What Causes Aortic Root Dilatation While Having Hypertension?

Posted on Sat, 24 Dec 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 24 Dec 2016 Answered on

Fri, 13 Jan 2017 Last reviewed on

Question : Hi
I'm male 35years 176cm /105kg diagonosed with hypertension before 2years it was 160-170/100-110
ECG, kidney scan, blood test and echo all were normal except mildly dilated aortic root 4cm EF Was 60%

Now for 2 years bp is well controlled with Telma40mg in morning and cilacar 10mg in night 120-110/70-80
Reduced weight to 85kg

When I asked about Aortic root dilation to the doctor he said it is within normal range ... should I be concerned about it

Answered by Dr. Rishu Saxena (44 minutes later)

Brief Answer:
Its normal!!

Detailed Answer:
Hi
firstly thannks for choosing health care magic for your query

Have noted all you details ,
Mild aortic root dilatation is a perfectly normal finding in hypertensive males.
About 70% of the patients with hypertension has mild aortic root dilation in their echo.Just keep your blood pressure less then 140/90 mm of hg.
No need to worry!!
In case you have any other query feel free to ask!

Dr Rishu Saxena
Cardiologist XXXXXXX Newdelhi

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Rishu Saxena (36 minutes later)

Thank you so much for ur timely reply ...

Answered by Dr. Rishu Saxena (3 hours later)

Brief Answer:
welcome

Detailed Answer:
Your welcome!

Feel free to ask,
Thanks ,
Dr Rishu Saxena
Cardiologist

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Rishu Saxena (20 minutes later)

So 4cm aortic root is normal ?

Answered by Dr. Rishu Saxena (4 minutes later)

Brief Answer:
yes normal

Detailed Answer:
Hi
Normal average diameter is 3.8 cm(range 2.4 to 3.8)
Yours is just 0.2cm more , i don't think there is any need to worry.

Thanks ,
Advice
Repeat ECHO (for mental satisfaction ) at a multispeciality hospital, if possibile under phillips i machine.

Dr Rishu Saxena
Cardiologist XXXXXXX hospital XXXXXXX
YYYY@YYYY

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar