Can I Have An Aortic Aneurysm? I Had An Ultrasound

Posted on Sun, 1 Dec 2019

Question: Can i have an aortic aneurysm? I had an ultrasound scan in May of this year, and my measurements were: aortic root 3.2 cm, mid 1.9 and distal 1.6 cm. Ekg does show inverted t waves in lateral leads v4-6. Family hx of HTN, but no family hx of AAA or thoracic aorta aneurysm. Should i be worried? My BP is usually in the 130-140 range and diastolic is in the 90 range. My heart rate is low 50-60. I work out regularly and eat healthy. Should i be worried about sudden death?

Answered by Dr. Ilir Sharka (41 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on - Ask a Doctor - service!

I understand your concern and let me explain that your aortic dimensions seem to be within normal ranges.

So, nothing to worry about! You don't have aortic aneurysm.

I encourage you to follow a healthy life-style and diet.

Regarding the risk of life-threatening cardiac events, it would depend on the present of any important structural cardiac disorder.

That's why it is important to undergo several cardiac tests (besides EKG and cardiac ultrasound).

In case of arrhythmia or presence of any certain cardiomyopathy a valuable test would be CMR (cardiac magnetic resonance).

Otherwise, controlling risk factor like hypertension, lipid profile, any glucose metabolism disorder, etc. would be advisable.

It is necessary reviewing a careful medical history and potential current symptomatology to decide on clinical screening and risk prediction.

Hope to have been helpful to you!

Feel free to ask me again in case of any further question.

Kind regards,

Dr. ilir Sharka
cardiologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ilir Sharka (12 minutes later)

Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again!

If you have experienced higher blood pressure values for a relatively long period, controlling your HTN could prevent any potential LV hypertrophy and subsequent EKG abnormalities.

Anyway, you shouldn't give too much importance to EKG findings as it is only an expression of structural cardiac changes. As far as your heart structure appears normal, nothing dangerous could happen even if certain EKG changes persist.

Regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (13 minutes later)

My LV was measured at .96 cm and ejection fraction is 63% . ultrasound showed no enlargement and normal pumping. If I get my HTN under control could that reverse my EKG readings?