What blood pressure level with aneurysm & how to measure?

Look at the recommendations for your age, gender, etc your cardiologist should also give you a target, mine (I'm 60, male) for example is around 120/70 on average, having a few measurements above 120 is OK but the average over a period of time should be close to the target.

There have been a discussion in this forum about how long to wait before starting to take your BP, like most people, if I take it immediately after going downstairs in my house it will be higher than expected. I normally wait for about 10-15 min. I also use a device that takes 3 measurements and provides the average, 30 seconds between measurements. I often notice that my last measurement is lower than the first, and that is normal I have been at rest longer. If interested the device is an Omron, it also connects to an app in my phone and maintains all the records for me, I can then export them to a report and send them to my cardiologist/PCP when needed. The report will show all the individual measurements as well as the average. The app also allows you to enter manually taken BPs for when I use a different device.

@houston13 thanks, I have that same device. I printed out a report for my pcp, he said... that's pretty slick,but fill out the chart I gave you...
I dont have a cardiologist yet,I saw a vascular surgeon... she was not helpful, other than putting me on another type of bp pill. I had to about pull it out of her to get her to say 110/70 .
If 120/70 is good, then I'm OK. 115/70 in the morning heart rate aboutv52. Afternoon it goes up to 123/72. And evening it's 125 maybe 130 / 75.
But I don't like the metoprlol I'm on.. makes me feel like I've got a head cold. But only on it for 10 days so far? Don't know where to look up for 69... plus having a dilated aorta

@ronludington, I have been able to keep mine fairly stable around my target, but in my case my aneurysm is already repaired, so the target may be different if yours is not, so don't dismiss the target they give you. I have mentioned before, not all cardiologists understand fully the implications of aortic diseases, some specialize in them and that is the type of cardiologist you should look for, it makes a huge difference in care, follow up, answers, etc. My cardiologist still monitors and makes emphasis on my BP because other aneurysms may appear, there seems to be a propensity in my family (I also had a brain aneurysm, also repaired)

Hope everything goes well for you, remember a surgeon will help you prepare for surgery and will see you a couple of times after, but the cardiologist will follow you up for life, so it is very important to get a good one.

@houston13 , I'm in the process of getting one now, referred to the sanger vascular clinic co-director. I was not thrilled with my appointment with the vascular surgeon. Since she wouldn't be working on me, it seemed like she did t have much interest.

I'm wondering how high your blood pressure is when it first started to dilate the Aorta ? Does it start at 150, 180, 200 ?
I know my BP was high and I fought it for years, trying natural methods to try and reduce it. When I finally said ok to meds it was probably to late. No one told me that this could be the result. Drs need to tell us the possabilities.

I never had high blood pressure for my dilated Aorta.

I’ve don’t have high blood pressure. They want me on blood pressure medication anyway. I don’t have Marian’s but do have a VUS that could be related. Some research has shown losartan may slow the progression of aneurysms in people with Marfans.

I have never had high blood pressure, I am a lifelong runner. My guess is that mine is genetic, but who knows….

I think Blood Pressure and Sleep Apnea exasperate thoracic aortic aneurysm, but they are not the cause. The sleep apnea can cause sudden extreme BP during events in addition to other physiological stresses. That is why it is important to mange them.

Thank you for posting rlhix. That's an interesting point to think about. I have severe sleep apnea treated with a CPAP and have lost quite a bit of weight to try and stop the progression that sleep apnea causes. I also have an aortic aneurysm measuring 4.3. I am 68yrs old and have been using a CPAP for almost 20 years. I'm so used to it and can't even think of going to sleep without it. It took me awhile at first to adjust to the masks and all that comes with it and now I'm so used to it I can't imagine sleeping without it. The masks and CPAP itself have greatly improved over the last 20 years. The first one I had was loud and very intrusive along with a mask that that was very uncomfortable. Even though I use CPAP, I'm still having issues with severe apnea (without the CPAP) high B/P. diabetes and now the aortic aneurysm. I'm doing all I can to manage it also.