First, I would like to thank you all for the invaluable service you provide! I am a 33 y/o, 245 lb, female with HOCM. I had a dual chamber AICD implanted in Sept. 2001 and was prescribed Toprol XL 50mg at that time. I noticed no improvement in my symptoms with these treatments. My follow-up care was very limited from 2001 until early 2004.
I am now seeing another cardiologist whom, thankfully, has put me through a myriad of test and procedures. We have finally concluded that I am obstructing mid-cavity. My resting gradient is very low; but my stress/exercise-induced gradient is around 80 (I pass out once it gets much higher). I have also begun experiencing atrial fibrillation in addition to the ventricular arrhythmias I was already aware of. My cardiologist has recommended several treatments including: medication, ablation, myectomy, weight loss, and adding a third lead to my AICD (actually replacing the existing unit with another). The latter option is the one my cardiologist and the electrophysiologist are recommending; but during our conversation, they said it