AAA with High Blood Pressure - Concerned about Nearing Surgery

Posted by rickp24 @rickp24, Apr 8 5:39pm

My Ascending Aortic Aneurysm is 4.8 cm. My blood pressure is always over the 130/80. Sometimes 145/90 or higher. Even laying down. I do take blood pressure meds and statin. My concern: my doctor is not doing anymore steps to get it lower. He is rated high. I live in Kansas City area. I worry it being that high and not below 120/80 that I am looking at surgery soon.

Should I push to get more meds or different meds? Should I just wait for the surgery to happen? I am 70 male. I have read also that live expectancy after surgery is like 5 years at best. Kinda worried here.

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I was told my blood pressure must be kept at 110/70 to 120/79 You need more blood pressure medication. Please watch the salt in your diet too. Salt can elevate your blood pressure along with caffeine

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I’ve been monitoring my BP since November 2023 & it ranges from 167/110 to 152/101. Suffered from Edema two weeks ago, went to ER, after ECHO, possible left atrium enlargement. Haven’t felt well in 2 yrs. Awaiting to see new provider next month.
I just wanna feel good, again. The weight I’ve gained in last 2 months is depressing & I appreciate these blogs, because my family has enough problems. They don’t need me “whining”
Anyways, I hope you can lower your BP and have a successful surgery. God Speed

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Where did you read 5 years? Is there some additional factor about your health in addition to your aneurysm? I'm not a doctor and it sounds like a complex thing to pin down, but here's a link to an article with the conclusion: "Long-term survival of patients undergoing elective surgery for ascending aortic aneurysm who survive the postoperative period completely recover their life expectancy."

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141111/

There are some other articles with conclusions that are not so rosy https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9422752/pdf/ezac161.pdf https://academic.oup.com/ejcts/article/62/3/ezac244/6573263 but 5 years sounds a little pessimistic.

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