New diagnosis of ascending aortic aneurysm and I’m terrified

Posted by mjm3 @mjm3, Aug 16, 2024

I received the diagnosis of a 4.1 CM ascending aortic aneurysm as an incidental finding after an angiogram was ordered to make sure I had no blockages due to an unexpected spike and blood pressure at work. I normally have low blood pressure so I was surprised when it was 189/111 and they took me to the hospital. that seem to come from acute stress at work, but I had a complete cardiac workout after finding a very low amount of troponin in my bloodstream 0.03. Anyway, the aneurysm was a complete shock and now I’m terrified that it’s going to burst at any time despite my cardiologist rather nonchalant approach. I asked if there’s anything I should be doing or not doing and she said don’t lift anything over 40 pounds . But no other instructions other than they’ll keep an eye on things. How do you get past feeling like your life is almost over. I’m 67 years old and in good health otherwise. I eat healthy, not overweight and thought based on my family longevity that I would live into my late 80s early 90s. Now I’m afraid I won’t make it till the end of the year which is probably ridiculous but this aneurysm has me totally freaked out. How do you all cope? And how do you get the fear so you can just enjoy life?

Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.

@liveoak

As a military aviator, in flight school & with instructor/check pilots they both taught us that the most important thing you can do during an in-flight emergency is to first maintain or gain control of the aircraft and continue flying it as best you can before taking any emergency procedure steps/actions. THEN analyze the situation in order to begin taking CORRECT emergency procedure steps. We were taught that is some cases it may not be possible to regain control or make a text book/checklist solution wherein thorough knowledge of aircraft systems and limitations may aid in making the best case situational response according to your judgement and situational awareness at that time. A survivable/livable solution.

In the same sense in our lives, we must do the same things. In BOTH cases easier said than done.

My situation is pretty much identical to yours. Accompanied by the same thoughts and feelings. I discussed with my cardiologist and more so with my primary care provider who seems to have an excellent ear for his patients and ask them what are my limitations? What can I do on my end as a best course of actions to live with this? I was told nothing over 30 lbs. but I occasionally cheat but not by much. I discussed with my cardiologist if it was OK to continue my blood pressure at it's current level which is a bit low 89/57 first thing in the morning and typically 100 - 110/55 - 60 during the day max. Both the cardiologist and primary said is was OK as long as I could safely tolerate it. If you haven't already, get a blood pressure tester and experiment with varying dosages of whatever BP medication you are taking. Even before I was diagnosed, I was working on losing weight. I lost almost 50 lbs. over the past year and am now at a weight I haven't seen since high school. I stay active and get more than adequate exercise & activity. LDL cholesterol is 65. My HDL is low and I am working on raising it.

DO the things you need to do, to minimize the stress & aggravation in your life. Sometimes you just have to jetison the load. LOL!

These are just some of the things I am doing. THESE are the things that I have some degree of control over and am doing my best to manage.

Above ALL and MOST importantly remember that God IS in control. I thank Him EVERYDAY for another day in this world and turn my fears & doubts over to HIM. Thank Him for the life He has given me and His grace that He as shown me. God gives us MANY things & replaces them in our lives. The one thing He does NOT give us more of is time after we have foolishly thrown it away. Use the time He has given you wisely.

I wish us BOTH the best as I have my own struggles from time to time following my own advice. 🙂 Merry Christmas one and all!

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Amazing reply. God is in control and I also thank him for each and every day, and all the blessings. I have 4.8 aortic aneurysm. It's hasn't grown in a year. I having a CT scan done then will be seeing a thoracic surgeon. I wish you a beautiful life--a healthy life. Merry Christmas! God bless you!

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I also have an ascending aortic anuerysm. It is 4.1 cm at this time.

I have been eating a healthy diet.

Doing daily excercise.

Stress management with Mindfulness and Meditation.

Seeing cardiologists for echo cardiogram to show the size every 6 months and medication for heart.

It was upsetting to learn that I had an anuerysm.

I have learned about anuerysms since then.

I am grateful for this support group.

I no longer feel alone with this.

It is comforting to talk with others here who understand and share with us.

I wish you the very best.

