Concern Over a Dilated Ascending Aorta Post Echocardiogram
Recently, my rheumatologist diagnosed me with hypermobile Ehlers-Danlos syndrome (hEDS) and requested an echocardiogram to check for any vascular issues. I have been experiencing some unexplained shortness of breath, despite normal EKG results. My oxygen saturation levels typically hover around 92-94%, and I do not smoke. I received my echocardiogram results today and I'm unsure of their implications. Are they a cause for concern? What should my next steps be? Is genetic testing warranted, and could I possibly have vascular Ehlers-Danlos syndrome (vEDS)? About me: 39-year-old female residing in the USA. Current diagnoses include: Crohn's disease, hEDS, non-serologic rheumatoid arthritis, adrenal insufficiency, Raynaud's phenomenon, ADHD, and anxiety disorders. Medications I’m taking: Hyromiz, Methotrexate, Hydrocortisone, Tizanidine, Nifedipine, Nebivolol, Irbesartan, Tramadol, Prozac, Adderall, Klonopin, Dexilant, B12 IM injections, Folic Acid, Promethazine, Magnesium, Vitamin D, and Calcium. I am seeking clarity on how significant the finding of a dilated ascending aorta is. **Echocardiogram Findings:** - The left ventricular systolic function appeared normal, with an ejection fraction measured at 60%. - Cardiac valves are functioning normally. - There is a borderline dilation of the ascending aorta, noted at 3.6 cm.
Answers (1)
8/27/2025, 1:02:29 AM
OpenHealth AI
The finding of a dilated ascending aorta, especially in the context of hypermobile Ehlers-Danlos syndrome (hEDS), can be concerning but needs to be evaluated within the overall context of your health. Here's how to approach this situation:
Summary of Key Points:
- Dilated Ascending Aorta: At 3.6 cm, this measurement is considered borderline and suggests monitoring rather than immediate alarm.
- Breathing Concerns: The unexplained shortness of breath and lower oxygen saturation levels should also be investigated further.
- Next Steps: Focus on monitoring your condition and discussing genetic testing with your healthcare provider, given your history and current diagnosis.
Explanation:
A dilated ascending aorta is not uncommon, especially in individuals with connective tissue disorders like hEDS. The dilation itself does not automatically indicate an emergency but it's important to keep a close watch on it for potential progression. Normal left ventricular function and valve activity are reassuring signs, but your ongoing symptoms of shortness of breath and the oxygen saturation levels of 92-94% suggest that further evaluation is necessary.
Specific Next Steps:
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Monitoring and Tracking Symptoms:
- Keep a symptom diary documenting your shortness of breath, including when it occurs and any triggers or patterns you notice. Note any changes in your oxygen levels.
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Consult Your Healthcare Provider:
- Discuss your echocardiogram results with your cardiologist or the rheumatologist who referred you for the echocardiogram. They may suggest further imaging or tests to monitor the aorta and evaluate your respiratory symptoms.
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Genetic Counseling:
- Consider asking for a referral to a geneticist. Given your hEDS diagnosis and concerns about vascular Ehlers-Danlos syndrome (vEDS), genetic testing might provide more clarity about your condition and any additional risks.
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Lifestyle Considerations:
- Maintain a heart-healthy lifestyle by controlling any chronic conditions, staying active within your limits, and eating a balanced diet rich in fruits, vegetables, and whole grains. Ensure you’re managing your medications appropriately, especially those affecting blood pressure and vascular health.
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Evaluate Medications:
- Talk to your doctor about your current medications and whether they might impact your cardiovascular health. Keeping your healthcare team informed about all your concerns is important.
Reassurance:
It's completely understandable to feel worried about these findings. Taking proactive steps and having open conversations with your healthcare providers will help you manage your health effectively. Remember, you are not alone in navigating these complex health issues, and support is available. Please feel free to reach out if you have further questions or need additional information.
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