@dew88 Hello, I appreciate your reply.
I am scheduled for a nuc stress test, an echo, complete with Angel Ultrasound, and also a heart monitor for two weeks.

My cardio office services includes aneurysm. I have sent a message on my portal to the cardio, who is also the director of the multi-location practice. He is highly recommended. Unfortuantally he gets double booked according to a 3 yr patient I talked with. It's common sense you cannot fully complete a new patient workup in 15 min. I am sure this frustrates many patients.

First, I am short statured at 5'1", this makes a huge difference in my monitoring, and when surgery is needed.
I have sent a message on my portal to the cardio, this is what I sent:
Questions from my new patient exam.
1) Aortic Risk & Small Stature Indexing
Indexed Risk: At 5'1", my Aortic Size Index (ASI) is 2.31 cm/m², projected to reach ~2.53 as I lose 30 more lbs. I am requesting that my risk be monitored based on indexed size and growth velocity rather than absolute numbers.

2) Genetic Panel Request: Due to strong bilateral family history and multi-vessel involvement, I am requesting a TAAD (Thoracic Aortic Aneurysm and Dissection) Genetic Panel.

3) Requesting--MRA Head and Neck test.......With a Hx of ascending thoracic aorta dilation found in 10/2025, and to assess vascular abnormalities, such as aneurysms or stenosis in the carotid arteries. A f/u on the abnormal findings of my CIMT results, which was included in my medical records that was scanned in by your staff.

I have spent alot of time, and paid alot of my own money on testing, just to make the most out of my specialist visits. It's my health, and I am going to participate, and be my own advocate.