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Newly diagnosed and/or living with ascending aortic aneurysm…anxiety

Aortic Aneurysms | Last Active: Aug 17 10:10am | Replies (89)
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@upartist

Question: what is the most common imaging test all of you are receiving in order to monitor the size and growth rates of your ascending aortic aneurysms? Mine has been measured anywhere from 39 to 42 to now 44 last month. In Jan it was 39 by dye contrast CT. This month it was measured at 44 by CT (no contrast) in a pulmonary test. These CTs were being done for chest pain, cough, asthma symptoms, and blood pressure drops. So what test is the gold standard for accuracy? I haven't had the recent CT interpreted yet. I am a 66 y/o female and quite active. Thanks in advance for any insight you might have.

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mermaid1 | @mermaid1 | May 1, 2023

My cardiologist just told me under the new guidelines from ACA they have a new standard for how to measure - outside edge vs inside edge, which can change the measurement by a millimeter or two.

I've had both CT with contrast and echocardiogram every 6 months for the past 18 months and the measurement varies by 2-3 millimeters. My cardiologist interprets this as stable.

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