@britt013

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@liveoak

As a military aviator, in flight school & with instructor/check pilots they both taught us that the most important thing you can do during an in-flight emergency is to first maintain or gain control of the aircraft and continue flying it as best you can before taking any emergency procedure steps/actions. THEN analyze the situation in order to begin taking CORRECT emergency procedure steps. We were taught that is some cases it may not be possible to regain control or make a text book/checklist solution wherein thorough knowledge of aircraft systems and limitations may aid in making the best case situational response according to your judgement and situational awareness at that time. A survivable/livable solution.

In the same sense in our lives, we must do the same things. In BOTH cases easier said than done.

My situation is pretty much identical to yours. Accompanied by the same thoughts and feelings. I discussed with my cardiologist and more so with my primary care provider who seems to have an excellent ear for his patients and ask them what are my limitations? What can I do on my end as a best course of actions to live with this? I was told nothing over 30 lbs. but I occasionally cheat but not by much. I discussed with my cardiologist if it was OK to continue my blood pressure at it's current level which is a bit low 89/57 first thing in the morning and typically 100 - 110/55 - 60 during the day max. Both the cardiologist and primary said is was OK as long as I could safely tolerate it. If you haven't already, get a blood pressure tester and experiment with varying dosages of whatever BP medication you are taking. Even before I was diagnosed, I was working on losing weight. I lost almost 50 lbs. over the past year and am now at a weight I haven't seen since high school. I stay active and get more than adequate exercise & activity. LDL cholesterol is 65. My HDL is low and I am working on raising it.

DO the things you need to do, to minimize the stress & aggravation in your life. Sometimes you just have to jetison the load. LOL!

These are just some of the things I am doing. THESE are the things that I have some degree of control over and am doing my best to manage.

Above ALL and MOST importantly remember that God IS in control. I thank Him EVERYDAY for another day in this world and turn my fears & doubts over to HIM. Thank Him for the life He has given me and His grace that He as shown me. God gives us MANY things & replaces them in our lives. The one thing He does NOT give us more of is time after we have foolishly thrown it away. Use the time He has given you wisely.

I wish us BOTH the best as I have my own struggles from time to time following my own advice. 🙂 Merry Christmas one and all!

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Live each day with intionality. Be PATIENT through the process. Be PRESENT throughout day. Be DELIBERATE/INTENTIONAL with your thoughts and actions. Merry Christmas and Happy New year!

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@liveoak

As a military aviator, in flight school & with instructor/check pilots they both taught us that the most important thing you can do during an in-flight emergency is to first maintain or gain control of the aircraft and continue flying it as best you can before taking any emergency procedure steps/actions. THEN analyze the situation in order to begin taking CORRECT emergency procedure steps. We were taught that is some cases it may not be possible to regain control or make a text book/checklist solution wherein thorough knowledge of aircraft systems and limitations may aid in making the best case situational response according to your judgement and situational awareness at that time. A survivable/livable solution.

In the same sense in our lives, we must do the same things. In BOTH cases easier said than done.

My situation is pretty much identical to yours. Accompanied by the same thoughts and feelings. I discussed with my cardiologist and more so with my primary care provider who seems to have an excellent ear for his patients and ask them what are my limitations? What can I do on my end as a best course of actions to live with this? I was told nothing over 30 lbs. but I occasionally cheat but not by much. I discussed with my cardiologist if it was OK to continue my blood pressure at it's current level which is a bit low 89/57 first thing in the morning and typically 100 - 110/55 - 60 during the day max. Both the cardiologist and primary said is was OK as long as I could safely tolerate it. If you haven't already, get a blood pressure tester and experiment with varying dosages of whatever BP medication you are taking. Even before I was diagnosed, I was working on losing weight. I lost almost 50 lbs. over the past year and am now at a weight I haven't seen since high school. I stay active and get more than adequate exercise & activity. LDL cholesterol is 65. My HDL is low and I am working on raising it.

DO the things you need to do, to minimize the stress & aggravation in your life. Sometimes you just have to jetison the load. LOL!

These are just some of the things I am doing. THESE are the things that I have some degree of control over and am doing my best to manage.

