Dr. Muhammad Zohaib Siddiq
Cardiology
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Patient's Query
Hi doctor,
I am a healthy woman with an average weight and low blood pressure. However, the root of my thoracic aorta is 4.7 cm. Should I be concerned?
Hello,
Welcome to icliniq.com.
I understand your concern. Do you have any known connective tissue or aortic valve disease? Is there a family history of an aortic aneurysm or dissection? Are you hypertensive, married, or pregnant? Please provide me with these information pieces to evaluate and assess them properly.
Patient's Query
Hi doctor,
Thank you for the reply. My blood pressure is usually between 100 and 60 mmHg, and I am not pregnant. Early this year, I had undergone a preliminary test for connective tissue illnesses, but there was no evidence of this and aortic valve disease. Also, a few years ago, I did a 24-hour holter and stress test, and the results were fine. ECGs have been normal aside from PVCs. My uncle suffered a few heart attacks, but one of them was caused by a blood clot. Therefore, I am not sure if this family history exists.
Hello,
Welcome back to icliniq.com.
I understand your concern. At 4.7 cm, controlling blood pressure and heart rate is all that needs to be done. Your blood pressure is perfectly normal. At rest, keep your heart rate at 60 bpm. If there is no additional anomaly, such as another valvular illness, merely repeat the procedure for aortic root dilatation. Echocardiography (echo) should be repeated six months after the first and then annually. If you want to be pregnant, intervention should be done before conceiving. Otherwise, when the diameter reaches 5.5 cm, then surgery is indicated.
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Cardiology
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