larsson E, Svensson P, Björck M, Hultgren R. Risk factors for aortic aneurysm: an update. Br J Surg. 2018 Apr;105(5):469-478. doi: 10.1002/bjs.10777. Epub 2018 Mar 1. PMID: 29555198.
* Mészáros Á, Szabo G. Acute Aortic Dissection: A Review of Diagnosis and Management. J Clin Med. 2020 Apr 1;9(4):993. doi: 10.3390/jcm9040993. PMID: 32248552; PMCID: PMC7230896.
* Isselbacher EM, Preventza O, Gray HM, Hughes GC, Prendergast HM, Bolognesi R, Clark E, Deeb GM, DiMaio JM, Drezner JA, Feldman DN, Ferrari G, Gillespie S, Harkness A, Hockstad ES, Kim KM, Kohl BA, Kratzberg J, Laflamme M, Lincoln E, Malas MB, Miller M, Mokadam NA, Nishimura RA, Patel RP, Pepin ME, Prewitt K, Saedi S, Schneider V, Shahian DM, Stepp E, Strauss C, Williams M. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Nov 1;80(19):e233-e380. doi: 10.1016/j.jacc.2022.08.004. Epub 2022 Oct 27. PMID: 36280922.
* US Preventive Services Task Force; Krist AH, Davidson KW, Mangione MF, Barry MJ, Cabana MR, Caughey AB, Davis EM, Donahue CM, Doubeni LF, Epling JW Jr, Kubik M, Landefeld CS, LeFevre ML, Ogedegbe G, Pbert L, Silverstein M, Ssali F, Tseng CW. Screening for Abdominal Aortic Aneurysm: U.S. Preventive Services Task Force Recommendation Statement. JAMA. 2019 Dec 10;322(22):2219-2224. doi: 10.1001/jama.2019.18371. PMID: 31826017.
* Pannu H, Kim N, Guo DC, Wenkert D, Loebe M, Estrera A, Milewicz DM. Genetic Predisposition to Thoracic Aortic Aneurysm and Dissection: A Guide for Clinicians. Circ Res. 2021 Jun 25;129(1):97-111. doi: 10.1161/CIRCRESAHA.121.318288. Epub 2021 Jun 24. PMID: 34160456; PMCID: PMC8461461.
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