Above ALL and MOST importantly remember that God IS in control. I thank Him EVERYDAY for another day in this world and turn my fears & doubts over to HIM. Thank Him for the life He has given me and His grace that He as shown me. God gives us MANY things & replaces them in our lives. The one thing He does NOT give us more of is time after we have foolishly thrown it away. Use the time He has given you wisely.

I wish us BOTH the best as I have my own struggles from time to time following my own advice. 🙂 Merry Christmas one and all!

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I am trying to turn my fears over to God, but it is so hard not to worry. Praying that He will bless us all.

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@luhn

I agree. Your comment gave me a lot of hope and some faith that perhaps I won't just plop over
one day with no warning, but can actually live with this and do wait-and-see approach with scans. My aneurysm was a complete shock to me also and it measures 4.6. I had a CT coronary calcium scan to see if I needed to start statins as I am "borderline" on the criteria. Calcium was zero...so that was great news. But had the wind knocked out of me with the aneurysm (dilatation) diagnosis. Soo encouraged to know that for some these do not require surgery and may never. Thank you for sharing your story!

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Same thing happened to me. Went in for CT Calcium score which was a 4 to see if I needed statins and they found a 4.7 ascending Aneurysm. I’m 59.

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@jkb5000

Same thing happened to me. Went in for CT Calcium score which was a 4 to see if I needed statins and they found a 4.7 ascending Aneurysm. I’m 59.

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@jkb5000 I had the same experience. I also went for a CT Calcium score as a baseline as I have normal cholesterol and am very healthy. My calcium score was zero but as an "incidental finding", they noted I had a TAA of 4.2 cm. I am now seeing a cardiologist. I had a stress test and echocardiogram. Both came back normal, with no regurgitation from the valve. The echo measured the TAA at 3.8 cm, but it is normal to have variation from CT to echo. I go back in February for another echo. I have been oddly calm about my diagnosis, which is strange because health issues generally send me into a tailspin. I'm only 57 (female) and have been very active my entire life, with lots of running, weight training, etc. My weight and BMI are normal. My only risk factor is mild familial hypertension, which is controlled by 80 mg of Valsartan. It's a bit of a gut punch to find this out, but at least I know about it and can have it monitored. I have continued to workout as I normally have and will see how it affects the growth of my TAA. I wasn't given any restrictions but I don't lift super heavy weights. I do, however, participate in spin classes and intense hot yoga. I'm curious how my next echo will be. Best of luck to everyone. Knowledge is power! Happy New Year!

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@sabrinaivey

@jkb5000 I had the same experience. I also went for a CT Calcium score as a baseline as I have normal cholesterol and am very healthy. My calcium score was zero but as an "incidental finding", they noted I had a TAA of 4.2 cm. I am now seeing a cardiologist. I had a stress test and echocardiogram. Both came back normal, with no regurgitation from the valve. The echo measured the TAA at 3.8 cm, but it is normal to have variation from CT to echo. I go back in February for another echo. I have been oddly calm about my diagnosis, which is strange because health issues generally send me into a tailspin. I'm only 57 (female) and have been very active my entire life, with lots of running, weight training, etc. My weight and BMI are normal. My only risk factor is mild familial hypertension, which is controlled by 80 mg of Valsartan. It's a bit of a gut punch to find this out, but at least I know about it and can have it monitored. I have continued to workout as I normally have and will see how it affects the growth of my TAA. I wasn't given any restrictions but I don't lift super heavy weights. I do, however, participate in spin classes and intense hot yoga. I'm curious how my next echo will be. Best of luck to everyone. Knowledge is power! Happy New Year!

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Happy New Year !! Thanks for the reply. I also think hypertension was my culprit. Mine was mild like yours but being a type "A" personality probably didn't help - lol. I'm so grateful for finding this website with you and others who have the same diagnosis especially since it is so rare. Best of luck to you and everyone !!!!

