Recommendations for Physical Activity and Quality of Life

COR	LOE	Recommendations
1	C-EO	1. For patients with significant aortic disease, education and guidance should be provided about avoiding intense isometric exercises (eg, heavy weightlifting or activities requiring the Valsalva maneuver), burst exertion and activities, and collision sports.1,2
1	C-EO	2. For patients who have undergone surgery for aortic aneurysm or dissection, postoperative cardiac rehabilitation is recommended.3,4
2a	C-LD	3. In patients with thoracic or abdominal aortic aneurysms whose BP is adequately controlled, it is reasonable to encourage 30 to 60 minutes of mild-to-moderate intensity aerobic activity at least 3 to 4 days per week.5,6
2a	C-LD	4. For patients with clinically significant aortic disease, it is reasonable to screen for anxiety, depression, and posttraumatic stress disorder and, when indicated, provide resources for support7,8; it is also reasonable to provide education and resources to minimize patients’ concerns, support optimal decision-making, and enhance quality of life.5,9–11