I have had cardiomyopathy for over 20 years, with an EF of about 30%. In the last couple years I started showing symptoms as my mitral valve regurge got severe. I have a mechanical valve put in 3 months ago, and doing extremely well.
The only down side is my EF has stayed in the 20% range that it was in just before the surgery, even though I feel good. The docs want me to get an ICD, and I am more concerned about this than the valve surgery. I don't like the idea of a lead going down though my tricuspid valve. It seems like it would damage the valve evenntually.
I have thought about waiting for the new ICDs that have external leads. I hate it that the USDA takes so long to get treatment on the market.