Blood Pressure with aortic aneurysm
I am wondering what everyones BP is and if medications are used. What BP measurements were you advised to have? And how do you handle rising BP that is stress/anxiety related? My BP is generally between 100-120 over 80ish. But when I get stressed or my anxiety kicks in it goes up. It comes back down again but it still scares me. Today was a high anxiety/stress event and it went up to 148/110. I got so scared I called my cardio. By the time he called it was at 135/98 and was on its way down and he said I was fine. I guess I am trying to figure out how bad these temporary spikes in BP are. And wonder what the difference is between your BP going up during exercise vs stress?
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I am sure this is a just curiosity question you asked, so this is my prescription. My primary doctor had me measure my blood pressure a few times a day at home for a few weeks after my pressure was high during the pre-diagnosis of my ascending thoracic aorta. My blood pressure was elevated over the two-week time period she had me checking it ranged from 124/75 to 157/98. My doctor placed me on Amlodipine 5 Mg and Atorvastatin 10 Mg. I have ascending thoracic aorta (4.1) and atherosclerosis of the aorta along with a heart murmur. At the time I was walking at least one mile a day on the treadmill beginning and resting at 2.0 and walking at 2.2. As you can tell no huge athlete here. 🙂 I am 72 and retired so no stress and also have hypothyroidism. The medication has helped me but as everyone has a different health background and your doctor will know which road you should travel. I pray you will find my answer helpful.
I had surgery, a Bentall procedure with a bovine aortic valve replacement I am currently 71 years old. I walk with a A Nordic walkers group 3 days a week and work out with light weights and stretches the other days. I don't measure my blood pressure during these activities but I do monitor my heart rate closely. I currently still have a heart murmur and another aortic enlargement, so I just keep moving along.
@kkubsky, I can definitely relate to the scariness of increased blood pressure given s diagnosis of ascending aortic aneurysm. I've had issues with insomnia and anxiety attacks because of it. I think finding more effective ways to decrease your stress/anxiety is really important, and I hope you will consider that.
In my case, blood pressure was well-controlled for many years with Lotrel 5/10. Then in the months leading up to and including initial diagnosis of the AAA (during which time I found out I had stage 0 genital cancer and needed surgery), it was consistently high (between 165-187/80). My cardio then changed to Lotrel 10/40, which helped but I still had terrible insomnia and anxiety attacks that kept it high. After ~5 months after the change in Lotrel dose, my BP is now consistently under what my cardio (and the vascular surgeon who would do surgery if it becomes necessary) consider reasonable control,
Continued
which is 130/80 or less. The increase in BP meds definitely helped, but I think it was better stress management that helped even more–specifically, an online mindfulness meditation course I've been taking for the past month. It's not everyone's cup of tea, but I think everyone has something that can help alleviate stress really well, and that is my hope for you.
Take care and all the best navigating these challenges!
I had surgery for an emergency aortic dissection. I have three spots that have been repaired (the root, the arch and desending). I am 6 months out. My Cardiovascular MD said my BP was normal for someone that has not gone through this surgery (130's to low 140s) but wanted my BP in the 120-125 range. I walk at least a mile on my "off" (T,TH) days or I bike for 30 minutes. I lift 5 lb weights on those days. On my exercise days (M,W,F,S) I do 2 miles of walking/biking/treadmill/recumbent or mix it up. I take .25 mg of Metropol. She decided she wanted mine a little lower and we increased the Metropol to a half tab in the evenings. It seems to be working.
My understanding is that situational increase in BP, such as white coat increase in BP when I visit any doctor, is not a major issue. It is when the BP is consistently high. I take my BP for 5 days in a row every month. When it went up in the 150s and 160s over 90s, I called my primary care and she upped my valsartin. I'm now taking 320 valsartan and 25 mg metoprolol and my BP is back down to 117/75. If it creeps back up over the next year, we'll have to figure out another solution.