Questions posted in the
Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.
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Subject: Re: hypertrophic obstructive cardiomyopathy I recently underwent my yearly echo. I now have a septal wall dimension of 1.9 . My resting gradiant is 0 and I have a provocable gradient of over 150 using amyl nitrate inhalation. I have minimal mitral regurgitation. I must also add that I am totally asymptomatic. Please give me your opinion on my situation and would I be a candidate for septal myectomy yet. Thank you. Mike --------------------------------------------------------------------------------------------------- Dear Mike If you are completely asymptomatic, even with exercise, I would be hard pressed to recommend surgery at this point. It wouldnt make you feel any better (since you already feel well). You should continue to be followed periodically for symptoms and for any change in your echo, in particular the development of more mitral regurgitation. If you eventually do need treatment, you will hopefully be a candidate for the catheterization-based ablation procedure.
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