Hi, I am a 49 yo male, 5'8", 174 pounds, had ECHO done recently due to screening EKG revealing nonspecific ST seg changes which have been stable for at least 8 years. nonsmoker, no HTN, unsure if family h/o cardiac problems, not my immediate family anyway...should i be worried about the aortic widening found on this screening ECHO?...thanks...

Cardiac chamber dimensions: Left atrial diameter: 3.2 cm,
Interventricular      
septum: 1.0 cm, Left ventricular posterior wall: 0.8 cm, Left
ventricular      
diastolic dimension: 4.7 cm, Left ventricular systolic dimension: 3.1
cm, Left      
ventricular ejection fraction is estimated at 60 to 65%, Right
ventricular      
dimensions: 3.6 cm, Aortic root diameter: 4.0 cm, ascending aortic
diameter:      
3.9 cm, Inferior vena cava: 1.2 cm      
     
M-mode and 2D findings: The technical quality of the study is adequate.
The      
rhythm during the study is sinus rhythm. The aortic root and ascending
aorta      
are mildly enlarged. Normal resting LV systolic and diastolic function.

Structurally and functionally normal cardiac valves for age. No masses,

thrombus or vegetations. No pericardial or pleural effusions. IVC

demonstrates normal size and respirophasic response.      
     
Doppler and color Doppler findings: The peak velocity across the aortic
valve      
is 1.5 m/s. There is no aortic insufficiency. There is physiologic
mitral      
regurgitation. There is no mitral stenosis. No tricuspid
regurgitation is      
present. Unable to estimate the resting pulmonary artery systolic
pressure.      
The peak velocity across the pulmonic valves is 1.1 m/s. There is
trace      
pulmonary insufficiency. There is no color flow Doppler mapping
evidence of      
intracardiac shunting.      
     
Conclusions: 1. Mild aneurysmal enlargement of the aortic root and
ascending      
aorta 2. Normal resting left ventricular systolic and diastolic function
with an     
estimated ejection fraction of 60 to 65% 3. No significant valvular
disease 4.      
Unable estimate resting pulmonary artery systolic pressure