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@sabrinaivey

@jkb5000 I had the same experience. I also went for a CT Calcium score as a baseline as I have normal cholesterol and am very healthy. My calcium score was zero but as an "incidental finding", they noted I had a TAA of 4.2 cm. I am now seeing a cardiologist. I had a stress test and echocardiogram. Both came back normal, with no regurgitation from the valve. The echo measured the TAA at 3.8 cm, but it is normal to have variation from CT to echo. I go back in February for another echo. I have been oddly calm about my diagnosis, which is strange because health issues generally send me into a tailspin. I'm only 57 (female) and have been very active my entire life, with lots of running, weight training, etc. My weight and BMI are normal. My only risk factor is mild familial hypertension, which is controlled by 80 mg of Valsartan. It's a bit of a gut punch to find this out, but at least I know about it and can have it monitored. I have continued to workout as I normally have and will see how it affects the growth of my TAA. I wasn't given any restrictions but I don't lift super heavy weights. I do, however, participate in spin classes and intense hot yoga. I'm curious how my next echo will be. Best of luck to everyone. Knowledge is power! Happy New Year!

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Be careful and discuss your exercise with your cardiologist. I worry about not getting enough exercise, but what you do sounds like a lot to me. Just saying. I'm not a doctor.

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@pamela78

Be careful and discuss your exercise with your cardiologist. I worry about not getting enough exercise, but what you do sounds like a lot to me. Just saying. I'm not a doctor.

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@pamela78
I understand what you're saying and appreciate your concern, sincerely, but I just decided to carry on with my normal activities at this point as my risk of dissection is low. I want to see how my echo changes in February, compared to my baseline in August, if I continue doing what I have always done given that my stress test was normal, I have no other heart disease, and overall I am very healthy. I don't want to limit myself unnecessarily, especially since I love working out and if I ever do need surgery I want my heart as healthy as possible.
I have been active my entire life and it has helped with my stress and anxiety, so the thought of not having a good, hard workout is almost unthinkable to me. I'd rather work out and have surgery younger and healthier than be more sedentary and never have surgery or have it when I'm much older and possibly more frail. That may sound crazy to others but it's a risk I'm willing to take as I am only 57 and have, hopefully, many more trips around the sun.
I watch my BP, eat very healthfully, don't drink alcohol, limit sugar, no gluten (I'm sensitive), keep a good social circle, manage stress through exercise, meditation, and prayer, and have a great husband of 26 years, so I hope the mitigating factors will help. I will know more after my cardiologist appointment at the end of February. If the echo is unchanged then I will keep on doing my thing, if it shows growth, I will modify my workouts as necessary. This was the best way I could think of to assess how my lifestyle affects the growth of my TAA. Sorry for the lengthy post... it's a (very, lol) long explanation of my thought process on my particular situation and managing exercise with my TAA. I hope you and your family had a wonderful holiday season. I wish you and everyone on this thread peace, happiness, and good health! xoxo

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@sabrinaivey

@jkb5000 I had the same experience. I also went for a CT Calcium score as a baseline as I have normal cholesterol and am very healthy. My calcium score was zero but as an "incidental finding", they noted I had a TAA of 4.2 cm. I am now seeing a cardiologist. I had a stress test and echocardiogram. Both came back normal, with no regurgitation from the valve. The echo measured the TAA at 3.8 cm, but it is normal to have variation from CT to echo. I go back in February for another echo. I have been oddly calm about my diagnosis, which is strange because health issues generally send me into a tailspin. I'm only 57 (female) and have been very active my entire life, with lots of running, weight training, etc. My weight and BMI are normal. My only risk factor is mild familial hypertension, which is controlled by 80 mg of Valsartan. It's a bit of a gut punch to find this out, but at least I know about it and can have it monitored. I have continued to workout as I normally have and will see how it affects the growth of my TAA. I wasn't given any restrictions but I don't lift super heavy weights. I do, however, participate in spin classes and intense hot yoga. I'm curious how my next echo will be. Best of luck to everyone. Knowledge is power! Happy New Year!

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I am worried about lifting heavy items, but the cardiologist didn't give me any restrictions. I think my biggest enemy is stress, because I get so stressed when I can't do something myself, and I get aggravated because I can't fix a problem ( just everyday things like when the grasscutter quits in the middle of mowing the lawn, and I can't get it started and I have to call and wait on someone to come fix it), and I know my BP goes thru the roof. So, I know I have to learn how to defuse, and I don't know how to do that.

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