I would like some advice. My son, who is now 17, was diagnosed with HCM at age 14. We went for our annual checkup at Mayo this past week. He had an increase in septal thickness to 27 mm (from 20 mm one year ago) with a outflow tract gradient up to 112 (72 last year). He also has backflow of blood into the atrium with larger atriam size. He already has dual chamber pacing which they did 2 years ago to improve outflow tract obstruction.
He gets sob with activity, has problems with chest pain after large meals and occasional chest pain(even at rest).
Mayo increased his atenolol. THey stated that in the future he may need to have myectomy/ablation based on increase in symptoms.
My question....seems like the pressure is awfully high...is there a problem with waiting on surgical intervention? In adddition, I read on this website that pacing should be proceeded with caution.
When is surgery recommended? Only on symptoms? AS his pressure and thickness is high, will surgery be inevitable. Mayo states that surgery would only be indicated if symptoms progress. With that much pressuree gradient...what can happen...heart failure?
He gets sob with activity, has problems with chest pain after large meals and occasional chest pain(even at rest).
Mayo increased his atenolol. THey stated that in the future he may need to have myectomy/ablation based on increase in symptoms.
My question....seems like the pressure is awfully high...is there a problem with waiting on surgical intervention? In adddition, I read on this website that pacing should be proceeded with caution.
When is surgery recommended? Only on symptoms? AS his pressure and thickness is high, will surgery be inevitable. Mayo states that surgery would only be indicated if symptoms progress. With that much pressuree gradient...what can happen...heart failure?
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