The short answer: yes, absolutely. High blood pressure (hypertension) is one of the biggest risk factors for aneurysm growth and complications. When your blood pressure is consistently high, it puts extra strain on the walls of your aorta, which can cause an aneurysm to expand faster and increase the risk of dissection or rupture. Think of it like overinflating a weak tire—it’s just a matter of time before trouble starts. I barely survived a 2015 complete dissection of my aorta and it was a nightmare.

1. Get Your Blood Pressure Under Control
Doctors usually recommend keeping blood pressure below 120/80 mmHg to reduce stress on the aneurysm. Medications like beta-blockers (e.g., metoprolol) or ARBs (e.g., losartan) can help lower pressure and protect your aorta.
2. Stay on Top of Monitoring Aorta Size
A 4.9 cm aneurysm is getting close to the size where surgery may be considered (typically at 5.0-5.5 cm for most people). Regular CT scans, MRIs, or echocardiograms—every 6 to 12 months—are key to watching for growth. If you have any new symptoms like chest pain, back pain, or trouble swallowing, call your doctor ASAP or 911. don't wait and don't hesitate. Aspirin is not going to help!
3. Avoid High-Strain Activities
Heavy lifting, straining, or holding your breath during exertion (Valsalva maneuver) can spike your blood pressure and put even more pressure on the aneurysm. Stick to low-impact exercise like walking, swimming, or gentle cycling.

If you have both high blood pressure and an aortic aneurysm, you need to take it seriously—but you’re not powerless. The right medications, lifestyle adjustments, and regular monitoring can make a huge difference. Stay in touch with your cardiologist, consider seeing an aortic specialist, and take things one step at a time. Peace.