It really depends on what the docs mean by severe...the treatment for it ranges from medications, to surgery, to a pacemaker to an ICD implant. Alot depends on the thickening of the muscle of the heart or the percentage of stenosis or narrowing.....this is a situation where if it is you we are talking about and you are only 40 years old if it were me i would opt for the treatment that could be offered up by my doc that would have the longest lasting effect for me and age will i am sure be working in your favor...good luck on this....
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