Patient's Query
Hello doctor,
I am a healthy woman with an average weight and low blood pressure. However, the root of my thoracic aorta is two inches.
Should I be concerned?
Kindly suggest.
Thank you.
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 this information so that I can evaluate and assess it properly.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hello 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 underwent a preliminary test for connective tissue illnesses, but there was no evidence of this or aortic valve disease.
Also, a few years ago, I did a 24-hour heart and stress test, and the results were fine. ECGs (electrocardiography) have been normal, aside from PVCs (premature ventricular contractions).
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.
Kindly suggest.
Thank you.
Hello,
Welcome back to icliniq.com.
I understand your concern.
At two inches, 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, surgery is indicated when the diameter reaches 2.17 inches.
Seek urgent medical attention if you develop symptoms such as severe chest pain, sudden shortness of breath, or signs suggestive of complications like a blood clot.
I hope this helps.
Please revert so I can assist you further.
Thank you.
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Answered byDr. Muhammad Zohaib
Medically reviewed byDr. K. Shobana
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