My husband is 41 years old and has been treated for HOCM for the past 13 years. Treatment thus far has consisted of Inderal La 160mg. 2tabs BID and Disopyramide 150mg. 2tabs BID. He continues to have alot of chest pain, sob on excertion and recently has had episodes of syncope, something he hasn't dealt with for several years. His biggest problem is having no energy to make it through the day without having to come in and rest for an hour or two at mid day. We are aware that the dose of his medications has alot to do with his lack of energy. His cardiologist has suggested it is time to do something other than medication and has recommended this alcohol ablation for which he would come to the Cleveland Clinic. Our question is simply how safe is this versus surgical myectomy? Can you give us the pros and cons to each?
Thanks in advance for any help you can give us. Shirley
An alcohol ablation is very safe and effective and is a simple non-surgical procedure that has good results it generally requires a cardiac catheterization to determine if you are a candidate and then the procedure can be done. It requires a 2 day hospitalization and one of the complications is the need for a pacemaker.
Myectomy is an open heart procedure where the heart is stopped and a portion of the heart is cut away. This has all the risks of coronary artery bypass grafting as well as the need for a pacemaker.
for further information on alcohol ablation you may contact Dr. Harry Lever or Dr. Murat Tuzcu at CCF/
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