Hi, I’m not a Dr and I always, as I said above, recommend folks with aortic issues to find a good cardiologist who specializes in aortic diseases, they know what the proper protocols are for each individual case, he/she will evaluate and recommend ways (medication combination) that best will work in your case and will look for any other issues that may affect you (family history/genetics, other conditions, determine growth rate, etc), that is paramount. I found one and he is incredibly knowledgeable and always gives me answers and recommendations, I see him once a year after an echo to evaluate my graft and my aortic valve (mine is bicuspid and will need replacing at some point) and every 4-5 years orders complete MRIs (groin, abdomen, chest and head) to ensure no other aneurysms are appearing.

I couldn’t comment on your particular medications as again I would leave that to your cardiologist.

Having said that, you dilation is very small and being concerned about your BP is the right approach to take. Besides medication, I found that if I workout often my BP lowers significantly, a combination of aerobic and strength exercises work for me. Strength exercises that don’t involve lifting heavy weights or require too much effort as that would bring the risk of BP rising while exerting. Treat your body well, if you smoke stop.

Controlling stress, is also important, yoga, meditation, hobbies and activities that bring you joy.

I hope things go well for you, you found the right place to get recommendations and hear other people’s experiences, everyone here has gone through a similar situation.

All the best!!!